FORM OF ORDER OF DISCHARGE OF DUES UNDER SUB-SECTION (4) SECTION 214 OF THE FINANCE ACT, 2016 (28 of 2016)

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..... ......... (Name and address of the declarant) (hereinafter referred to as declarant) had made a declaration under sub-section (1) of section 214 of the Finance Act, 2016 (28 of 2016) on ..............; and The designated authority by acknowldgment of even number in Form 2 dated .............. acknowledged the said declaration; The Declarant has intimated as required under sub-section (3) of Se .....

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..... y ............ Date ………....……. Name of the designated authority ...........… Official Seal of the designated authority] Copy To (1) The declarant (2) Assessing/ Adjudicating Officer (3) Commissioner of Customs/Central Excise/Service Tax (4) Concerned appellant authorities] ******************** Notes : - 1. vide Notification No. 29/2016-C.E .....

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