Form of memorandum of cross-objections to the Appellate Tribunal

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....ppellant's Personal Information 1. Name/designation (as applicable) (Refer Note 1) 2. Permanent Account Number (Not applicable if filed by Income-tax department or filed by Government Deductors)   3. Tax Deduction and Collection Number (Not Applicable for Incometax Department)   4. Address (Refer Note 2) 5. Contact details   (i) Landline No. with STD code STD code Number   (dropdown)     (Repeat if required) (ii) Mobile Number Country Code Number   (dropdown)     (Repeat if required) (iii) Email ID     (Repeat if required) Part B: Respondent's Personal Information 6. ....

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....e of demand dd/mm/yyyy (v) If reply to row 14(iii) is no, provide date of service of order dd/mm/yyyy (vi) Due date for filing of appeal* dd/mm/yyyy 16. Income-tax Authority passing the order appealed against   17. The State and District in which the jurisdictional Assessing Officer is located (dropdown) 18. Date of receipt of notice of appeal filed by the appellant to the Tribunal dd/mm/yyyy Part D: Amount disputed in cross-objection 19. Section and sub-section of the Act under which the original order is passed   20. If cross-objection relates to original order under section 294 of Income-tax Act, 1961 (43 of 1961) (as it existed prior to its repeal), then provide....

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....  (ii) Tax effect     (B) (repeat as required)     Total tax effect (refer note 11)   Part E: Cross-objection filing details 26. Whether there is any delay in filing of cross-objection (Select one) (i) Yes (ii) No 27. If reply to row 26 is ‗Yes', provide the grounds for condonation of delay (upload) Signed Signed (Authorised representative, if any) (Appellant) Name: Name: Designation: Designation: Form of verification I ___________, Permanent Account Number__________, do hereby declare that what is stated above is true to the best of my information and belief. I further declare that I am making the declaration in my cap....

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....ions shall be filled in by the office of the Appellate Tribunal. 8. The Appeal number and year of appeal as allotted by the office of the Tribunal and appearing in the notice of appeal received by the respondent shall be filled in by the respondent. 9. In column seeking Respondent's and Appellant's information, the relevant data, as applicable, shall be filled in properly. 10. For instance, in case the department is Appellant or Respondent, as the case may be, the designation of the officer filing the cross-objections and details pertaining to his office may be filled, if available. 11. The 'Tax effect' for the purpose of filling this Form shall be taken as the difference between the tax on the to....