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FORM ST-1
Application for registration
under section 69 of the Finance Act, 1994 ( 32 of 1994)
| 1. |
Name of the
assessee |
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| 2. |
Address of
the assessee |
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| 2A. |
PAN Number |
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| 3. |
Address of
the premises to be registered |
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| 4. |
Category of
the service |
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| 5. |
Fax / telex
and phone number |
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| 6. |
Form of
organisation (individual /company / partnership, etc.) |
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| 7. |
Additional
information required in the case of stock-broker |
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a) Name of
the member, with code No. |
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b) Name of
stock exchange registered with |
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c) Date of
admission of membership |
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d) Whether
member of more than one stock exchange? If so, please give name of the
stock exchange with code number |
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e)
Registration number allotted by Securities and Exchange Board of India
(copy of certificate of registration may be enclosed or a copy of
application for registration with SEBI may be enclosed) |
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| 8. |
I/ We _________________________ agree to abide by all the provisions
of Service Tax Rules, 1994, and any order issued thereunder. |
| 9. |
I/ We ________________declare to the best of my / our knowledge and
belief that the information furnished herein is true and complete. |
Place :
Date :
Signature of assessee or his
authorized representative
FORM ST-2
Certificate of registration
under Section 69 of The Finance Act, 1994 (32 of 1994)
| 1. |
Shri/Ms._____________________________
(name with complete address of premises) having undertaken to comply
with the conditions prescribed in the Service Tax Rules, 1994, and any
orders issued thereunder is hereby certified to have been registered
with the Central Excise Department for payment of service tax on
services of ______________________.
His registration No. is________________________________ |
| 2. |
This certificate is
valid only for the premises given above. |
| 3. |
This registration
certificate is not transferable. |
| 4. |
This certificate shall
remain valid till the holder carries on the activity for which the
certificate has been issued or where surrender of the certificate is
accepted by the Central Excise Officer. |
Place:
Date:
Name and signature of the
Central Excise
Officer with official seal.
FORM ST-3
Return of service tax
credited to the Government of India for the period _______________ to
_______________ Commissionerate.
| 1. |
Name of the assessee
_____________________ |
| 2. |
Whether an individual or
proprietary firm or partnership firm or any other (please specify)
____________________ |
| 3. |
Category of services
__________________________ |
| 4. |
Service Tax Registration
No. _____________________ |
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Name of the taxable
service provided |
Month(s) |
Value of Taxable
service charged or billed (indicate break-up of the amount month-wise) |
Value of taxable
service realised (indicate break-up of the amount month-wise) |
Amount of service tax
payable |
Amount of service tax
adjusted in terms of sub-rule (3) of rule 6 of the Service Tax Rules,
1994 |
Amount of interest, if
any payable |
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1 |
2 |
3 |
4 |
5 |
6 |
7 |
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Details of payment made
to the Government credit |
Mode of Payment |
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Cash 8a |
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Service Tax credit
8(b) |
Total Amount Paid
(8a+8b) |
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Amount |
Challan No and date /
Journal Slip No. and date |
Amount |
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Service Tax Paid |
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Interest paid |
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Any other amount paid |
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* Please specify and
enclose documentary evidence.
** Please specify on what
account has been paid.
Self – assessment Memorandum
1. I/We declare that the
above particulars are in accordance with the records and books maintained by
us and are correctly stated.
2. I/We have assessed and
paid the service tax correctly in terms of the provisions of the Act and
rules made thereunder.
3. I/We have paid duty
within the rime specified in these rules and in case of delay. I/We have
deposited the interest leviable as per the section 75 of the Act. (worksheet
of interest calculation is attatched).
Place :
Date:
Name & Signature of the
assessee or
his Authorized representative
ACKNOWLEDGEMENT
Date of receipt
Signature & official
Seal of the Superintendent of Central Excise
Place :
Date :
Note :
| (1) |
Details in each of
the column should be furnished separately for each of the taxable
service rendered by the assessee. |
| (2) |
Service tax credit
shall be utilized only for payment of service tax on output service
and not for interest or penalty. |
| (3) |
In case service tax
credit on input service is availed, enclose the proforma in terms of
rule 5(4) of the Service Tax Credit Rules, 2002. |
FORM
ST-3A
Memorandum for provisional
deposit under rule 6 of the Service Tax Rules, 1994,
for the month of ______ 19 ___
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Sl.
No |
Provisional value of
taxable service in terms of section 67 of the Act |
Provisional amount of
service tax @ 5% paid |
Form TR-6 No. and date |
Actual value of taxable
service in terms of section 67 |
Actual amount of service
tax payable |
Difference between the
amount of provisinally paid tax and the amount of service tax payable |
Form TR-6 No. and date
indicating payment under column (7) |
Remarks |
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1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
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Reasons for making
provisional deposit of Service Tax _________
* Attatch separate sheet for
each month.
FORM ST-4
Form of Appeal to the
Commissioner of Central Excise (Appeals) under section 85 of the Finance
Act,1994 (32 of 1994)
| 1. |
No.__________of______20___ |
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| 2. |
Name and
address of the appellant |
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| 3. |
Designation
and address of the officer passing the decision or order appealed
against and the date of decision or order |
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| 4. |
Date of
communication of the decision or order appealed against to the
appellant |
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| 5. |
Address to
which notices may be sent to appellant |
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| 5A. |
(i) |
Period of dispute |
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(ii) |
Amount of service tax, if
any, demanded for the period mentioned in column (i) |
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(iii) |
Amount of refund, if any,
claimed for the period mentioned in column (i) |
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(iv) |
Amount of interest |
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(v) |
Amount of penalty |
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(vi) |
Value of the taxable
service for the period mentioned in column (i) |
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| 6. |
Whether
service tax or penalty or interest or all the three have been
deposited? |
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| 6A. |
Whether the
appellant wishes to be heard in person? |
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| 7. |
Relief claimed
in appeal |
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STATEMENT OF FACTS
Grounds of appeal
Signature of the
authorised
representative, if any |
Signature of the
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 ___________
Place:
Date :
Signature of the
authorised
representative, if any |
Signature of the appellant
or his authorised representative |
Note :- The form of appeal
including the statement of facts and the grounds of appeal shall be filed in
duplicate and shall be accompanied by a copy of the decision or order
appealed against.
FORM ST
– 5
Form of Appeal to Appellate
Tribunal under section 86 of the Finance Act, 1994 ( 32of 1994 )
In the Customs, Excise and
Gold (Control) Appellate Tribunal Appeal No. ________________ of __________
20_____________ _______________________ Appellant
v.
______________________
Respondent
| 1. |
The designation and
address of the authority passing the order appealed against. |
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| 2. |
The number and the date
of the order appealed against. |
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| 3. |
Date of communication
of a copy of the order appealed against. |
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| 4. |
State / Union territory
and the Commissionerate in which the order / decision of assessment /
penalty / interest was made. |
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| 5. |
Designation and address
of the adjudicating authority in cases where the order appealed
against is an order of the Commissioner (Appeals). |
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| 6. |
Address to which the
notices may be sent to the appellant. |
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| 7. |
Address to which the
notices may be sent to the respondent. |
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| 8. |
Whether the decision or
order appealed against involves any question having a relation to the
value of the taxable service for purposes of assessment; if not ,
difference in tax or tax involved, or amount of interest or penalty
involved, as the case may be. |
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| 8A. |
(i) |
Period of dispute |
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(ii) |
Amount of tax if any,
demanded for the period mentioned in item (i) |
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(iii) |
Amount of refund, if
any, claimed for the period mentioned in item (i) |
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(iv) |
Amount of interest
involved. |
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(v) |
Amount of penalty
imposed. |
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| 9. |
Whether tax or penalty
/ interest is deposited; if not, whether any application for
dispensing with such deposit has been made ( a copy of the challan
under which the deposit is made shall be furnished). |
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| 9A. |
Whether the appellant
wishes to be heard in person. |
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| 10. |
Reliefs claimed in
appeal. |
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STATEMENT OF FACTS
Grounds of appeal
(i)
(ii)
(iii)
(iv)
Signature of
the authorised
representative, if any |
Signature of
the 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 ______20_____
Place:
Date :
Signature of the
authorised
representative, if any |
Signature of the appellant
or his authorised representative |
Note :-
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(1) |
The appeal including
the statement of facts and the grounds of appeal shall be filed in
quadruplicate and shall be accompanied by an equal number of copies of
the order appealed against (one of which at least shall be a certified
copy). |
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(2) |
The form of appeal
shall be in English (or Hindi) and should set forth, concisely and
under distinct heads, the grounds of appeal without any argument or
narrative and such grounds be numbered consecutively. |
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(3) |
The fee of Rs. 200/-
required to be paid under the provisions of the Act shall be paid
through a crossed bank draft in favour of the Assistant Registrar of
the Bench of the Tribunal on a branch of any nationalised bank located
at the place where the Bench is situated and demand draft shall be
attached to the form of appeal. |
FORM ST
– 6
Form of memorandum of cross
objections to the Appellant Tribunal under section 86 of Finance Act, 1994
(32 of 1994)
In the Customs, Excise and
Gold (Control) Appellate Tribunal Cross
objection No. ________________ of __________20___
In appeal No. ___________________ of
____________20______________________________ Appellant / Applicant
v.
____________________________
Respondent.
|
1. |
State / Union territory
and the Commissionerate in which the order / decision of assessment /
penalty / interest was made. |
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2. |
Date of receipt of
notice of appeal or application filed with the Appellate Tribunal by
the appellant or, as the case may be, the Commissioner of Central
Excise. |
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3. |
Address to which
notices may be sent to the respondent. |
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4. |
Address to which
notices may be sent to the appellant / applicant. |
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5. |
Whether the decision or
the order appealed against involves any question having a relation to
the rate of tax or to the value of taxable service for purposes of
assessment; if not, difference in tax or tax involved, or amount of
interest or penalty involved or value of taxable service involved, as
the case may be. |
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5A. |
(i) |
Period of dispute |
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(ii) |
Amount of tax, if any,
claimed for the period mentioned in item (i) |
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(iii) |
Amount of refund, if
any, claimed for the period mentioned in item (i) |
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(iv) |
Amount of interest
imposed. |
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(v) |
Amount of penalty
imposed. |
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6. |
Relief claimed in the
memorandum of cross objections. |
Grounds of cross objections
(1)
(2)
(3)
(4)
Signature of the
authorised
representative, if any |
Signature of the
respondent
or his authorised representative |
Verification
I,______________________ the
respondent, do hereby declare that what is stated above is true to the best
of my information and belief.
Verified today, the
____________________ day of ________20__
Place:
Date :
Signature of the
authorised
representative, if any |
Signature of the
respondent
or his authorised representative |
Notes :-
|
(1) |
The form of memorandum
of cross-objections shall be filed in quadruplicate. |
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(2) |
The form of memorandum
of cross-objections should be in English ( or Hindi) and should set
forth, concisely and under distinct heads the ground of the
cross-objections without any argument or narrative and such grounds
should be numbered consecutively. |
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(3) |
The number and year of
appeal / application as allotted by the Appellate Tribunal and
appearing in the notice of appeal / application received by the
respondent is to be filled in by the respondent. |
FORM ST-7
Form of application to
Appellate Tribunal under Section 86(2) [or Sec.86(2A) of the Finance Act,
1994 (32 of 1994)]
In the Customs, Excise and
Gold(Control) Appellate Tribunal Appeal
No._____________of______________20_________________________Applicant
v.
_____________________Respondent.
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1. |
Designation and address
of the applicant (if the applicant is not the adjudicating authority,
a copy of the authorisation from the Commissioner of Central Excise to
make the application should be enclosed). |
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2. |
Name and address of the
respondent. |
|
3. |
Designation and address
of the officer passing the decision or order in respect of which this
application is being made and the date of the decision or order. |
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4. |
State/Union territory
and the Commissionerate in which the decision or order was made. |
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5. |
Date on which order
under sub-section(2) of Section 86 of the Finance Act, 1994, has been
passed by the Board or the date on which the order under sub-section
(2A) of Section 86 of Finance Act,1994 has been passed by the
Commissioner of Central Excise. |
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6. |
Date of communication
of the order referred to in (3) above to the adjudicating authority. |
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7. |
Whether the decision or
order appealed against involves any question having a relation to the
rate of tax or to the value of taxable service for purpose of
assessment; if not , difference in tax or duty involved, or amount of
penalty involved or value of goods involved, as the case may be. |
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7A. |
(i) |
Period of dispute |
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(ii) |
Amount of tax, if any,
demanded for the period mentioned in column (i) |
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(iii) |
Amount of refund, if
any, claimed for the period mentioned in column (i) |
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(iv) |
Amount of interest
imposed. |
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(v) |
Amount of penalty
imposed. |
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8. |
Reliefs claimed in the
application. |
STATEMENT OF FACTS
Grounds of application
Signature of the applicant
Note: The form of application
including the statement of facts and grounds of application shall be filed
in quadruplicate and shall be accompanied by an equal number of copies of
the decision or order passed by the Commissioner of Central Excise (one of
which at least shall be a certified copy) and a copy of the order passed by
the Board or copies of orders of the Commissioner of Central Excise
(Appeals) (one of which shall be a certified copy) and a copy of the order
of the Commissioner of Central Excise, as the case may be, under
Sub-section(2) of Section 86.
FORM
(see sub-rule (4) of rule 5)
Return under rule 5 of the Service Tax Credit Rules, 2002
(For the period from________ to________)
Input service
|
Sl No. |
Date and no. of
document on which credit is availed |
Details of input
service provider |
Details of input
service |
|
ST regd. No. |
Address |
Description |
Value |
Credit taken |
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Service tax credit
|
Opening balance |
Credit taken |
Credit utilised |
Closing balance |
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Place:-
Date :- |
Name and signature of
the assessee or
his authorised representative". |
FORM TR-6 FOR
PAYMENT OF SERVICE TAX (CHALLAN)
(Original)
Major Head 0044 service Tax
TR-6/GAR 7 Challan No. ______________
(Treasury Rule 92/Receipt & Payment rules 26)
Challan of amount paid
into
The ______________ (code No.) |
Accounting Collectorate
(Code No.) |
Name of the Bank/Branch
with Code No.
_____________________ |
Division ____________
(Code No.)
Range _____________ (Code No.) |
Name of the
Focal Point Bank _____________________
(Code No.) _______________ |
Name and
address of the assessee
_____________________________
_____________________________ |
| (Code No.
_______________ ) By whom tendered |
| Full
Particulars of remittance and of authority |
Head of
accounts & Major Head (indicate against the appropriate Minor Head)
|
Accounting
Code No. |
By Cash Rs.
Ps. |
By Cheque
Draft / Pay Order etc. Rs. Ps. |
Counter
Signature of the Departmental Officer (where required) |
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Total |
| (in words) Rs._______________________________________________________________ |
| Date____________________ |
Signature of the tenderer |
(To be filled by the Bank)
Received payment (in word)
Stamp
Rupee__________________________ |
Space for Focal Point Bank
indicating the date, amount
credited to Government Account. |
| Bank's Receipt Stamp: |
Signature of the
Authorised Officer of the Bank |
Name of the Bank_________________
(Please ensure that you have filled-in the
correct details without which the department will not be responsible for
proper adjustment of amount paid by you.)
For Allocation of head of
accounts :
|