GST APL – 05
Appeal to the Appellate Tribunal
Bills
Forms
GST APL – 05 of GST – Appeals and Revision – Draft Rules – 19-4-2017
Form GST APL – 05
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Document 1Form GST APL – 05
[See Rule ]
Appeal to the Appellate Tribunal
1. GSTIN/Temporary ID /UIN –
2. Name of the appellant –
3. Address of the appellant –
4. Order appealed against-
Number-
Date-
5. Name and Address of the Authority passing the order appealed against –
6. Date of communication of the order appealed against –
7. Name of the representative –
8. Details of the case under dispute:
(i) Brief issue of the case under dispute
(ii) Description and classification of goods/ services in dispute
(iii) Period of dispute
(vi) Amount under dispute:
Des
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Description
No.
Tax
payable
Paid through
Cash/Credit
Debit
entry no.
Amount of tax paid
Integrated
Central
Ledger
tax
tax
State/UT
tax
CESS
11
2
3
1.
Integrated
tax
Cash Ledger
Credit Ledger
Cash Ledger
2.
Central tax
Credit Ledger
Cash Ledger
3.
State/UT tax
Credit Ledger
Cash Ledger
4.
CESS
Credit Ledger
5
7
Sr. No. Description
(c) Interest, penalty, late fee and any other amount payable and paid:
Amount payable
Debit
entry no.
Amount paid
Integrated Central
State/UT
CESS
Integrated Central State/UT
CESS
tax
tax
tax
tax
tax
tax
1
2
3
4
5
6
8
9
10
11
1.
Interest
2.
Penalty
3.
Late fee
4.
Others
(specify)
I, , hereby solemnly affirm and declare that the information given
hereinabove is true and correct to the best of my knowledge and belief
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