Scribd
Upload
91 views

2.form of Appeal ACIR - M

This document contains a form for filing an appeal against a tax order. It includes: 1. Details of the appellant such as name, address, tax period in question. 2. Details of the tax order being appealed such as income declared, tax assessed, and tax demand. 3. Space to provide a brief history of the case, grounds for appeal, and prayer/relief sought. 4. A verification section to be signed confirming accuracy of the information provided. The form requests relevant documents like the order appealed, tax notice, and proof of payments be submitted along with the appeal. It will be processed and receipt acknowledged by the tax authority's appeals office.

Uploaded by

wasim nisar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
91 views

2.form of Appeal ACIR - M

This document contains a form for filing an appeal against a tax order. It includes: 1. Details of the appellant such as name, address, tax period in question. 2. Details of the tax order being appealed such as income declared, tax assessed, and tax demand. 3. Space to provide a brief history of the case, grounds for appeal, and prayer/relief sought. 4. A verification section to be signed confirming accuracy of the information provided. The form requests relevant documents like the order appealed, tax notice, and proof of payments be submitted along with the appeal. It will be processed and receipt acknowledged by the tax authority's appeals office.

Uploaded by

wasim nisar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
You are on page 1/ 4

FORM OF APPEAL

APPEAL NO.____________

APPEAL DATE__________
(For office use only)

To
THE COMMISSIONER
(APPEALS) ZONE ______

Amount of appeal fee paid 5 0 0 0 Date of


payment of
appeal fee
Amount of tax
demand based on Date of
returns income. payment of
demand

Amount of tax levied additionally whether


requirement of tax payment for filing of appeal Yes No
met or not?

National Tax Number of Appellant 3 3 6 1 4 3 5 - 7


or CNIC

Tax Period(s) 0 1 0 7 1 6 T O 3 0 0 6 1 7

Zone Audit-I Unit-VI Range-II CTO_ Jurisdiction ___ Audit-I Unit-VI Range-II CTO_ .

NAME OF APPELLANT D Y S I N A U T O M O B I L I E S L I M I T E D

APPELLANT’S STATUS Individual AOP Company RF URF HUF


Address of the B U I L D I N G N O - 3 1 0 F A I R Y M E A D O W S
Appellant L I N E N A D I R S T R E E T W E S T C A N A L B A
N K L A H O R E G U L B E R G T O W N L A H O R E

NAME OF AUTHORIZED M U H A M M A D R A S H I D K H A N
REPRESENTATIVE (If any)

STATUS OF REPRESENTATIVE CA C&AM ADVOCATE ITP ITP AR


ADDRESS TO WHICH THE O F F I C E N O - 1 0 8 - F I R S T F L O O R - E D
NOTICE MAY BE SENT E N C E N T R E - 4 3 - J A I L R O A D - L A H O R
E - D A T A G U N G B U K H S H - T O W N

Name of the I M R A N A L I S H A H
Commissioner (who
passed the order)
DCIT CODE - -

INCOME DECLARED ASSESSED

Signature of the official ______________________


(Who received the appeal)

Name ____________________________________
(In capital letter)

Designation _______________________________
TAX ASSESSED

(a) Income tax General Guidelines.

1 1 5 9 4 5 0 8 9 1. Indicate the section and


(b) Default Surcharge sub-section of the Income
Tax Ordinance 2001 under
which appeal filed.
(c) Penalty 2. Where payment made on
more than one date please
give details on a separate
(d) Others sheet.
3. AOP: Association of
1 1 5 9 4 5 0 8 9 Persons
(e) Total 4. CMA: Cost &
Management Accountant.
(f) Undisputed liability. This 5. AR: Authorized
shall not be less than the tax due Representative
on the basis of return.

1 1 5 9 4 5 0 8 9
(g) Tax Demand [“u/s 137(2) ”]

N.B. (i) The appeal should be filed in duplicate and should be accompanied with
(a) the order appealed against;
(b) notice of demand;
(c) proof of payment of appeal fee;
(d) a certificate showing the date of service of notice of demand or the impugned order
to the appellant; and
(e) a certificate showing the date of communication of the memorandum of appeal and
grounds of appeal to the respondent department along with evidence of service.

BRIEF HISTORY AND FACTS OF THE CASE


_______________ _____________________ ____________
_________AS PER GROUNDS OF APPEAL______ _______________

GROUNDS OF APPEAL
_______________ _____________________ ____________
_________ATTACHED ON SEPARATE SHEET ______ ____________

BRIEF CLAIM IN APPEAL/PRAYER


_______________ _____________________ ____________
_________AS PER GROUNDS OF APPEAL______ ________________

VERIFICATION

1. I, --------------- , do hereby declare that whatever is stated above is true to the best of my knowledge and belief.
2. I am competent to file the appeal in my capacity as self through authorized representative.
3. I further verify that a true copy of this form of appeal has been sent by Registered Post A.D/Courier to the
ASSISTANT/ DEPUTY COMMISSIONER INLAND REVENUE (AUDIT-01) RANGE-II, CORPORATE TAX
OFFICE , LAHORE.
Evidence of service by any of the following modes attached:-
(Please tick the relevant box)
(i) Receipt of registered post
(ii) Receipt of courier service
(iii) Receipt of personal service 

Signature of Appellant _____________________


Name (in capital letter)

CNIC number of person signing the appeal

The form of appeal and verification form appended thereto shall be signed:-
(a) in case of an individual by the individual himself
(b) in case of a company by the principal officer.
(c) In case of AOP by member/partner.

This portion is for official use

Appeal received by transfer

Appeal received by transfer from Date appeal received by transfer Inward register no.
Zone/Range

Appeal transferred to Zone/Range Date appeal received by transfer Inward register no.

UDC/LDC CIR (Appeal)


(Initial) (Initial)
The form of appeal and verification form appended thereto shall be signed:-
(a) in case of an individual, by the individual himself; (b) in case of a company or local authority, by the Principal
Officer,
(c) in case of a firm, by a partner; (d) in case of any other association by the member of the
association.
(e) In case of Hindu undivided family by the manager of
karata

APPEAL ACKNOWLEDGEMENT RECEIPT

Appeal Zone/ CIR (Appeals- ) CITY Lahore

NTN/

Appeal No.
CNIC
Appellant Name

Signature of Appellant Date of Receipt of appeal Signature and Name of Receiving


Official with Designation

_______________ ________________ ________________

________________

You might also like