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FORM OF DECLARATION UNDER SUB-SECTION (1) OF SECTION 214 OF THE FINANCE ACT, 2016 (28 OF 2016), IN RESPECT OF INDIRECT TAX DISPUTE RESOLUTION SCHEME, 2016

Customs - Form No. 149 - Customs Series Form No. 149 1[Form 1 [See rule 1(1)] IN DUPLICATE To, The Designated Authority ........................................... ........................................... Sir/Madam, I hereby make a declaration und .....

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Telephone number 5 Order-in-original number 6 Date of order-in-original 7 Amount demanded Duty/Tax Interest Penalty 8 Commissioner (Appeals) before whom appeal is pending 9 Appeal No. 10 Amount deposited Duty/Tax Interest Penalty 11 Any other inform .....

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his declaration is correct and complete and amount due and other particulars shown therein are truly stated; (b) I am not disqualified in any manner from making a declaration under the Scheme with reference to the provisions of section 215 of Finance .....

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ify it. Place Signature of person making declaration Date Name of person making declaration Instructions for filling the Form 1. This Form should be submitted to the Commissioner of Customs or the Commissioner of Central Excise notified as designated .....

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