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FORM NO. 4

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..... APPELLANT Versus RESPONDENT 1. The State in which the assessment was made 2. Section of Chapter VII of the Finance Act, 2013 under which the order appealed against was passed 3. The Commissioner (Appeals) passing the order appealed against 4. Financial year in connection with which the appeal is .....

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..... ned (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 Place . Signed Notes: 1. The memorandum of appeal shall be in triplicate accompanied by two copies (at least one of which should be a certified copy) of the order appealed agains .....

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..... hall 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 shall set forth, concisely and under distinct heads, the grounds of appeal without any argument .....

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