Application to the Dispute Resolution Committee

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..../ Locality Town/City/District State (Select) Country (Select) Pin Code Phone No. with STD code/ Mobile No. Email Address Order against which application is filed 1 Assessment year in connection with which the application is preferred/ Enter financial year in case Application is filed against an order where assessment year is not relevant Assessment Year Financial Year 2 Details of s....

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....spute Resolution Committee, with whom the application is pending b Application No. and date of filing of application c Assessment year/ financial year in connection with which the application has been preferred d Income-tax Authority passing the specified order e Section and sub-section of the Act, under which the specified order has been passed f Date of such Order Details of Taxes ....

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....ach ground not exceeding 100 words) 1. 2. 3. Application filing details 10 Details of application Fees Paid BSR Code Date of payment Sl. No. Amount Tax paid on returned income 11 Details of tax paid on returned income Assessment Year Tax due as per return Tax paid on RoI Date of filing of 12 Registered email ID/ address to which notices may be sent to the assessee Form of ....