Format for application for obtaining service tax code number

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..... y kindly be allotted Service Tax Code Number (STC Number) for which the details are as under:- FORMAT FOR THE DETAILS (All entries shall be in BLOCK letters) 1. Name of the Applicant (S): ________________________________ 2. Permanent Account Number: _____________________________________________ (Issued by Income Tax Department ) (Attested copy to be enclosed). 3. Applican .....

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..... (2) and (3A) of Rule 4 If yes, give the following details for other Premises/Office S. No. Name Address Service being provided Tel. No(s) Fax No. E-Mail 1 2 3 4 5 6 Please furnish the aforesaid information for each of the other registered premises of offices .....

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..... ers/Fax numbers/E-mail address is to be filled if available. Acknowledgement Subject: Allotment of Service Tax Code Number - regarding Your application for allotment of STC Number received on ________________ is hereby acknowledged. The Receipt Number is ………………………………. dated …………………….. (Signature of the Inspector) With Official Seal Modified Annexure-III (Address of the form .....

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..... ) till 01-07-2002 on the requisite documents/records. The STC number shall be exclusively used with effect from 01-07-2002. 5. You are advised to indicate account heads as indicated below in all challans used for remitting service tax or other dues (interest, penalty, etc.) Service A/c Head For Tax A/c Head for Other Dues Signature of the officer with Designat .....

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