| “In the eastern caribbean Supreme Court (Saint Lucia). |
| (In Chambers).” |
| In the matter of the Income Tax Act and of an appeal against assessment by (state name of Appellant), |
| Date of the Commissioner's refusal to amend assessment ............................” |
| (state day with month and year). |
| (A short heading or description of the proceeding should follow — e.g. |
| “APPLICATION TO FIX DATE FOR HEARING OF APPEAL” or as the case may be). |