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Refund of cenvat credit under Rule 5B of Cenvat Credit Rules 2004

Service Tax - Form A - FORM A Application for refund of CENVAT Credit under rule 5B of the CENVAT Credit Rules, 2004 for the half year beginning from 1st of April/1st of October To, The Assistant Commissioner or Deputy Commissioner of Central Excise, …………………………..……………………………………………………&hellip .....

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Sl. No Description of service Value of output services provided during the half year Total Service tax liability during the half year Service tax liability discharged by the provider of output service during the half year Service tax liability of the receiver of such output service during the half-year [Column 3 -Column 4] 1 2 3 4 5 1 .....

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amount eligible for refund at the end of the half year:- Period beginning from 1st April/1st October Service tax liability of the receiver of such output service during the half-year (total of column 5 of above table) Amount of unutilised CENVAT Credit taken on inputs or input services during the half year for providing services taxable under partial reverse charge [as calculated in para 1(a) of the notification]. The eligible refun .....

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h address): (iv) IFSC Code: 3. Declaration (i) I/We certify that the aforesaid particulars are correct. (ii) I/We certify that we satisfy all the conditions that are contained in rule 5B of the CENVAT Credit Rules, 2004 and in Notification No. 12/2014-CE (NT), dated 3rd March,2014. (iii) I/We am/are the rightful claimant(s) of the refund of CENVAT Credit in terms of rule 5B, the same may be allowed in our favour. (iv) I/we have been authorised as the person to file the refund claim on behalf of .....

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