FORM VAT-502
FORM OF MEMORANDUM OF APPEAL TO THE TRIBUNAL
[Refer sub-rule (1)(a) of rule 93]
D D
M M
Y Y Y Y
01. Office address
-
-
02 TIN/SRIN
03.
Appellant(s)
(Name and full address)
Versus
Respondent(s)
(Full address)
04.
Circle/Range/LTU in which assessment was
made
05.
Tax period(s) for which assessment was made
06.
Designation of the assessing authority passing
the order of assessment/the order of penalty,
now appealed against and the date of his order
07.
Designation of the appellate authority passing
the order in appeal under Section 78 of the Act
and the date of his order
08.
Date of receipt of the appellate order under
Section 78 of the Act by the appellant(s)