ANNEXURE-30
(See paragraph 4)Original
Duplicate
Triplicate
Quadruplicate
Application for removal of stainless steel pattis/pattas manufactured under the special procedureName of the Factory …………………………. Address................
1. I/We............................................manufacturer of stainless steel pattis/pattas residing at.............................................. Taluka/Tehsil.............................. District..........………. and holder of Central Excise Registration No. ............dated...........having been permitted to avail myself/ourselves of the special procedure contained in the notification issued under rule 15 of Central Excise Rules 2002, in respect of my/our production and transactions in such stainless steel pattis/pattas at the above-mentioned factory/factories hereby declare that I/we intend to install and employ the cold rolling machines for the production of stainless steel pattis/pattas during the year............ in the manner indicated below, and the total sum payable by me/us in terms of the provisions laid down in the notification in respect of the said period are stated hereunder :-
| No. of cold rolling Machines to be installed and employed | Rate prescribed in Government of India Notification No. __/2007- Central Excise, dated___ | Sum payable | Total |
| (1) | (2) | (3) | (4) |
| | | | |
2. I/We tender herewith the sum of Rs...........(Rupees................only). The balance will be paid by me/us in monthly instalments.
3. I/We hereby declare that the particulars furnished herein are true and complete to the best of my/our knowledge and belief.
4. I/We apply for leave to remove from the above mentioned premises during the period from ..........to.............any stainless steel pattis/pattas manufactured in the said premises during that period.
5. I/We understand that the permission accorded to me/us for the year.......is subject to my/our paying the balance amount as indicated in paragraph 2 above.
Place..........
Date ..........
Signature of manufacturer or his authorised agent.
To
The Superintendent of Central Excise
...............................Range
...............................Division
COUNTERSIGNEDPlace...........
Date ...........
Superintendent of Central Excise
.............................Range
.............................Circle.
Statement of duty paid :(a) For payment in cash at.................
Treasury
State Bank of India
Reserve Bank of India
(To be filled in by the manufacturer or his authorised agent)| Name of person tendering payment | Particulars of payment | Amount (in words as well as in figures) |
| (1) | (2) | (3) |
| | | |
Head of Account
038-Union Excise Duties- Stainless steel pattis/pattas
(b) Under the compounded levy scheme.
Date……….
Signature of the tenderer
(To be filled in by the Treasury or Bank)
CERTIFICATEDeposit Number..........Date...........Received payment of rupees (in words)......
Signature of Treasurer or Accountant
Agent or Manager
(c) For payment through account-current :
| Title of Account of Ledger | Number and date of entry | Amount (in words as well as in figures) |
| (1) | (2) | (3) |
| | | |
Place.........
Date..........
Signature of the manufacturer or his authorized agent.
(d) For payment through T.R.5/Special Revenue Money Order
| Date of Payment | T.R.5 No./Special Money Order Coupon No. | Amount (in words as well as in figures) |
| (1) | (2) | (3) |
| | | |
Place...........
Date............
Clearance allowed subject to fulfilment of the condition of deposits
Superintendent of Central Excise
Note: Delete the entries not applicable.
(Above Annexure 30 has been vide
NTF. NO.17/2007-CE, DT. 01/03/2007)
(Above Annexure 30 has been vide
NTF. NO.34/2001-CE, DT. 28/06/2001)
[OLD-ANNEXURE-30Original
Duplicate
Triplicate
Quadruplicate
Application for removal of stainless steel patties/pattas manufactured under the special procedureName of the Factory ..........................................
Address ............................................................
1. I/We ............................. manufacturer(s) of stainless steel patties/pattas residing at ................. Taluka/Tehsil ................. District ..................... and holder(s) of Central Excise Registration No. ........................ dated ...................... having been permitted to avail myself /ourselves of the special procedure contained in the notification issued under rule 15 of Central Excise (No.2) Rules 2001, in respect of my/our production and transactions in such stainless steel patties/pattas at the above-mentioned factory/factories hereby declare that I/we intend to install and employ the cold rolling machines for the production of stainless steel patties/pattas during the year ............ in the manner indicated below, and the total sum payable by me/us in terms of the provisions laid down in the notification in respect of the said period are stated hereunder:-
| No. of cold rolling Machines to be Installed any employed | Rate prescribed In Government of India Notification No. __ /2001-Central Excise dated | Sum payable | Total |
| (1) | (2) | (3) | (4) |
| | | | |
2. I/We tender herewith the sum of Rs..........., (Rupees ................. only). The balance will be paid by me/us in monthly instalments.
3. I/We hereby declare that the particulars furnished herein are true and complete to the best of my/our knowledge and belief.
4. I/We apply for leave to remove from the above mentioned premises during the period from ............... to any stainless steel patties/pattas manufactured in the said premises during that period.
5. I/We understand that the permission accorded to me/us for the year .............. is subject to my/our paying the balance amount as indicated in paragraph 2 above.
Place ............
Date .............
Signature of manufacturer or his authorized agent.
To
The Superintendent of Central Excise
............... Range
............... Division
COUNTERSIGNEDPlace .............
Date ..............
Superintendent of Central Excise,
.............. Range
.............. Circle
Statement of duty paid:(a) For payment in cash at.....................
Treasury
State Bank of India
Reserve Bank of India
(To be filled in by the manufacturer or his authorized agent)| Name of person tendering payment | Particulars of payment | Amount (in words as well as in figures) |
| (1) | (2) | (3) |
| | | |
Head of Account
038-Union Excise Duties- Stainless steel patties/pattas
(b) Under the compounded levy scheme.
Date ........................
Signature of the tenderer
(To be filled in by the Treasury or Bank)
CERTIFICATEDeposit Number .................... Date ............... Received payment of rupees (in words) .....................
Signature of Treasurer or Accountant
Agent or Manager
(c) For payment through account-current:
| Title of Account of Ledger | Number and date of entry | Amount (in words as well as in figures) |
| (1) | (2) | (3) |
Place................
Date..................
Signature of the manufacturer of his Authorized agent.
(d) For payment thourgh T.R.5/Special Revenue Money Order
| Date of Payment | T.R.5 No./Special Order Coupon No. | Amount (in words as well as in figures) |
| (1) | (2) | (3) |
Place................
Date...............
Clearance allowed subject to fulfillment of the condition of deposits
Superintendent of Central Excise
Note:Delete the entries not applicable.
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