Service Tax Refund on Export - Check-List & Form-R
Rebecca Andrews
1. Refund from “R” and declaration from as mention in notification no. 41/2007-ST dated 6.10.2007, as amended.
2. Contract/ agreement/ purchase order with the foreign buyer.
3. Shipping bills invoices, bill of lading packing list etc regarding export of goods.
4. Copy of foreign exchange remittance certificate (BRC’s).
5. Copies of the invoice /bill/challans etc of the service providers in original.
6. Bank-statement, ledgers /party –wise ledgers.
7. Statement /work-sheets regarding export of goods (shipping bill) and realization of foreign exchange.
8. Statements/work-sheets regarding the specified services availed and payment made to the service providers.
9. Declaration regarding non-availment of service tax drawback.
10. Declaration regarding non-availment of Cenvat credit.
11. Declaration regarding the claimant not being registered with the central excise.
12. Declaration regarding claimant not providing any taxable service. Otherwise copies of relevant ST-3 returns,TR -6 Challans etc. may be submitted.
13. Registration / STC No.
14. Any other document/ information relevant in the matter.
____________
Central Excise Series No. 2AA
FORM - R
Application for refund of excise duty
(Rule 173-S)
To
The Assistant Commissioner,
Central Excise,
Division _________
Collectorate ______
1. I/We claim refund of Rs. ______________________ (Rupees_____________) on the grounds
mentioned hereunder :-
(a)
(b)
(c)
2. I/We enclose the following documents in support of the claim.
(i)
(ii)
(iii)
(iv)
(v)
3. The amount claimed was originally paid by AR1/AR5/AR6/AR7/AR8/AR9/ AR10/DD1/DD2 Treasury
Challan No. _______ dated _______ deposited into _______ Treasury under the Head of Account IIIUnion
Excise duties/Duty on _______ miscellaneous receipts/by adjustment in account current No.
_________ dated _________.
OR
The amount claimed was debited to account current No. ________ on________ against G.P. 1. No.
_____ dated _______ vide entry at Serial No._______.
OR
4. The amount claimed was paid vide G.P. 1. No. ______ dated ______and invoice No. ____ dated
______ of M/s. __________.
5. The payment of refund may please be made in my/our favour by a crossed cheque on _________
Treasury/by money order at Government cost.
6. I/We declare that no refund on this account has been claimed/received by me/us earlier.
7. I/We declare that the duty for which refund has been claimed has not been charged/realised from any
other person and a copy of the price-list, relevant Gate Pass (Central Excise) like documents and
invoices are enclosed.
8. I/We undertake to refund on demand being made within six months of the date of payment of any
rebate erroneously paid to me/us.
9. I/We declare that the goods received by me/us after payment of Central Excise duty for which refund
has been claimed has been consumed by me/us as industrial consumer/has been sold in wholesale/retail.
Dated_______ Signature and full
address of claimant
Received payment
Revenue Stamp (For amounts exceeding Rs. 20.00) _________________________________ Signature
of claimant
Claim of Shri/Messrs _________________ has been scrutinised and found correct.
Refund of Rs. _____ (Rupees _____________) is sanctioned.
Certified that no refund order regarding the sum now in question has previously been passed.
Head of Account Supdt./A.C.
of C. Ex. ______
(SANCTIONING AUTHORITY)
Rs. ____ credited towards consumer welfare fund established under Section 12C of the Central Excises
and Salt Act, 1944.
Cheque No. ___________.dated ______ for Rs. ________ (Rupees______________) issued on ______
(RBI/SBI/Treasury) in settlement of this claim.
A.C. of Central Excise.
(For use in the C.A.O.'s office)
Post audited certified that (i) the amount concerning which the refund is given has been credited into the
Treasury/ (ii) order of refund has been verified with
(a) DD1/DD2/AR1/AR5/AR6/AR7/AR8/AR9/AR10/T.C. No. _______dated _______ Gate Pass No.
______.
OR
(b) Debit entry in account current No. _______ dated ______ and (ii)Refund has been noted against the
original credit under my signature.
SEPARATE DECLARATION SPECIFIED UNDER NOTIFICATION 41/2008-ST :
Form
1. Name of the exporter :
2. Address of the registered office or head office of the exporter :
3. Permanent Account Number (PAN) of the exporter :
4. Import Export Code (IEC) of the exporter :
5. Details of Bank Account of the exporter :
(a) Name of the Bank :
(b) Name of the Branch :
(c) Account Number :
6. (a) Constitution of exporter [Proprietorship /Partnership /Registered Private Limited Company /Registered Public Limited Company /Others (specify)]
(b) Name, address and telephone number of proprietor /partner /director
7. Description of export goods:
|
Description of goods |
Classification in case of excisable goods | |
|
(1) |
(2) |
(3) |
|
|
|
|
8. Description of taxable services received by the exporter for use in export goods
|
Description of taxable service |
Classification under the Finance Act, 1994 | |
|
(1) |
(2) |
(3) |
|
|
|
|
9. Name, designation and address of the authorized signatory / signatories:
10. I / We hereby declare that-
(i) the information given in this application form is true, correct and complete in every respect and that I am authorized to sign on behalf of the exporter;
(ii) no CENVAT credit of service tax paid on the specified services used for export of said goods shall be taken under the CENVAT Credit Rules, 2004;
(iii) the said goods shall be exported without availing drawback of service tax paid on the specified services under the Customs, Central Excise Duties and Service Tax Drawback Rules, 1995;
(iv) I / we shall maintain records pertaining to export goods and the taxable services used for export of the said goods and shall make available, at the declared premises, at all reasonable time, such records for inspection and examination by the Central Excise Officer authorised in writing by the jurisdictional Assistant Commissioner of Central Excise or the Deputy Commissioner of Central Excise, as the case may be.
(Signature of the applicant / authorized person with stamp)
Date:
Place: