Application to the Appellate Authority under sub-section (2) of Section 107

FORM GST APL - 03

[See rule 109(1)]

Application to the Appellate Authority under sub-section (2) of Section 107

1. Name and designation of the appellant Name-
   • Designation-
   • Jurisdiction-
   • State/Center-
   • Name of the State-
2. GSTIN/ Temporary ID /UIN-
3. Order no.                                      Date-
4. Designation and address of the officer passing the order appealed against-
5. Date of communication of the order appealed against-
6. Details of the case under dispute-
   • Brief issue of the case under dispute-
   • Description and classification of goods/ services in dispute-
   • Period of dispute-
   • Amount under dispute-

Description	Central tax	State/ UT tax	Integrated tax	Cess
a) Tax/ Cess
b) Interest
c) Penalty
d) Fees
e) Other charges

• Statement of facts-
• Grounds of appeal-
• Prayer-
• Amount of demand in dispute, if any -

Particulars of demand/refund , if any	Particulars		Centra l tax	State/UT tax	Integrated tax	Cess	Total amount
	Amount of demand created,	a) Tax/ Cess					< total	<  total
	if any (A)						>	>
		b) Interest					<  total >

		c) Penalty					<  total >
		d) Fees					<  total >
		e) Other charges					<  total >
	Amount under dispute (B)	a) Tax/ Cess					<  total >	<  total >
		b) Interest					<  total >
		c) Penalty					<  total >
		d) Fees					<  total >
		e) Other charges					<  total >

Place:
Date:

Signature
Name of the Applicant Officer:

Designation:
Jurisdiction:

Read More: NOTIFICATION No. 11/2024-Central Tax: Seeks to amend Notification No. 02/2017-CT dated 19th June, 2017 to assign district of Kotputli-Behror to CGST Alwar Commissionerate

Web Stories: NOTIFICATION No. 11/2024-Central Tax: Seeks to amend Notification No. 02/2017-CT dated 19th June, 2017 to assign district of Kotputli-Behror to CGST Alwar Commissionerate

Official Income Tax Return filing website: https://incometaxindia.gov.in/