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

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..... tax liability of the service provider and the service recipient during the period of half year for which refund is claimed:- 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 renting of a motor vehicle designed to carry p .....

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..... credited in my/ our bank account. Details furnished below; (i) Account Number : (ii) Name of the Bank : (iii) Branch (with 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 the assessee. (v) I/We declare that we have not filed or will not file any other claim f .....

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..... formation and necessary action. (ii) The Commissioner of Central Excise. Assistant Commissioner or Deputy Commissioner of Central Excise_______________________________________________________________________ (i) Passed for payment of Rs. ______________ (Rupees ____________) The amount is adjustable under head 0044 - Service tax - Deduct Refunds . (ii) Amount credited to the account of the claimant as per the details below : Amount refunded Account Number Reference No. of transfer Name of the Bank Address of the Branch .....

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