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Form of Application for Settlement of a Case under Section 127B

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..... (i) Permanent Account No : (ii) IEC No : (iii) (iii) Status : [ see note 2] 5. (i) [Principal Commissioner or Commissioner] having jurisdiction over the applicant : (ii) Postal address of the [Principal Commissioner or Commissioner] having jurisdiction over the applicant: 6. Details of the Show Cause Notice issued to the applicant (a) Show Cause Notice No. and date (b) Period of dispute in the notice (c) Duty demanded in the notice (in Rs.) (d) Dispute in connection with which the application for settlement is made. (e) Adjudicating authority before whom the notice is pendin .....

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..... y the applicant before any Bench of Settlement Commission on or after 1 st June , 2007 . If yes, the following information may be provided: (a) Application No. and date (b) Show cause notice No. and date (c) Amount of admitted duty (d) Issue involved (e) Status of the application, if decided, then (i) Settlement order No. and date (ii) Details of deposit of settlement amount 14. If any other application, filed by the applicant, on or after 1 st June , 2007, is pending before the Settlement Commission, then whether the present application for settlement involves issue identical to the issue in respect of which the other application is .....

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..... of India and the triplicate copy of the challan sent to the Settlement Commission with the application. The Settlement Commission will not accept cheques, drafts, hundies or other negotiable instruments. 2. Please state whether individual, Hindu undivided family, company, firm, an association of persons, etc. 3. Details of the additional amount of Customs duty accepted as payable and interest thereon referred to in item 10 of the application shall be furnished in annexure to this application. 4. Original copy of the TR-6 challan indicating amount of duty accepted as payable for settlement and interest thereon, referred .....

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..... 962) <!--?xml:namespace prefix = st1 ns = "urn:schemas-microsoft-com:office:smarttags" /--> S.A. (C) No. /99 1. Full Name and address of the applicant : 2. Address for communication : 3. (i) Permanent Account No. : (ii) ITC Code No. : (iii) Status : [see note 2] 4. Commissioner of Customs having jurisdiction over the applicant : 5. Period/date of the cause/dispute in connection with which the application for settlement is made : 6. Details of Bill(s) of Entry/Shipping Bill(s) filed in relatio .....

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..... transactions are correct and are duly attested by me. Verified today the.. ..........................................day of....................................... 1999 at................................. Deponent. Note : 1. The application fee should be credited in a branch of the authorised bank or a branch of the State Bank of India or a branch of Reserve Bank of India and the triplicate copy of the challan sent to the Settlement Commission with the application. The Settlement Commission will not accept cheques, drafts, hundies or other negotiable instruments. <!--?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /--> .....

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