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Refund of CENVAT credit under Rule 5 of the CENVAT Credit Rules, 2004

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..... ................... Sir, I/ We have exported, the final products or output services during the Quarter and am/ are claiming the refund of CENVAT Credit in terms of Rule 5 of the CENVAT Credit Rules, 2004 as per the details below: S No Description Amount in Rs 1 Total value of the goods cleared for export and exported during the quarter. 2 Export turnover of the services determined .....

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..... able on the last day of quarter. 13 Balance of CENVAT Credit available on the day of filing the refund claim. 14 Amount claimed as refund, [Amount shall be less than the minimum of (10), (12) and (13) in case of goods or the minimum of (11), (12) and (13) in case of services] 15 Amount debited from the CENVAT account [shall be equal to the Amount claimed as refund (14)] 2.0 Details of .....

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..... les, 1995 or for claim of rebate under Central Excise Rules, 2002 or the Export of Services Rules, 2005 or under section 93 or 93A of Finance Act, 1994( 32 of 1994). (v) I/ We declare that we have not filed or will not file any other claim for refund under rule 5 of CENVAT Credit Rules, 2004, for the same quarter to which this claim relates. Date d d m m y y y y Signature of t .....

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..... ds. The said refund claim has been examined with respect to relevant enclosures and has/ has not been found in order. A refund of Rs _____________ (Rupees ______________________ __________________________) is sanctioned/ The refund claim filed is rejected. Assistant Commissioner or Deputy Commissioner of Central Excise Forwarded to- (i) The Chief Accounts officer, Central Excise, for informatio .....

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