FORM NO.

35
CIT(A) Acknowledgement Number
[ See rule 45]
Appeal to the Commissioner of Income-tax (Appeals) 197533190130616
First Name Middle Name Last Name or Name of PAN TAN (if available)
Entity
ALPESH NARENDRA SHAH AAQPS1183G
Personal Information

Flat/ Door/ Block No. Name of Premises / Building / Village Road / Street / Post Office
GROUND FLOOR, SAGAR
APARTMENT,
Area/ Locality Town/ City/ District State Country
OLD NAGARDAS ROAD, MUMBAI MAHARASHTR INDIA
ANDHERI (E) A
Pincode Mobile No STD/ISD Code-Phone No Email Address Whether notices/ communication
may be sent on email?
400069 - 9867115415 - alpeshshah65@ya No
hoo.in
1 Assessment year in connection with which the appeal is preferred/ Enter financial year in case appeal is filed against an
order where assessment year is not relevant
Order against which

Assesessment Year Financial Year Block Period Date Of Search

Appeal is filed

From(AY) To(AY)
2013 - 14
2 Details of the order appealed against/Appeal u/s 248
a Section and sub-section of the Income-tax Act,1961 143(3)
Order Number
Document Identification Number (DIN)
b Date of Order 30/03/2016
c Date of service of Order / Notice of Demand / Date of payment of tax in case of Appeal u/s 248 04/04/2016
3 Income-tax Authority passing the order appealed against ACIT- 24(1), MUMBAI
4 Where an appeal in relation to any other assessment year is pending in the case of the appellant with No
any Commissioner (Appeals)
4.1 If reply to 4 is Yes, then give following details.
Sl.No CommissionerAppeal No Date of AssessmentAssessment Income-tax Section and Date of such
Pending Appeal

(Appeals), Filing of year/ year/ Authority sub-section of Order

with whom appeal financial financial year passing the the Income-
the appeal is year in order appealed tax Act,1961,
pending connection against under which
with the order
which the appealed
appeal against has
has been been passed
preferred
1
5 Section and sub-section of the Income-tax Act,1961 under which the appeal is preferred 246A
6 If appeal relates to any assessment ? Yes
a Amount of Income Assessed (in Rs.) 18380810
Appeal Details

b Total Addition to Income (in Rs.) 15634108

c In case of Loss, total disallowance of Loss in assessment (in Rs.) 0
d Amount of Addition/ Disallowance of Loss disputed in Appeal (in Rs.) 15634108
e Amount of Disputed Demand (in Rs.)-Enter Nil in case of Loss 6935180
7 If appeal relates to penalty ? Not Applicable
a Amount of penalty as per order (in Rs.)
b Amount of penalty disputed in Appeal (in Rs.)
8 Where a return has been filed by the appellant for the assessment year in connection with which the Yes
appeal is filed, whether tax due on income returned has been paid in full
8.1 If reply to 8 is Yes, then enter details of return and taxes paid
Details of Taxes paid

a Acknowledgement number 858212410002011

b Date of filing 02/01/2014
c Total tax paid 776124
9 Where no return has been filed by the appellant for the assessment year, whether an amount equal Not Applicable
to the amount of advance tax as per section 249(4)(b) of the Income-tax Act, 1961 has been paid
9.1 If reply to 9 is Yes, then enter details
Tax Payments
BSR Code Date of payment Serial Number Amount
Total 0
 10 If the appeal relates to any tax deductible under section 195 of the Income-tax Act,1961 and borne by the deductor,
details of tax deposited under section 195(1)
Sl. No BSR Code Date of payment Serial Number Amount
1
11 Statement of Facts
Appeal and additional evidence
Statement of Facts, Grounds of

Facts of the case in brief (not exceeding 1000 words) As per grounds of Appeal
List of documentary evidence relied upon Balnce Sheet and other Juridicial Prononcement
12 Whether any documentary evidence other than the evidence No
produced during the course of proceedings before the
Income-tax Authority has been filed in terms of Rule 46A
12.1 If reply to 12 is Yes, furnish the list of such documentary
evidence
13 Grounds of Appeal(each ground not exceeding 100 words)
Relevant section (s) of IT/Act Issue Ground of Appeal
68 Unexplained Cash credit 1)Assessing officer erred in making addition o
f Rs. 1,35,77,021/- as unexplained cash credit
u/s 68.
68 Unexplained Cash credit 2)Assessing officer erred in not appreciating th
e fact & detail that the assessee has submitted
during the course of assessment proceeding.
68 Unexplained Cash credit 3)Assessing Officer erred in making addition o
f Rs.20,57,087/-as undisclosed income.
68 Unexplained Cash credit 4)Assessing officer has erred in law & fact in
making addition of Rs. 20,57,087/- through ca
sh deposited in bank as reported in ITS/AIR st
atement was explained during assessment proc
eeding.
246A Amendment Plead to add, alter or amend any or all grounds
of appeal before or at the time of hearing.
246A Relief Claimed Delete Addition U/s 68.
14 Whether there is delay in filing appeal ? No
Appeal filing details

15 If reply to 14 is Yes, enter the grounds for condonation of

delay (not exceeding 500 words)
16 Details of Appeal Fees Paid
BSR Code Date of payment Serial Number Amount
0000539 18/04/2016 5 1000

17 Address to which notices may be sent to the appellant

Flat/ Door/ Block No. Name of Premises / Building / Village Road / Street / Post Office
GROUND FLOOR, SAGAR APARTMENT,
Area/ Locality Town/ City/ District State Country
It is a good practice to save your work frequently MUMBAI MAHARASHTRA INDIA
Pincode Mobile No Email Address
400069 - 9867115415 [email protected]
x
Form of Verification

I, ALPESH NARENDRA SHAH the appellant, do hereby declare that what is stated above is true to the best of my information
and belief. It is also certified that no additional evidence other than the evidence stated in row 12.1 above has been filed.

Place : MUMBAI
Date : 13/06/2016

This form has been electronically verified by ALPESH NARENDRA SHAH having PAN AAQPS1183G on 13/06/2016 from IP
address 59.183.177.177 and has been electronically verified using
Electronic Verification Code MWJXG9WD2I generated through Aadhaar OTP mode.