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27C. Form of application for Alternative Dispute Resolution

¹[27C. Form of application for Alternative Dispute Resolution.-

Form for drawing up of application and verification thereof under section 152H(4) shall be as follows;

FORM OF APPLICATION FOR THE ALTERNATIVE DISPUTE RESOLUTION

Office where application is to be submitted in (please tick)

1. Appellate joint Commissioner of Taxes, Appeal Range–, Appeal Zone……..

2. Appellate Additional Commissioner of taxes, appeal Range………, Appeal Zone……………….

3. Commissioner of Taxes (Appeal), Appeal Zone……

4. Registrar/Deputy Registrar, Taxes Appellate Tribunal, Dhaka/Chittagong/Khulna.

Circle of assessment

Name of the applicant and TIN-

Assessment year(s)

Deputy Commissioner of Taxes passing the order

Section under which the Deputy Commissioner of Taxes passed the order

Income tax demanded

Date of service of the or FDR under dispute

Address to which the notice(s) may be sent to the applicant

Grounds for resolution of dispute

Grounds of dispute Resolution-

Name in block letters………………………………………………………………………………………………………………………….

TIN…………………………………………………………………………………………………………………………………………………..

Verification

I, ……………………………….., the applicant, do hereby declare that what is stated above is true to the best of my information and belief.

Signature…………………………………..

Name in block letters…………………….

TIN…………………………………………..

Note:

(1) The application shall be filed in triplicate.

(2) The application shall be accompanied by the notice of demand or the copy of the order under dispute.

(3) The form of application and verification there of shall be signed-

(a) In the case of an individual, by the individual himself;

(b) In the case of a company or local authority, by the principal officer;

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¹Ins. by এস.আর ও নং ২৩২-আইন/আয়কর/২০১১,তারিখ: ০৫/০৭/২০১১ and omitted by এস.আর .ও নং ২৫১-আইন/আয়কর/২০১২,তারিখ:০১/০৭/২০১২