Application to the Dispute Resolution Committee

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..... Phone No. with STD code/ Mobile No. Email Address Order against which application is filed 1 Assessment year in connection with which the application is preferred/ Enter financial year in case Application is filed against an order where assessment year is not relevant Assessment Year Financial Year 2 Details of specified order against which application is filed a Section and sub-section of the Income-tax Act, 1961 b Date of Order c .....

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..... ng the specified order e Section and sub-section of the Act, under which the specified order has been passed f Date of such Order Details of Taxes paid 6 Where a return has been filed by the assessee for the assessment year in connection with which the application is filed, whether tax due on income returned has been paid in full Yes/No/Not Applicable 6.1 If reply to 8 is Yes, then enter details of return and taxes paid a Acknowledgement number b .....

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..... turn Tax paid on RoI Date of filing of 12 Registered email ID/ address to which notices may be sent to the assessee Form of verification I, ____________________PAN- ________________, do hereby declare that what is stated above is true to the best of my information and belief. It is also certified that no additional evidence other than the evidence stated in row 8.1 above has been filed. Place Signature Date .. ] ************* NOTES:- 1. Inserted vide NOTIFICATION NO. 26/2022 dated 05-04-2022 - Forms Tax Management In .....

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