FORM ST 6
Form of memorandum of cross objections to the Appellant Tribunal under section 86 of
Finance Act, 1994 (32 of 1994)
In the Customs, Excise and Service Tax Appellate Tribunal
Cross objection No. ________________ of __________20___
In appeal No. ___________________ of ____________20___
.............................................................................. Appellant / Applicant
verses.
............................................................................................ Respondent.
1. State / Union territory and the Commissionerate
in which the order / decision of assessment /
penalty / interest was made.
2. Date of receipt of notice of appeal or application
filed with the Appellate Tribunal by the appellant
or, as the case may be, the Commissioner
of Central Excise.
3. Address to which notices may be sent to the
respondent.
4. Address to which notices may be sent to the
appellant / applicant.
5. Whether the decision or the order appealed
against involves any question having a relation
to the rate of tax or to the value of taxable service
for purposes of assessment; if not, difference in
tax or tax involved, or amount of interest or
penalty involved or value of taxable service
involved, as the case may be.
5A. (i) Period of dispute
(ii) Amount of tax, if any, claimed for the period
mentioned in item (i)
(iii) Amount of refund, if any, claimed for the period
mentioned in item (i)
(iv) Amount of interest imposed.
(v) Amount of penalty imposed.
6. Relief claimed in the memorandum of cross
objections.
Grounds of cross objections
(1)
(2)
(3)
(4)
Signature of the authorised Signature of the respondent
representative, if any or his authorised representative
Verification
I,______________________ the respondent, do hereby declare that what is stated above is true
to the best of my information and belief.
Verified today, the ____________________ day of ________20__
Place:
Date :
Signature of the authorised Signature of the respondent
representative, if any or his authorised representative
Notes :-
(1) The form of memorandum of cross-objections shall be filed in quadruplicate.
(2) The form of memorandum of cross-objections should be in English ( or Hindi) and should set forth,
concisely and under distinct heads the ground of the cross-objections without any argument or
narrative and such grounds should be numbered consecutively.
(3) The number and year of appeal / application as allotted by the office of the Appellate Tribunal and
appearing in the notice of appeal / application received by the respondent is to be filled in by the
respondent.
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