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FORMATS FOR CLAIMING DUTY DRAWBACK ON ALL INDUSTRY RATES/FIXATION OF DRAWBACK RATES/REFUND OF TERMINAL EXCISE DUTY

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..... 6 7 8 9 Sale Price of waste per unit of Qty By Product/co-product Net wt. of the material Remarks Qty. Sale value per unit 10 11 12 13 14 Give convenient units by which goods are invoiced for export (e.g. per ton, per dozen/Pcs., per Sq. meter etc). Notes:- 1. The Units of quantity to be furnished in Col.6 should be given in such a manner that it could be related to Statements II and III respectively. 2. Maintenance stores/materials such as lubricating oil, greases, fuel etc. which are employed to run the machinery and plant should be excluded. 3. The data for packing materials should be for the same unit quantity for which data for export product f .....

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..... ______ of membership. _____________________________________ DBK II STATEMENT Direct import of materials/components made by the manufacturer and foreign materials obtained locally by the manufacturer during the period commencing three months prior to the date of supply /first supply upto the date of application, for manufacture of (Name of export product supplied). S.No. Description Technical characteristics S.No. in DBK 1 statement B/E No. date under which imported Name of the Customs House Unit Qty. imported originally Assessable value 1 2 3 4 5 6 7 8 9 Heading No. in C ustoms Tariff Act, 1975 Rate of duty Country from which import .....

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..... ied). S.No. Description Technical Characteristics S.No. in DBK I statement B/E No. and date covering the imported stock Name of the Customs House Unit Qty. imported originally Assessable value 1 2 3 4 5 6 6A 7 8 Heading no. in Customs Tariff Act, 1975 Rate of duty Country from where imported name of supplier Is assessment final Basic duty + Addl. customs duty Name and full address of the supplier in case the foreign materials/components obtained locally Stock as on ___ Remarks 9 10 .....

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..... f duty paid Name and address of supplier Invoice No. and date Is assessment on duty final Remark s 9 10 11 12 13 14 Notes:- 1. In this statement details of only those items which are chargeable to the excise duty to be given for which proof of Central Excise duty can be established by Invoices. 2. Materials/Components specified in Drawback II Statement if these are also of indigenous origin and procured locally should be included in this statement, whether dutiable or not. This is irrespective of the fact whether the said materials/components are used for export production or not. Where the said materials/components are claimed to be only for manufacture of goods for local sales and not for exports, this should be specifically indicated in the Remarks column, against the respective serial number of the said material/component. 3. The particulars of Invoice numbers and date where the applicant is the consignee should be furnished under col.11. Photocopies of all Invoices for .....

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..... Notes:- 1. In this statement furnish details of stock of all the indigenous materials mentioned in statements I III which were in stock three months prior to date of shipment/first shipment of the export product and how these were procured (including Invoices Nos. etc.). 1A In this statement details of only those items which are chargeable to the Excise Duty may be given for which proof of payment of Central Excise duty can be established. 2. The particular of Invoice number, date etc. should be furnished in Column 11. 3. If the assessment which is not final or duty is paid under protest the extent of dispute may please be clearly indicated. 4. Refund applications made, if any with details to be indicated. CERTIFICATE REQUIRED FOR DBK III A STATEMENT Certified that the particulars mentioned in this statement are correct to the best of my knowledge and belief and no claims for refund of duty in respect of any of the above mentioned materials/components has been or will be lodged with the Central Excise Authorities. Signature and Stamp of independent Chartered Accountant/Cost Accountant Telephon .....

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