FORM NO.

35
CIT(A) Acknowledgement Number
[ See rule 45]
Appeal to the Commissioner of Income-tax (Appeals) CIT (A), Cuttack 287580041040120
First Name Middle Name Last Name or Name of PAN TAN (if available)
Entity
TIBETAN REFUGEE MAR AABAT7459G
Personal Information

KET
Flat/ Door/ Block No. Name of Premises / Building / Village Road / Street / Post Office
C/O-ANTARYAMI SAHO WARD NO-05
O
Area/ Locality Town/ City/ District State Country
BARIPADA MAYURBHANJ ORISSA INDIA
Pincode Mobile No STD Code-Phone No Email Address Whether notices/ communication
may be sent on email?
757001 9882889131 - dillipbasa.bpd@re No
diffmail.com
1 Assessment year in connection with which the appeal is preferred/ Enter financial year in case appeal is filed against an
order where assessment year is not relevant
Assesessment Year Financial Year Block Period Date Of Search
From(AY) To(AY)
Order against which

2017 - 18
Appeal is filed

2 Details of the order appealed against/Appeal u/s 248

a Section and sub-section of the Income-tax Act,1961 143(3)
Order Number TBA/AST/S/143(3)/2
019-20/1022706791(
1)
Document Identification Number (DIN) 20192017370817961
60T
b Date of Order 19/12/2019
c Date of service of Order / Notice of Demand / Date of payment of tax in case of Appeal u/s 248 24/12/2019
3 Income-tax Authority passing the order appealed against ITO, WARD 1, BARIPADA
4 Where an appeal in relation to any other assessment year is pending in the case of the appellant with No
any Commissioner (Appeals)
4.1 If reply to 4 is Yes, then give following details.
Sl.No CommissionerAppeal No Date of AssessmentAssessment Income-tax Section and Date of such
Pending Appeal

(Appeals), Filing of year/ year/ Authority sub-section of Order

with whom appeal financial financial year passing the the Income-
the appeal is year in order appealed tax Act,1961,
pending connection against under which
with the order
which the appealed
appeal against has
has been been passed
preferred
1
5 Section and sub-section of the Income-tax Act,1961 under which the appeal is preferred 246A
6 If appeal relates to any assessment ? Yes
a Amount of Income Assessed (in Rs.) -8795
Appeal Details

b Total Addition to Income (in Rs.) 73102

c In case of Loss, total disallowance of Loss in assessment (in Rs.) 64307
d Amount of Addition/ Disallowance of Loss disputed in Appeal (in Rs.) 73102
e Amount of Disputed Demand (in Rs.)-Enter Nil in case of Loss 27885
7 If appeal relates to penalty ? Not Applicable
a Amount of penalty as per order (in Rs.)
b Amount of penalty disputed in Appeal (in Rs.)
8 Where a return has been filed by the appellant for the assessment year in connection with which the Yes
appeal is filed, whether tax due on income returned has been paid in full
Details of Taxes paid

8.1 If reply to 8 is Yes, then enter details of return and taxes paid
a Acknowledgement number 366756370170118
b Date of filing 17/01/2018
c Total tax paid 0
9 Where no return has been filed by the appellant for the assessment year, whether an amount equal Not Applicable
to the amount of advance tax as per section 249(4)(b) of the Income-tax Act, 1961 has been paid
9.1 If reply to 9 is Yes, then enter details
Tax Payments
BSR Code Date of payment Serial Number Amount
 Total 0
10 If the appeal relates to any tax deductible under section 195 of the Income-tax Act,1961 and borne by the deductor,
details of tax deposited under section 195(1)
Sl. No BSR Code Date of payment Serial Number Amount
1
11 Statement of Facts
Appeal and additional evidence
Statement of Facts, Grounds of

Facts of the case in brief (not exceeding 1000 words) The learned assessing officer addedd the amount of Rs.47102 as esti
mation and provided to non member which was purely not in consona
nce with the documents. The persons are subsequently added as mem
ber through resolution passed on 12.04.2016 which was not taken int
o consideration. and also add back the amount of Rs.26000 as amoun
t not explained which was not in justice .2. That, the entire act is sinc
e based upon the principles of natural justice and which can not be ex
ercised in vacuum without proper appreciation of the facts underlined
german for the purpose of adjudication, has deliberately and material
ly suppressed . Though it was explained that members are stayed at d
ifferent place and it was not possible to deposit whole of the amount
in a single days.
List of documentary evidence relied upon books of accounts sales register and other documents
12 Whether any documentary evidence other than the evidence Yes
produced during the course of proceedings before the
Income-tax Authority has been filed in terms of Rule 46A
12.1 If reply to 12 is Yes, furnish the list of such documentary books of accounts sales register and other documents
evidence
13 Grounds of Appeal(each ground not exceeding 100 words)
Relevant section (s) of IT/Act Issue Ground of Appeal
UNDER SECTION 246A OF THE I.T. Act GENERAL IN NATURE That, the Appellant craves leave of your Hono
ur to urge other grounds of Appeal, if any, at t
h e time of hearing.
UNDER SECTION 1 SUB SECTION OF 41 ESTIMATING PROFIT Its not a sale and estimation cant be done
SECTION OF THE I.T. ACT, 1961
UNDER SECTION 1 SUB SECTION OF 41 UNEXPLAINED ADDITION OF UNEXPLAINED MONEY
SECTION OF THE I.T. ACT, 1961
14 Whether there is delay in filing appeal ? No
Appeal filing details

15 If reply to 14 is Yes, enter the grounds for condonation of

delay (not exceeding 500 words)
16 Details of Appeal Fees Paid
BSR Code Date of payment Serial Number Amount
0510308 04/01/2020 24667 1000

17 Address to which notices may be sent to the appellant

Flat/ Door/ Block No. Name of Premises / Building / Village Road / Street / Post Office
C/O-ANTARYAMI SAHOO WARD NO-05
Area/ Locality Town/ City/ District State Country
BARIPADA MAYURBHANJ ORISSA INDIA
Pincode Mobile No Email Address
757001 9437136609 asahoo2718@gmail.com
x
Form of Verification

I, TSERING PHUNTSOK the appellant, do hereby declare that what is stated above is true to the best of my information and
belief. It is also certified that no additional evidence other than the evidence stated in row 12.1 above has been filed.

Place : baripada
Date : 04/01/2020
This form has been digitally signed by TSERING PHUNTSOK having PAN AZWPP0247K from IP Address
103.74.111.18 on 2020-01-04 18:10:10.0 .
Dsc Sl No and issuer 2493386303870267089CN=SafeScrypt sub-CA for RCAI Class 2 2014,OU=Sub-CA,O=Sify
Technologies Limited,C=IN