FORM NO. 36
[See rule 47(1)]
Form of appeal to the Appellate Tribunal
In the Income-tax Appellate Tribunal.................………………………………………………..
*Appeal No............……. of …………….
Versus
………………………………
 ………………………..
APPELLANT
 RESPONDENT
1. The State in which the assessment was made
2. Section under which the order appealed against was passed
3. $Assessment year  in  connection  with  which  the  appeal  is pre-
ferred
3A. Total income declared by the assessee for the  assessment year
referred to in item 3
3B. Total income as computed by the Assessing Officer for  the as-
sessment year  referred to in item 3
4. **The Assessing Officer passing the original order
5. **Section   of  the  Income-tax  Act,  1961,   under  which the
Assessing Officer passed the order
6. The Deputy Commissioner (Appeals) in respect of orders passed
before the 1st day of October, 1998/Commissioner (Appeals)
passing the order under section 154/250/271/271A/272A.
7. The Deputy Commissioner or the Deputy Director in respect of
orders passed before the 1st day of October, 1998, or the Joint
Commissioner or the Joint Director passing the order under sec-
tion 154/272A/274(2)

8. **The  Chief  Commissioner or Director General  or  Director  or
Commissioner, passing the order under section 154(2)/250/263/
271/271A/272A
9. Date of communication of the order appealed against
10. Address to which notices may be sent to the appellant
11. Address to which notices may be sent to the respondent
12. #Relief claimed in appeal
 #GROUNDS OF APPEAL
1.
 2.
 3.
 4., etc.
………………………….
 …………….....…………..
Signed
 Signed
(Authorised representative, if any)
 (Appellant)
Verification
I,....................................……………………………, the appellant, do hereby declare that what is stated
above is true to the best of my information and belief.
Verified today the..................................... day of..............................., ......
 …………………….
Signed
(Appellant)
Notes:
1. The memorandum of appeal must be in triplicate and should be accompanied by two copies (at
least one of which should be a certified copy)  of  the order appealed against, two  copies  of the relevant
order of the Assessing Officer, two copies of  the grounds of appeal before the first appellate authority,
two copies of the statement of facts, if any, filed before the said appellate authority, and also
(a) in the case of an appeal against an order levying penalty, two copies of the relevant assessment
order;

(b) in the case of an appeal against an order under section 143(3) read with section 144A, two
copies of the directions of the Deputy Commissioner under section 144A:
(c) in the case of an appeal against an order under section 143(3) read with section 144B, two
copies of the draft assessment order and two copies of the directions of the Deputy Commissioner  under
section 144B;
(d) in the case of an appeal against an order under section 143 read with section 147, two copies of the
original assessment order, if any.
2. The memorandum of appeal by an assessee under section 253(1)of the Income-tax Act must be
accompanied by a fee specified below:—
(a) where the total income of the assessee as computed by the Assessing Officer, in the case to
which the appeal relates, is one hundred thousand rupees or less, five hundred rupees;
(b) where the total income of the assessee, computed as aforesaid, in the case to which the appeal
relates is more than one hudnred thousand rupees, rupees, one thousand five hundred rupees;
(c) where the total income of the assessee, computed as aforesaid, in the case to which the appeal
relates is more than one hundred thousand rupees, one per cent of the assessed income, subject
to a maximum of ten thousand rupees;
(d) no fee shall be payable in the case of memorandum of cross-objections;
(e) an application for stay of demand shall be accompanied by a fee of five hundred rupees.
It is suggested that the fee should be credited in a branch of the authorised bank or a branch of the
State  Bank  of  India  or  a branch  of  the  Reserve  Bank  of  India  after  obtaining  a challan  and  the
triplicate challan sent to the Appellate Tribunal with memorandum of appeal. The Appellate Tribu-
nal will not accept cheques, drafts, hundies or other negotiable instruments.]
3. The memorandum of appeal should be written in English or, if the appeal is filed in a Bench located
in any such State as is for the time being notified by the President of the Appellate Tribunal for the
purposes of rule 5A of the Income-tax (Appellate Tribunal) Rules, 1963, then, at the option of the
appellant, in Hindi, and should set forth, concisely and under distinct heads, the grounds of appeal
without any argument or narrative and such grounds should be numbered consecutively.
4. *The number and year of appeal will be filled in in the office of the Appellate Tribunal.
5. $This column is not to be filled in where the appeal relates to any tax deducted under section 195(1).
6. **Delete the inapplicable columns.
7. #If the space provided is found insufficient, separate enclosures may be used for the purpose.