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Amendments in format of Form ARE 4
Notification No. 3 dated 22nd
February 2002 (NT)
In pursuance of
rule 30A of the Central Excise (No.2) Rules, 2001, the Board hereby notifies the
proper form for the purposes of this rule, namely:
Form ARE. 4
(In triplicate)
(See rule 30A)
Commissionerate
_______________________
Division
_______________________________
Range
________________________________
(Original/
Duplicate/Triplicate)
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Number and date
of entry in daily stock account
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Number and
description of packages
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Gross weight of
packages
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Marks and
numbers
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Description of
goods with Tariff classification
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Value for
assessment purpose
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Duty
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Number and date
of Invoice Issued
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Remarks
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Rate
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Amount
(Rs.)
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Rate
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Amount
(Rs.)
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(1)
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(2)
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(3)
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(4)
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(5)
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(6)
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(7)
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(8)
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(9)
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(10)
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(11)
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Notes:
1.
Where there are different types of duties, separate entries should be
made on different horizontal lines and the amount totaled.
2.
Value for Assessment purpose is the value as per section 3 or 4 or 4A of
the Central Excise Act, 1944.
Declaration
I/We declare the
above particulars to be true and correctly stated.
I/We apply for
leave to clear the above goods.
______________________
(Signature of the owner or authorized agent)
Place _____________
Date _____________
Assessment Memorandum
(To be entered in
words and figures)
1. Total number of packages
___________________
2. Quantity of goods on
which duty is assessed _______________________
3. Rate of duty
_______________________
4. Total duty payable
_______________________
_______________________(Signature
____________ of Central Excise)
Place ______________
Date
_______________
Statement of duty
paid at _______________________
Treasury
Sub-Treasury
Bank
Reserve Bank of India
I.
For payment in cash (To be filled the owner
or authorized agent)
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Name of the
person tendering payment
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Name and address
of the person on whose behalf the amount is tendered
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Particulars of
payment
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Amount
(Rs.)
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Head of account
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(1)
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(2)
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(3)
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(4)
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(5)
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1.
Excise duty on _______________ (name of commodity)
2.
Additional duties of excise under ______________(Act)
Total Rupees (in words) _______________
Date_______________
Deposit No_______________
______________________ (Signature of the Tenderer)
(To be filled by
the Treasury or Bank)
Received payment
of rupees (in words) _____________________
______________________(Signature
of the Treasurer/ Accountant/ Treasury Officer/ Agent or Manager)
Date______________
II. Payment through Account
Current/ CENVAT account
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Title of Account
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Number and Date
of Entry
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Amount
(Rs.)
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______________
(Signature of the owner or authorized agent)
Date______________
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