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	  Printed from www.taxmann.com   FORM NO. 36  [See  rule 47(1)]    Form of appeal to the Appellate Tribunal    In the Income-tax Appellate Tribunal __________________________________   * Appeal No._________________ of ________________   Versus   APPELLANT  RESPONDENT    1.  The State in which the assessment was made    2.  Section under which the order appealed against was  passed     3.     Assessment year in connection with which the  appeal is preferred     3A.  Total income declared by the assessee for the   assessment year referred to in item 3     3B.  Total income as computed by the Assessing Officer for  the assessment year referred to in item 3     4.   ** The Assessing Officer passing the original order    5.   ** Section of the Income-tax Act, 1961, under which  the Assessing Officer passed the order     6.  The Deputy Commissioner (Appeals) in respect of  orders passed before the 1st day of October,  1998/Commissioner (Appeals) passing the order under  section 154/250/271/271A/272A     7.  The Deputy Commissioner or the Deputy Director in  respect of orders passed before the 1st day of October,  1998, or the Joint Commissioner or the Joint Director  passing the order under section 154/272A/274(2)     8.   ** The Chief Commissioner or Director General or  Director or Commissioner, passing the order  under  section 154(2)/250/263/271/271A/272A     9.  Date of communication of the order appealed against    10.  Address to which notices may be sent to the appellant    11.  Address to which notices may be sent to the respondent    12.     Relief claimed in appeal          GROUNDS OF APPEAL          Signed  Signed  (Authorised representative, if any)  (Appellant)    Verification  I,______________________________________________ the appellant, do hereby declare that what is stated  above is true to the best of my information and belief.  Verified today the ________________ day of __________________    Signed  Notes  :    1.  The memorandum of appeal must be in triplicate and should be accompanied by two copies (at least one  of which should be a certified copy) of the order appealed against, two copies of the relevant order of the  Assessing Officer, two copies of the grounds of appeal before the first appellate authority, two copies of  the statement of facts, if any, filed before the said appellate authority, and also-    (a) in the case of an appeal against an order levying penalty, two copies of the relevant assessment order;    (b) in the case of an appeal against an order under section 143(3) read with section 144A, two copies of  the directions of the Deputy Commissioner under section 144A;    (c) in the case of an appeal against an order  under section 143(3) read with section 144B, two copies of    Printed from www.taxmann.com  the draft assessment order and two copies of the directions of the Deputy Commissioner under section  144B;    (d) in the case of an appeal against an order under section 143 read with section 147, two copies of the  original assessment order, if any.    2.  The memorandum of appeal by an assessee under section 253(1) of the Income-tax Act must be  accompanied by a fee specified below :-    (a) where the total income of the assessee as computed by the Assessing Officer, in the case to which the  appeal relates, is one hundred thousand rupees or less, five hundred rupees;    (b) where the total income of the assessee, computed as aforesaid, in the case to which the appeal relates  is more than one hundred thousand rupees but not more than two hundred thousand rupees, one thousand  five hundred rupees;    (c) where the total income of the assessee, computed as aforesaid, in the case to which the appeal relates  is more than two hundred thousand rupees, one per cent of the assessed income, subject to a maximum of  ten thousand rupees;    (d) no fee shall be payable in the case of a memorandum of cross-objections;    (e) an application for stay of demand shall be accompanied by a fee of five hundred rupees.    It is suggested that the fee should be credited in a branch of the authorised bank or a branch of the State  Bank of India or a branch of the Reserve Bank of India after obtaining a challan and the triplicate challan  sent to the Appellate Tribunal with a memorandum of appeal. The Appellate Tribunal will not accept  cheques, drafts, hundies or other negotiable instruments.   3. The memorandum of appeal should be written in English or, if the appeal is filed in a Bench located in  any such State as is for the time being notified by the President of the Appellate  Tribunal for the  purposes of rule 5A of the Income-tax (Appellate Tribunal) Rules, 1963, then, at the option of the  appellant, in Hindi, and should set forth, concisely and under distinct heads, the grounds of appeal  without any argument or narrative and such grounds should be numbered consecutively.    4.  *The number and year of appeal will be filled in in the office of the Appellate Tribunal.    5.   This column is not to be filled in where the appeal relates to any tax deducted under section 195(1).    6   **Delete the i
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