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193. Prescribed form of application for refund of tax.- An application for a refund of tax under section 99 shall be made in the following form, namely:-

The
Deputy Commissioner of Income Tax,

Circle_____________ Zone_____________


I,_______________________________of_______________________________________ hereby declare
(a) that my total income computed in accordance with the provisions of the Income Tax Ordinance, 1979 (XXXI of 1979), during the year ending on---------------being the income year for the assessment for the year ending on
the--------------amounted to Rs------------.
(b) that the total tax chargeable in respect of such total income is Rs.-----------------------------------
(c) that the total amount of tax paid is Rs.----------------.

I, therefore, request that a refund of Rs....................................................may be allowed to me.

____________________
Signature

Name___________________

N.T.No.
ŸŸŸŸŸŸŸŸŸŸŸŸŸ

Address_______________________

I hereby declare that I am *-resident and that what is
in this application is correct *non-resident.
Date________________ Signature___________________

*Delete whichever description is inappropriate.

Notes 1. The application should be accompanied by a return of total income in the prescribed form unless it has already been filed.
2. The application for refund should be made to the Deputy Commissioner of Income Tax for the Circle in which the applicant is assessable otherwise to the Deputy Commissioner of Income Tax for the Circle in which the applicant resides.
3. Where the application is made in respect of interest on securities, the application should be accompanied by the certificate prescribed under section 5.
4. A non-resident person should make his application for refund to the Deputy Commissioner of Income Tax, Exemption and Refunds Circle if his total income is made up of income wholly taxed at source or from Dividends or both and, in other cases, to the Deputy Commissioner of Income Tax of the Circle in which the greater part of his income arises. If the non-resident tax payer is assessed through a statutory agent, the application for refund should be made to the Deputy Commissioner of Income Tax who has jurisdiction over the statutory agent.
5. The application may be presented in person or through a duly authorised agent or may be sent by post.

 194. Prescribed form of appeal to the Commissioner of Income Tax/Wealth Tax (Appeals) Appellate Additional Commissioner of Income Tax/Wealth Tax.- An appeal under section 129 shall be in the following form and be verified in the manner indicated therein:-

Form of Appeal to the Commissioner of Income Tax/Wealth Tax (Appeal)/
Appellate Additional Commissioner of Income Tax/Wealth Tax.
FORM OF APPEAL

IT-16
APPEAL NO:___________
APPEAL DATE:_________
(For office use only)

To

THE COMMISSIONER OF INCOME TAX/WEALTH TAX (APPEALS), ZONE______,______/ THE APPELLATE ADDITIONAL COMMISSIONER OF INCOME TAX/WEALTH TAX, RANGE

APPEAL RELATES TO
(Pl. Encircle the appropriate number)
1- INCOME TAX/U/S1_________ 2- WEALTH TAX U/S1__________

 

Amount of appeal fee paid ŸŸŸŸŸŸŸŸ Date of payment of appeal fee ŸŸ-ŸŸ-ŸŸ
Amount of tax demand payable to file appeal ŸŸŸŸŸŸŸŸ Date of payment of tax demand payable to file appeal2 ŸŸ-ŸŸ-ŸŸ
Where the appeal relates to an assessment or penalty the date of service of the notice ŸŸ-ŸŸ-ŸŸ In any other case, the date of service of order appealed against ŸŸ-ŸŸ-ŸŸ

 

NATIONAL TAX NUMBER OF APPELLANT ŸŸ-ŸŸ-ŸŸŸŸŸŸŸ GIR NO (For wealth tax)_________________
ASSESSMENT YEAR ŸŸŸŸ-ŸŸ ZONE__________ CIRCLE_______

 

NAME OF APPELLANT ŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸ

 

APPELLANT’S STATUS3
(Pl. encircle the appropriate box)

Individual

AOP

Company

RF

URF

HUF

 

ADDRESS OF APPELLANT ŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸ
ŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸ
NAME OF AUTHORISED REPRESENTATIVE (if any) ŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸ

 

STATUS OF REPRESENTATIVE4

CA

C&MA

ADV

ITP

AR

(Pl. encircle the appropriate box)

ADDRESS TO WHICH THE NOTICE MAY BE SENT ŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸ
ŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸ

 

NAME OF DCIT5
(Who passed the order)
ŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸŸ
DCIT CODE Ÿ-ŸŸ-ŸŸŸ

 

INCOME/WEALTH DECLARED ŸŸŸŸŸŸŸŸŸŸŸ ASSESSED ŸŸŸŸŸŸŸŸŸŸŸ
TAX ASSESSED ŸŸŸŸŸŸŸŸŸŸŸ
a) Income Tax ŸŸŸŸŸŸŸŸŸŸŸ
b) Super Tax ŸŸŸŸŸŸŸŸŸŸŸ
c) Wealth Tax ŸŸŸŸŸŸŸŸŸŸŸ
d) Additional Tax ŸŸŸŸŸŸŸŸŸŸŸ
e) Penalty ŸŸŸŸŸŸŸŸŸŸŸ
f) Surcharge ŸŸŸŸŸŸŸŸŸŸŸ
g) Others ŸŸŸŸŸŸŸŸŸŸŸ
Total ŸŸŸŸŸŸŸŸŸŸŸ
Admitted Tax Liabilities ŸŸŸŸŸŸŸŸŸŸŸ
Disputed Tax Demand ŸŸŸŸŸŸŸŸŸŸŸ

(Total less admitted liability)

Signature of the Official who received the appeal________________________

Name_____________________
(in capital letters)

Designation________________

GUIDELINES

1. Indicate the section and sub-section of the Income Tax Ordinance/Wealth Tax Act under which appeal filed.
2. Where payment made on more than one date.

3. -AOP:
-RF:
-URF:
-HUF:
Association Of Persons
Registered firm
Unregistered Firm
Hindu Undivided Family
4-CA:
-C&MA:
-ADV:
-ITP:
-AR:
Chartered Accountant
Cost & Management Accountant
Advocate
Income Tax Practitioner
Authorized Representative
5. Includes Income Tax Officer, ACIT & Special Officer
N.B. (i) The appeal should be filed in duplicate.
(ii) The appeal petition should be accompanied by the Notice of Demand and/or a copy of the order appeal against, as the case may be.

GROUNDS OF APPEAL: (Attach separate sheets, if required)

1.
2.
3.
4.

RELIEF CLAIMED IN APPEAL

VERIFICATION
1. I,----------------S/o-------------------, the proprietor/partner/managing director/member of M/S----------------the appellant, do hereby declare that whatever is stated above is true to the best of my knowledge and belief.

2. I am competent to file the appeal in my capacity as--------------

3. I further certify that a true copy of this form of appeal has been sent by Registered Post A.D. to the DCIT5 circle
Ÿ Ÿ ------------------zone Ÿ Ÿ ------------on----------------(date)

Signature of Appellant *__________________________

Name (in capital letters)_________________________

N.I.C number of person signing the appeal Ÿ Ÿ Ÿ -Ÿ Ÿ -Ÿ Ÿ Ÿ Ÿ Ÿ Ÿ

*The form of appeal and verification form appended thereto shall be signed:-

(a) in case of an individual, by the individual himself; (b) in case of a company or local authority, by the principal officer.
(c) in case of a firm, by a partner; (d) in case of any other association, by the member of the association;
(e) in case of Hindu undivided family, by the manager or karta.

This portion is for official use

Appeal received by transfer from Zone/Range Date appeal received by transfer Inward register no.
____________________

ŸŸŸŸŸŸŸŸ

ŸŸŸŸ

Appeal transferred to Zone/Range Date of appeal transferred out Outward register no.
_____________________

ŸŸŸŸŸŸŸŸ

ŸŸŸŸ

 

UDC/LDC__________________
(Initial)
CIT (Appeal) ______________
(Initial)


IT-16(a)
APPEAL ACKNOWLEDGMENT RECEIPT

Appeal Zone/Range: ____________,_____________
City

 

National Tax No. ŸŸŸŸŸŸŸŸŸŸŸŸŸ Appeal No._________________

G.I.R. No._____________________
(in case of Wealth Tax, if applicable)

Apellant’s Name:___________________

………………………..
Signature of Appellant

………../………../………
Date of receipt of Appeal

………………………………………………
Signature, and name of receiving official
Designation....................................


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