FORM III

Revision Petition
In the High Court of Andhra Pradesh At Hyderabad
(Appellate Side)

Memorandum of Civil Revision Petition
(Under Section 16(1))
(See Rule 10(2))
Civil Revision Petition No._______________

                                                                                                                          Petitioner____________________________
                                                                                                       Versus
                                                                                                                          Respondent _________________________

Revision Petition presented to the High Court to revise the Order of the Appellate Tribunal.
Date___________________ and passed in __________________________

(1) District in which the assessment was made      :

(2) Assessment Year :

(3) The designation of the officer whose
       orders were appealed against before
       the Appellate Tribunal                                             :

(4) Date of Communication of the order
      of the Appellate Tribunal                                         :

(5) Findings of the Appellate Tribunal
      (State in serial and appropriate order
      the relevant findings arrived at by the
      tribunal)                                                                          :

(6) Question of law raised for decision
      by the High Court (here formulate the
      question of law raised concisely, etc.,)                :

(Signed) Petitioner(s)

(Signed) Authorised representative, if any

CERTIFICATE

I/We ___________________________________________________ the petitioner(s) do hereby declare that what is stated above is true to the best of my / our knowledge and belief.

Verified today the ________________day of_____________________________20_________

(Signed) Petitioner(s)

(Signed) Authorised representative, if any

Note :

1.The petition should be accompanied by a certified copy of the order of the Appellate Tribunal.

2.The petition should (if preferred by a dealer) be accompanied by a fee of Rs.500/-.

3.The petition should be written in English and should be set forth concisely and under distinct heads the facts of the case, the findings arrived at by the Tribunal,
and the questions of law, raised consecutively.There should be no argument or narrative.