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Form No.36: (See Rule 47 (1) )

This document is a form for filing an income tax appeal. It requests information about the appellant and respondent, details of the order being appealed such as the assessment year, income amounts, penalties, and grounds for appeal. It also requests information on appeal filing details such as fees paid and whether there is a delay in filing. The appellant and authorized representative must sign verifying the accuracy of the information provided in the appeal form.

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1K views2 pages

Form No.36: (See Rule 47 (1) )

This document is a form for filing an income tax appeal. It requests information about the appellant and respondent, details of the order being appealed such as the assessment year, income amounts, penalties, and grounds for appeal. It also requests information on appeal filing details such as fees paid and whether there is a delay in filing. The appellant and authorized representative must sign verifying the accuracy of the information provided in the appeal form.

Uploaded by

itat hyderabad
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Form No.

36
[See rule 47(1)]

In the Income Tax Appellate Tribunal

Appeal No.____________________________ of ________

Versus

APPELANT RESPONDENT

Name / designation of the Appellant


(As applicable)
Appellant’s Personal

PAN (if available) TAN (if available) Complete address for sending notices
Information

State Pin Code

Phone No. with STD Code/ Mobile No.

Email Address

Name / designation of the Respondent


(As applicable)
Respondent’s Personal

PAN (if available) TAN (if available) Complete address for sending notices
Information

State Pin Code

Phone No. with STD Code/ Mobile No.

Email Address

Assessment year in connection with which the


1
appeal is preferred
Total income declared by the assessee for the
2
assessment year referred to in item 1
3 Details of the order appealed against
Section and sub-section under which the
Appeal Details

a.
order is passed
b. Date of order
c. Date of service/ communication of the order
Income Tax Authority passing the order
4
appealed against
The State and District in which jurisdictional
5
Assessing Officer is located
Section and sub-section under which the original
6
order is passed

Page 1 of 2
7 If appeal relates to any assessment YES / NO
Total income as computed by the Assessing Officer

Amounts disputed in appeal


a.
for the assessment year referred to in item 1
Total amount of additions or disallowances made in
b.
the assessment
c. Amount disputed in appeal
8 If appeal relates to any penalty YES / NO
a. Total amount of penalty imposed as per order
b. Amount of penalty disputed in appeal
9 If appeal relates to any other matter YES / NO
a. Amount of disputed in appeal

10 Grounds of Appeal Tax effect


Grounds of Appeal

1
2
3
4
5
Total tax effect
Whether there is any delay in filing of YES / NO
Appeal filing details

11 appeal (if yes, please attach application If yes, Delay in No. of Days
seeking condonation of delay) Condonation Petition attached YES / NO
12 Details of Appeal Fees Paid
BSR Code Date of Payment Serial No. Amount

Signed: Signed:
(Authorised representative, if any) (Appellant)
Name: Name:
Designation: Designation:

Form of verification

I, _______________________________, s/o ___________________, _____________________ the


appellant, do hereby declare that what is stated above is true to the best of my information and belief.

Place: Signature:
Date: Name:
Designation:

Page 2 of 2

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