Form 3 - Appeal to the Commissioner of Income-tax (Appeals) Designation of the Commissioner (Appeals) (See rule 11) - Commodities Transaction Tax Rules, 2013

FORM NO. 3 [See rule 11 of Commodities Transaction Tax Rules, 2013] Appeal to the Commissioner of Income-tax (Appeals) Designation of the Commissioner (Appeals) CTTS 3 *No ..of 20 1. Name and address of the appellant 2. Permanent Account Number 3. Financial year in connection with which the appeal is preferred 4. Assessing Officer passing the order appealed against 5. Section and sub-section of Chapter VII of the Finance Act, 2013 , under which the Assessing Officer passed the order appealed against and the date of such order 6. Where the appeal relates to any assessment or penalty, the date of service of the relevant notice of demand 7. In any other case, the date of service of the intimation of the order appealed against 8. Section and sub-section of Chapter VII of the Finance Act, 2013 , under which the appeal is preferred 9. Where a return has been filed by the appellant for the financial year in connection with which the appeal is preferred, whether tax due on the value of taxable commodities transaction returned has been paid in full (if the answer is in the affirmative, give details of date of payment and amount paid) 10. Relief claimed in appeal 11. **Where an appeal in relation to any other financial year is pending in the case of the appellant with any Commissioner (Appeals), give the details as to the - (a) Commissioner (Appeals), with whom the appeal is pending; (b) Financial year in connection with which the appeal has been preferred; (c) Assessing Officer passing the order appealed against; (d) Section and sub-section of Chapter VII of the Finance Act, 2013 , under which the Assessing Officer passed the order appealed against and the date of such order 12. Address to which notices may be sent to the appellant ..Signed (Appellant) STATEMENT OF FACTS GROUNDS OF APPEAL ..Signed (Appellant) Form of Verification I, . ., the appellant, do hereby declare that what is stated above is true to the best of my information and belief. Verified today the .. day of . Place . . . Signature Notes: 1. The form of appeal, grounds of appeal and the form of verification appended thereto shall be signed by a person in accordance with the provisions of rule 7 of Commodities Transaction Rules, 2013. 2. The memorandum of appeal, statement of facts and the grounds of appeal shall be in duplicate accompanied by a copy of the order appealed against and the notice of demand in original, if any. 3. Delete the inappropriate words. 4. *These particulars will be filled in in the office of the Commissioner (Appeals). 5. If the space provided herein is insufficient, separate enclosures may be used for the purpose. 6. **If appeals are pending in relation to more than one financial year, separate particulars in respect of each financial year may be given. 7. The memorandum of appeal shall be accompanied by a fee of one thousand rupees. 8. The fee should be credited in a branch of the authorised Bank or a branch of the State Bank of India or a branch of the Reserve Bank of India after obtaining a challan from the Assessing Officer.