FORM XVI TRIPURA VALUE ADDED TAX ACT, 2004 FORM OF APPEAL [ See rule 23(1) (v) ] Form of appeal against an order of assessment U/S ............. or Penalty passed U/S............... of this Act. To The........... ........... ........... The ....... day of ........20..... Date of order appealed against ............. Name and designation of the officer who passed the order............ Period of assessment from.............. to ............ (Amount of turnover determined) (a) Rs............. (b) Rs............. (c) Rs............. (d) Rs............. (e) Rs............. (f) Rs............. Total Rs............. ( Enter here the name of commodity ) The petition of............. of .............. ......... post office................District is follows :- 1. Under Tripura Value Added Tax Act, 2005, your petitioner has been assessed a tax of ..........on turnover of Rs............ as shown above (Here enter the names of commodities.) 2. Under Section .................. of Tripura Value Added Tax Act, 2005 as penal tax of ...........has been imposed on your petitioner. 3. The notice of demand which your petitioner received on......... is attached hereto. 4. A certified copy of the order appealed against is attached. 5. Your petitioner's turnover, according to the provisions of the Act, of the business places situated in the District(s) of............ for the period from.......... to ............was as under. Turnover of (a) Rs............. (b) Rs............. (c) Rs............. (d) Rs............. (e) Rs............. (f) Rs............. Total turnover Rs............ 6. Such turnover was the whole turnover of your petitioner during the period. Your petitioner has no other turnover during the said period. 7. Your petitioner has made a return of his turnover to the office of....... under Section 24 of the Act and has complied with all the terms of the notice served on him by the .......... under Section .............. of the Act. 8. Your petitioner was prevented by sufficient cause from making the return required by section 24 or had not reasonable opportunity to comply or was prevented by sufficient cause from complying with the terms of the notice or from producing the evidence required under Section........................ as more particularly specified in the statement hereto annexed. 9. (Enter here the grounds on which you rely for the purpose of this appeal). 10. Your petitioner, therefore, prays that he may be assessed accordingly or that he may be declared not to be chargeable under the Act or that the assessment may be set aside and/or demanded to ......... For assessment or that the order of the ......... imposing a penal tax of Rs.......... upon your petitioner may be set aside. I............. the petitioner named above, do hereby declare that what is stated herein is true to the best of my information and belief and that all tax due in respect of the order of assessment appealed against has been paid under Treasury Challan No........... dated ........(or at least fifty percent of the tax/penal tax, assessed as may be required by you, shall be paid by me before the appeal is entertained). Signed............. (To be signed by the dealer or by an agent duly authorised in writing in this behalf by the appellant). * Here enter the names of Commodities.
