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Form 1

Rules - Indirect Tax Dispute Resolution Scheme Rules, 2016 - [See rule 3(1)] FORM OF DECLARATION UNDER SUB SECTION (1) OF SECTION 214 OF THE FINANCE ACT, 2016 (28 OF 2016), IN RESPECT OF INDIRECT TAX DISPUTE RESOLUTION SCHEME, 2016 IN DUPLICATE To, T .....

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nt (in block letters) 2 Registration Number 3 Address (as mentioned in order in original against which appeal has been filed before Commissioner (Appeals) 4 Telephone number 5 Order in original number 6 Date of order in original 7 Amounts demanded Du .....

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k letters) son/daughter/of Shri ............................................ solemnly declare that to the best of my knowledge and belief, - (a) the information given in this declaration is correct and complete and amount due and other particulars sh .....

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city as ................... [(designation) (please specify if you are making a declaration on behalf of declarant)] and that I am competent to make this declaration and verify it. Place Signature of person making declaration Date Name of person makin .....

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