8 Where a return has been filed by the appellant for the assessment year in connection with which the appeal Yes/No/ Not is filed, whether tax due on income returned has been paid in full Applicable 8.1 If reply to 8 is Yes, then enter details of return and taxes paid a Acknowledgement number b Date of filing c Total tax paid 9 Where no return has been filed by the appellant for the assessment year, whether an amount equal to the Yes/No/ Not amount of advance tax as per section 249(4)(b) of the Income-tax Act, 1961 has been paid Applicable 9.1 If reply to 9 is Yes, then enter details Details Tax Payments Taxes of paid BSR Code Date of payment Sl. No. Amount Total If the appeal relates to 10 any tax deductible under section 195 of the Income-tax Act, 1961 and borne by the deductor, details of tax deposited under section 195(1) BSR Code Date of payment Sl. No. Amount 11 Statement of Facts Facts of the case in brief (not exceeding 1000 words) List of documentary evidence relied upon and 12 Whether any documentary evidence other than the evidence produced during the course of proceedings before the Income-tax Authority has been filed in Yes / No facts, Appeal terms of rule 46A of evidence of If reply to12 is Yes, furnish the list of such documentary evidence 12.1 13 Grounds of Appeal (each ground not exceeding 100 words) Grounds Statement 1. additional 2. 3. 14 Whether there is delay in filing appeal Yes/ No 15 If reply to 13 is Yes, enter the grounds for condonation of delay (not exceeding 500 words) 16 Details of Appeal Fees Paid Appeal BSR Code Date of payment Sl. No. Amount details filing 17 Address to which notices may be sent to the appellant Form of verification I, ____________________________the appellant, 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 12.1 above has been filed. Place Signature Date
8 Where a return has been filed by the appellant for the assessment year in connection with which the appeal Yes/No/ Not is filed, whether tax due on income returned has been paid in full Applicable 8.1 If reply to 8 is Yes, then enter details of return and taxes paid a Acknowledgement number b Date of filing c Total tax paid 9 Where no return has been filed by the appellant for the assessment year, whether an amount equal to the Yes/No/ Not amount of advance tax as per section 249(4)(b) of the Income-tax Act, 1961 has been paid Applicable Details of Taxes paid 9.1 If reply to 9 is Yes, then enter details Tax Payments BSR Code Date of payment Sl. No. Amount Total 10 If the appeal relates to any tax deductible under section 195 of the Income-tax Act, 1961 and borne by the deductor, details of tax deposited under section 195(1) BSR Code Date of payment Sl. No. Amount 11 Statement of Facts Statement of facts, Grounds of Appeal and additional evidence Facts of the case in brief (not exceeding 1000 words) List of documentary evidence relied upon 12 Whether any documentary evidence other than the evidence produced during the course of proceedings before the Income-tax Authority has been filed in Yes / No terms of rule 46A 12.1 If reply to12 is Yes, furnish the list of such documentary evidence 13 Grounds of Appeal (each ground not exceeding 100 words) 1. 2. 3. Appeal filing details 14 Whether there is delay in filing appeal Yes/ No 15 If reply to 13 is Yes, enter the grounds for condonation of delay (not exceeding 500 words) 16 Details of Appeal Fees Paid BSR Code Date of payment Sl. No. Amount 17 Address to which notices may be sent to the appellant Form of verification I, ____________________________the appellant, 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 12.1 above has been filed. Place Signature Date
Form35_2016.docx