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Form for rule 30A of the Central Excise (No.2) Rules, 2001 - 003/2002 - Central Excise - Non TariffExtract Form for rule 30A of the Central Excise (No.2) Rules, 2001 Notification No.3/2002-CE(N.T.) Dated 22/02/2002 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
.. Original Division
Duplicate Range
Triplicate Number and date of entry in daily stock account Number and description of packages Gross weight of packages Marks and numbers Description of goods with Tariff classification Value for assessment purpose Duty Number and date of Invoice Issued Remarks Rate Amount (Rs.) Rate Amount (Rs.) (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) 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) Name of the person tendering payment Name and address of the person on whose behalf the amount is tendered Particulars of payment Amount(Rs.) Head of account (1) (2) (3) (4) (5) 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 Title of Account Number and Date of Entry Amount (Rs.)
. (Signature of the owner or authorized agent) Date
. .". F.No. 201/18/2002 CX 6 Footnote.- The principal rules were published in the Gazette of India, Extraordinary vide GSR. 444(E), dated the 21st June, 2001.
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