129. Form GST APL – 07
Form GST APL – 07
[See rule 111(1)]
Application to the Appellate Tribunal under sub section (3) of Section 112
- Name and Designation of the appellant Name:
- GSTIN/ Temporary ID /UIN-
- Appellate Order no. Date-
Designation Jurisdiction State / Center –
Name of the State:
- Designation and Address of the Appellate Authority passing the order appealed against-
- Date of communication of the order appealed against-
- 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 demanded, disputed and admitted:
| Particular s of demand, if any | Particulars | Centr al tax | State /UT tax | Inte grate d tax | Cess | Total amount | |
| Amount of demand created, if any (A) | a) Tax/ Cess | < total > | < total > | ||||
| 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 > |
| < Signature |
Place: Date:
Name of the Officer:
Designation: Jurisdiction:-
