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FORM 43 See Rule 58 1 Memorandum of Second Appeal under the Madhya Pradesh Vat Act 2002 FOR OFFICE USE Appeal case No. To The Appellate Board. Name and address of the Appellant TIN if any Appeal Order against which Second Appeal is preferred First appeal Case Number Period Date of Order of First appeal Name of Authority who passed the Order of First appeal Under Section Date of Communication of Order of First appeal to appellant Balance amount remains to be paid after first appeal order Amount required to be paid u/s 46 6 Amount paid Challan No* Date 1. The appellant above named is filing this Second appeal under section 46 of the Madhya Pradesh Vat Act 2002 being aggrieved of the order mentioned above on following grounds Note Tick the appropriate particulars row where relief is sought. Particulars As admitted by the As held by the Appellate Authority Gross Turnover Taxable Turnover Tax Payable on Taxable Turnover Taxable Purchase Price Purchase Price Input Tax Rebate Interest Penalty Against the order canceling the Registration Certificate Fixation of security Others Specify it 2. The relief given has not been quantified but the following relief has been given which has to be quantified by the assessing authority or The appellate authority / commissioner has made the following enhancement here give particulars of relief given or enhancement made 3 A certified copy of the order of the First appeal being appealed against is attached* 4. The appeal is made on the following grounds Grounds of Second Appeal 5 The appellant therefore prays for the following relief. here give particulars of relief sought Signature of Appellant To be signed by the appellant or by an agent duly authorized in writing in this behalf by the Declaration appeal is true to the best of my knowledge and belief* Place. To The Appellate Board. Name and address of the Appellant TIN if any Appeal Order against which Second Appeal is preferred First appeal Case Number Period Date of Order of First appeal Name of Authority who passed the Order of First appeal Under Section Date of Communication of Order of First appeal to appellant Balance amount remains to be paid after first appeal order Amount required to be paid u/s 46 6 Amount paid Challan No* Date 1. The appellant above named is filing this Second appeal under section 46 of the Madhya Pradesh Vat Act 2002 being aggrieved of the order mentioned above on following grounds Note Tick the appropriate particulars row where relief is sought. The appellant above named is filing this Second appeal under section 46 of the Madhya Pradesh Vat Act 2002 being aggrieved of the order mentioned above on following grounds Note Tick the appropriate particulars row where relief is sought. Particulars As admitted by the As held by the Appellate Authority Gross Turnover Taxable Turnover Tax Payable on Taxable Turnover Taxable Purchase Price Purchase Price Input Tax Rebate Interest Penalty Against the order canceling the Registration Certificate Fixation of security Others Specify it 2.

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