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Service Tax (Sixth Amendment) Rules - Forms

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..... n Number in case of existing Registrant seeking Amendment _____________ 1. (a) Name of applicant (b) Address of the applicant 2. Details of Permanent Account Number (PAN) of the applicant (a) Whether PAN has been issued by the Income Tax Department Yes No (b) If Yes, the PAN (c) Name of the applicant (as appearing in PAN) .....

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..... (iii) Road/Street/Lane (iv) Village / Area / Lane (v) Block/Taluk/Sub-Division/Town (vi) Post office (vii)City/District (viii)State/ .....

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..... 8. Name, Designation and Address of the Authorized Signatory /Signatories: DECLARATION I, ___________________________________________hereby declare that the information given in this application form is true, correct and complete in every respect and that I am authorized to sign on behalf of the Registrant. (a) For new Registration: I would like to receive the Registration Certificate by mail / by hand/ E-MAIL (b) For amendments to information pertaining to existing Registrant: Date from which amendments are made: _______________ (Original existing Registration Certificate is required to be enclosed) (Signature of the applicant/authorized person with stamp) Date: Place: ACKNOWLEDGEMENT (To be given in the event Registration Certificate is not issued at the time of receipt of application for Registration) I hereby acknowledge the receipt of your Application Form (a) For new Registration (As desired, the New Registration Certificate will be sent by E-MAIL/ mail/handed over to you in person on______________) (b) For amendments to information in existing Registration .....

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..... (vii)City/District (viii)State/Union Territory (ix) PIN Telephone Nos: X (x) E-mail Address 5. PREMISES CODE .....

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..... (2)________________________________ (3)________________________________ 4. Payment of Service Tax Category of Service: __________________________________________________ (A) Payment details Apr/Oct May/Nov June/Dec July/Jan Aug/Feb Sept/Mar Total of column (2) to (7) (1) (2) (3) (4) (5) (6) (7) (8) Amount received towards taxable service(s) provided Amount received in advance towards taxable service(s) to be provided Amount Billed- gross Amount billed for exempted services other than export Amount billed for exported services, without payment of tax Amount billed for services on which tax is to be paid Abatement claimed- Value .....

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..... Credit availed on inputs Credit availed on capital goods Credit availed on input services Credit received from inputs service distributor Total credit availed Credit utilized towards payment of service tax Closing balance (B) Education cess credit details Details of Credit Apt/Oct May/Nov June/Dec July/Jan Aug/Feb Sept/Mar (1) (2) (3) (4) (5) (6) (7) Opening Balance Credit of education cess availed on goods Credit of education cess availed on services Credit of education cess utilized for .....

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