Form Of Appeal Against Order Of Assessment

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FORM VAT-501
“FORM OF APPEAL AGAINST ORDER OF ASSESSMENT UNDER SECTION 40,43
OR ASSESSMENT WITH PENALTY UNDER SECTION 42,43,44 OR LEVY OF
PENALTY UNDER SECTION 52 OF THE ORISSA VALUE ADDED TAX ACT, 2004.
[Refer rule 87]
D D
M M
Y Y Y Y
01. Office address
02 TIN
SRIN
03. Name and address of the dealer
.
The petitioner, Sri/Smt._________________(status)______________________ of
the
business
known
as
M/s.
______________________bearing
TIN/SRIN
_____________________, whose principal place of business under the jurisdiction of Sales Tax
Officer / Assistant Commissioner / Deputy Commissioner / Joint Commissioner of Sales Tax
_____________________Circle / LTU is situated at ________________, P.O.______________
Dist _________________ sheweth as follows:-
04.
Under the Orissa Value Added Tax Act, 2004 , your petitioner’s gross turnover and taxable
turnover for the tax period(s) from _______________to ______________________have been
determined at Rs.________________and Rs.____________________respectively
05.
Under Section 42,43,44 and 52 of the Act, a penalty of Rs._____________ has also been
imposed on your petitioner.
06.
The order of the Sales Tax Officer/ Assistant Commissioner / Deputy Commissioner / Joint
Commissioner of Sales Tax, attached hereto, was received
by the petitioner on
_____________________.
07.
During the tax period(s) from ____________________to _____________________, your
petitioner’s gross turnover and taxable turnover under different rates of tax as per the statement
attached hereto amounted to Rs.______________and Rs.__________________ respectively.

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