Application for refund of service tax

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..... (b) (c) 2. I/We enclose the following documents in support of the claim. 1. 2. 3. 4. 5. 3. The amount claimed was originally paid by TR-6 Treasury Challan No. ____ .....

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..... h 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 .....

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..... que 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 .....

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