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MEMO OF APPEAL TO TRIBUNAL

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..... 1. Name of the Dealer 2. Constitution of Business Organization (sole proprietor/partnership/Pvt. Ltd. Co./Public Ltd. Co./Corporation/Govt. company etc.) 3. Name of person signing the appeal and his status in the organization 4. Address of the Place of Business 5. Address for communication to the appellant along with telephone nos., if any 6. No. date of order appealed .....

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..... jection Denied by the decision on the objection Tax Interest Penalty Other Total Tax Interest Penalty Other Total (b) In case of appeal against a decision on objection under section 74 to an order or decision other than an assessment of tax/interest/penalty Ground in brief taken in .....

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..... cuments referred to in the Index are enclosed. 16. The following relief is prayed for:- Place: Signature Date: Name of the person signing the Memo of Appeal _______ Status of the Signatory relating to the appellant business Organisation (Prop/Partner/ Director/Authorized Signat .....

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