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Publication of Revised ANF-7A

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..... rade & Ex-Officio Addl. Secy. ANF-7A APPLICATION FOR CLAIM OF TED REFUND / DUTY DRAWBACK / BRAND RATE FIXATION (Please tick whichever is applicable) (Application shall be filed online once the software is ready) 1. IEC No. Branch Code: 2. Applicant details: i. Name of the firm/company ii. Full address iii. Contact Number iv. E-mail address 3. Bank's details: i. Name of the Bank ii. Address of the Bank iii. IFSC code iv. Nature of account(SA/CA) v. A/c Number vi, Telephone / Fax No. 4. (a) Excise Authority details: i. Excise Registration No. ii. Address of the jurisdictional Central Excise Authority iii. Contact details of Excise Authority iv. Amount of excise duty paid during last year v. P .....

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..... for intermediate supply, it was declared that such inputs to be procured locally /imported on payment of basic custom duty? Yes/No 11. If answer to Col. No 10 is yes, Advance Authorization no. & date and File. no. under which it was issued. 12. Whether claim is made within the prescribed time 13. If not, rate of late cut as per Para 9.02 of HBP 14. If claim for refund of TED is made by supplier: Whether CENVAT credit has been availed by recipient? 15. If claim for refund of TED is made by recipient: Whether CENVAT credit has been availed by him? 16. If claim for duty drawback is made by supplier: Whether CENVAT credit has been availed by him on excisable inputs 17. If claim for duty drawback is made by r .....

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..... e foreign material/ Components obtained locally Rate of Duty Is assessment final Total amount of duty paid (basic custom duty) Remarks 10 11 12 13 14 15 16 ** Only inputs which were imported/ procured and consumed during the period commencing 90 days prior to the date of supply(s) shall only be taken into account for such claim. A separate work sheet as per DBK form II, and II(A) and certificates attached thereto duly certified by Chief Executive/production in-charge shall be submitted, as given in the APPENDIX-7E 23. Check List of documents to be attached duly scanned or submitted in the physical form at counter: (1) (a) Copy of Invoices or a statement of invoices duly signed by the units receiving the .....

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..... on as per APPENDIX-2U or Payment Certificate issued by Project Authority in APPENDIX-7D in original, as the case may be. (5) PAC issued by the Project Authority in original as per APPENDIX-7C or File No. where the original has been submitted. (6) Copy of contract if supplies were to Project Authority or supplier's copy of original ARO or recipient's copy of original Invalidation Letter (if supply against ARO/Invalidation Letter issued against AA/ DFIA/EPCG, as the case may be). (7) Non-availment of CENVAT credit certificate as per ANNEXURE-I, by the recipient of finished goods (in case claim for TED). (8) A certificate regarding non-availment of CENVAT credit on inputs used in the resultant product by the supplier of goods as per ANNEXU .....

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..... in any other firm/Company which has come under the adverse notice of DGFT or is in the caution list of RBI, to the best of my knowledge. 6. I / We hereby declare that no export proceeds are outstanding beyond the prescribed period as laid down by RBI or such extended period for which AD/RBI permission has been obtained. 7. I/we further declare that the goods supplied are excisable goods but no CENVAT credit is availed/ available to the recipient of goods. (In case of items covered under schedule 4 of the central excise Act 1944). 8. I/we further declare that no CENVAT credit facility has been availed on inputs for which drawback claim is made. 9. I hereby certify that I am authorised to verify and sign this declaration as per Paragraph .....

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..... supply of goods and have not availed any benefit thereon. 4. The complete address of the Jurisdictional Assistant/Deputy Commissioner of the Central Excise Division is given as follows: Yours faithfully, Signature (Authorized Signatory) Full Name Designation Name of the Company Telephone Number Address Fax No. E-mail address Note : Declaration is to be given on letter head of the supplier. The Declaration furnished by the supplier to Office of the Development Commissioner or RA of DGFT should be in duplicate with complete address of the Jurisdictional Assistant/Deputy Commissioner of the Central Excise Division. The Development Commissioner/RA of DGFT would forward the second copy of this Declaration, duly stamped, to the addres .....

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