ANNEXURE 51

Intimation of Receipt of Duty Paid Goods into the Factory Premises

To,
The Superintendent of Central Excise,

__________________Range.

Sir,

I/We hereby declare that the under mentioned duty paid excisable goods have been received into our registered factory premises on (date) ___________ at (address) _______________________________________ for purpose of _____________________________ .

Name and address of the manufacturing Factory	No. and date of invoice under which duty has been paid	Description and variety of goods	Nature of containers/ packages and identifying marks on goods and containers/ received	Name and address from whom received	Quantity as shown in the invoice	Quantity received	Purpose for which received	Remarks
1	2	3	4	5	6	7	8	9

I/We hereby declare (1) that proper entry of the aforesaid goods has been made in our account books / registers, and (2) that the goods have been stored _______________________ (Specify the place of storage).

Signature of assessee
or his authorised agent