ANNEXURE-30
Original
Duplicate
Triplicate
Quadruplicate
Application for removal of stainless steel patties/pattas manufactured under the
special procedure
Name of the Factory....................
Address................................
- I/We................................................manufacturer(s) of
stainless steel patties/pattas residing at................Taluka/Tehsil................District....................
and holder(s) of Central Excise Registration No.
.................dated.................having been permitted to avail
myself/ourselves of the special procedure contained in the notification issued
under rule 15 of Central Excise (No.2) Rules 2001, in respect of my/our
production and transactions in such stainless steel patties/pattas at the
above-mentioned factory/factories hereby declare that I /we intend to install
and employ the cold rolling machines for the production of stainless steel
patties/pattas during the year................in the manner indicated below, and
the total sum payable by me/us in terms of the provisions laid down in the
notification in respect of the said period are stated hereunder:-
No. of cold rolling Machines to be
installed and employed |
Rate prescribed in
Government of India
Notification No. /2001- Central Excise dated |
Sum payable |
Total |
| (1) |
(2) |
(3) |
(4) |
- I/We tender herewith the sum of Rs...............(Rupees...............only).
The balance will be paid by me/us in monthly installments.
- I/We hereby declare that the particulars furnished herein are true and
complete to the best of my/our knowledge and belief.
- I/We apply for leave to remove from the above mentioned premises during the
period from ..............to..............any stainless steel patties/pattas
manufactured in the said premises during that period.
- I/We understand that the permission accorded to me/us for the
year............is subject to my/our paying the balance amount as indicated in
paragraph 2 above.
Place......................
Date........................
Signature of manufacturer or his authorized agent.
To
The Superintendent of Central Excise
.................Range
.................Division
COUNTERSIGNED
Place......................
Date......................
Superintendent of Central Excise
.................Range
.................Circle.
Statement of duty paid:
(a) For payment in cash at....................
Treasury
State Bank of India
Reserve Bank of India
(To be filled in by the manufacturer or his authorised agent)
| Name of person tendering payment |
Particulars of payment |
Amount(in words as well
as in figures) |
| (1) |
(2) |
(3) |
Head of Account
038-Union Excise Duties- Stainless steel patties/pattas
(b) Under the compounded levy scheme.
Date................
Signature of the tenderer
(To be filled in by the Treasury or Bank)
CERTIFICATE
Deposit Number....................Date.................Received payment of
rupees (in words)..................
Signature of Treasurer or
Accountant Agent or Manager
(c) For payment through account-current:
| Title of Account of Ledger |
Number and date of entry |
Amount (in words as well as
in figures) |
| (1) |
(2) |
(3) |
Place....................
Date.....................
Signature of the manufacturer or his Authorized agent.
(d) For payment through T.R.5/Special Revenue Money Order
| Date of Payment |
T.R.5 No./Special Money Order Coupon No. |
Amount(in words as well
as in figures) |
| (1) |
(2) |
(3) |
Place....................
Date.....................
Clearance allowed subject to fulfillment of the condition of deposits
Superintendent of Central Excise
Note: Delete the entries not applicable.