Declaration Form for the persons availing exemption under notification no. 33/2012 (Note this is not a statutory requirement but some times insisted by the department in the form of affidavit)

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..... ssioner Service Tax, Delhi-I / II I / We _________________ hereby declare to the best of my/our knowledge and belief that the information given below is true and complete and information/details if any found contrary then 1/We are liable for penal action. We declare the followings (1)a. Name b. Full address c. Telephone No .....

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..... challan no_____ date_____ as an amount equivalent to the cenvat / service tax credit taken in r/o such inputs which have been utilized towards providers services for which exemption under notification no. 33/2012 is being availed. (5) Brand name or trade name, whether or not of another person is not used. (6) I/We do not fall under sub-section (2) of section 68 of the Finance Act read with .....

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