Summary of the demand after issue of order by the Appellate Authority, Tribunal or Court

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..... / UT tax Integrated tax Cess Total Amount in dispute / earlier order Determined Amount Amount in dispute /earlier order Determined Amount Amount in dispute /earlier order Determined Amount Amount in dispute /earlier order Determined Amount Amount in dispute /earlier order Determined Amount 1 2 3 4 5 6 7 8 9 10 11 a) Tax .....

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..... 5 6 7 Amount in dispute / earlier order Determined Amount Place: Date: Signature: Name of the Appellate Authority / Revisional Authority/ Tribunal / Jurisdictional Officer Designation: Jurisdiction: ] ******** Note: 1. Inserted vide Notification No. 60/2018 Central Tax dated 30-10-2018 .....

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..... b) Interest c) Penalty d) Fees e) Others .....

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