Appeal to Appellate Authority

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..... msp;Penalty (d) Fees (e) Other charges (v) Market value of seized goods 10. Whether the appellant wishes to be heard in person - Yes/No 11. Statement of facts :- 12. Grounds of appeal :- 13. Prayer :- 14. Amount of demand created, admitted and disputed Particulars of demand/refund Particulars Central tax State/UT tax Integrated tax Cess Total amount Amount of demand created (A) (a) Tax/Cess < total > < total > (b) Interest < total > (c) Penalty < total > (d) Fees < total > (e) Other charges < total > Amount of demand admitted (B) (a) Tax/Cess < total > < total > (b) Interest < total > (c) Penalty < total > (d) Fees < total > (e) Other charges .....

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..... unt paid Integrated tax Central tax State/UT tax CESS Integrated tax Central tax State/UT tax CESS 1 2 3 4 5 6 7 8 9 10 11"; 1. Interest 2. Penalty 3. Late fee 4. Others (specify) ] 16. Whether appeal is being filed after the prescribed period - Yes/No 17. If 'Yes' in item 17 - (a) Period of delay - (b) Reasons for delay - 2[18. Place of supply wise details of the integrated tax paid (admitted amount only) mentioned in the Table in sub-clause (a) of clause 15 (item (a)), if any Place of Supply (Name of State/UT) Demand Tax Interest Penalty Other Total 1 2 3 4 5 6 7". Admitted amount [in the Table in sub-clause (a) of clause 15 (item (a))] ] Verification I, < _____________________________ .....

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..... erest 2. Penalty 3. Late fee 4. Others (specify) " 2. Inserted vide Notification No. 03/2019-Central Tax dated 29-01-2019 w.e.f. 01-02-2019 3. Substituted vide NOTIFICATION No. 40/2021 - Central Tax dated 29-12-2021 w.e.f. 01-01-2022 before it was read as "Particulars Central tax State/ UT tax Integrated tax Cess Total amount a) Admitted amount Tax/ Cess < total > Interest < total > Penalty < total > Fees < total > Other charges < total > < total >" b) Pre-deposit (10% of disputed tax/cess but not exceeding ₹ 25 crore each in respect of CGST, SGST or cess, or not exceeding ₹ 50 crore in respect of IGST and ₹ 25 crore in respect of cess) Tax/Cess < total > 4. Substituted vide .....

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