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Form 4

Rule - Central Excise - [See rule 5(1)] FORM OF ORDER OF DISCHARGE OF DUES UNDER SUBSECTION (4) SECTION 214 OF THE FINANCE ACT, 2016 (28 of 2016). Reference No ……………………………&h .....

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of the Finance Act, 2016 (28 of 2016) on …………..; and The designated authority by acknowledgement of even number in Form 2 dated .............. acknowledged the said declaration; The Declarant has intimated as required unde .....

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owers conferred by sub-section (4) of section 214 read with section 216 of the Finance Act, 2016, the designated authority hereby issues order of discharge of due the said declarant - (a) certifying the receipt of payment from the declarant towards f .....

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