Form of Petition to be presented before the Settlement Commission.

 69 The Petition referred to in section 65 shall be presented before the Chairman of the Settlement Commission in the following format and shall accompany the annexures given below:

                               Before the:

                               Hon'ble Chairman,

                               Settlement Commission,

                               Uttar Pradesh Values Added Tax, Lucknow

Subject - Petition under Section 64 of the Uttar Pradesh Value Added Tax Ordinance, 2007 for the Assessment Year....

M/S.. . ..............................(Name and Address of the Petitioner) ......... . . . . . . . . . . . . . . . . . . . . . Petitioner

Vs.

                                                                                                                                    ....... ...Respondent

Sir,

                         The Petitioner above named begs to submit this petition Under Section 64 of the Uttar Pradesh Value Added Tax Ordinance, 2007 against the notice served on him by ............. (name of the authority who

served the notice on the petitioner) under Section ------------ (mention name of sub-section and section of the Ordinance) proposing to impose on the petitioner tax or penalty exceeding one lakh rupees over and above the liability accepted by the petitioner. The petitioner challenges the above action of the respondent on the following grounds:-

PRAYER

(1)                                                                                                               ---

(2)                                                                                                               ---

(3)                                                                                                               ---

(4)                                                                                                               ---

Name & Signature of the petitioner / the person authorized by the petitioner

I ............... the above named petitioner/the person authorized by the petitioner do hereby declare that the information, facts, and other contents of the petition are correct and true to the best of my knowledge and belief. I further declare that no other petition has been filed earlier before the Commission on the subject matter of this petition.

Place:

Date:

Name & Signature of the petitioner /

the person authorized by the petitioner

Documents enclosed with this petition:

(1) Copy of the notice impugned in this petition.

(2) Copy of challan no...... dated ..... deposited in ...... as proof of deposit of the required fee.

(3) Proof of deposit of admitted tax.

(4) Any other relevant document, if any, ----------- (mention title of document)