AFFIDAVIT FOR CONDONATION OF DELAY IN FILING APPEAL

BEFORE THE INCOME TAXAPPELLATE TRIBUNAL.

Before the Income Tax Appellate Tribunal at _______________In the matter of
_____________Limited/Private Limited,Assessment Year ___________Affidavit ofMr./Ms.
_____________aged____ years, Director of_________ Limited/Private Limited.That I the above named
deponent, am well conversant with the facts deposed to below.1. That the appeal filed by the Assessee
Company before the Dy. Commissioner (Appeals) was disposed ofby order dated___________ passed by
Dy. Commissioner (Appeals) ________________.2. That the time for filing of the appeal before the
Tribunal was to expire on _______.3. That the Attorney/Advocate of the Assessee company
Mr.__________ was coming to the office of theTribunal to file Memorandum of appeal duly signed by
the Managing Director of the Companyon__________ by taxi bearing no. _____ and that due to big
procession on the occasion of_____________________ and consequent traffic blockage on the way, he
could not reach the Tribunal Officein time and therefore appeal could not be filed.4. That the memo of
Appeal has been filed on ________ in the Office of the Tribunal.

Signed at _____________ this ___day of ____,

DEPONENT

VERIFICATION

I, ________the above named deponent do hereby verify on oath that the contents of the
affidavit above aretrue to my personal knowledge and nothing material has been concealed or falsely
stated. Verified at______this _____day of ______

DEPONENT