TAXES APPELLATE TRIBUNAL

No _____ of

Deputy Commissioner of Taxes

Name of the Tax Payer

Respondent.

Income Tax *Circle in which assessment was made and *Range/Zone/in which it is located.

Income Year

Assessment year

Section of the income Tax ordinance, 1984,Under which the Deputy Commissioner of Taxes passed the order.

*Inspecting Joint Commissioner of Taxes Passing the order under section 120

*Appellate Joint Commissioner of Taxes determining the appeal

Date of communication of the order of the
Deputy Commissioner of Taxes.
Inspecting Joint Commissioner of Taxes Appellate Joint Commissionr of Taxes

Address to which notices may be sent to the respondent

Address to which notices may be sent to the Appellant

Claim in Appeal

GROUNDS OF APPEAL

Note: If the grounds of appeal are not accommodated in the boxes below, please attach the grounds as a separate file from your PC:

or Type

This is Electronic Submission of Appeal memorandum, no need of any signature. (Name and Designation of the Appellant/A.R.(Authorized Representative))
Name
Designation
Verification
the appellant / authorized representative, do hereby declare that what is stated above is true to the best of my information and belief. Verified today.

Assessment Order *
Appeal
Order No *
Date
Attach File
Tribunal Fee * (Against which this appeal is being submitted, Original Challan Copy)
10% Tax payment document/ Waiver*
Other Documents (If Any)