| IN THE TAXES APPELLANT TRIBUNAL |
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| No _____ of |
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| Name of the Appellant |
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| Deputy Commissioner of Taxes |
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| Respondent. |
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| Income Tax *Circle in which assessment was made and *Range/Zone/in which it is located. |
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| Income Year |
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| Assessment year |
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| Section of the Income Tax Ordinance, 1984,Under which the Deputy Commissioner of Taxes passed the order. |
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*Inspecting Joint Commissioner of Taxes Passing the order under section 120
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| *Appellate Joint Commissioner of Taxes determining the appeal |
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Date of communication of the order of the
Deputy Commissioner of Taxes.
Inspecting Joint Commissioner of Taxes
Appellate Joint Commissioner of Taxes |
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| Address to which notices may be sent to the respondent |
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| Address to which notices may be sent to the Appellant |
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| Claim in Appeal |
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Note: If the grounds of appeal are not accommodated in the boxes below, please attach the grounds as a separate file from your PC: