TaxTMI 
TaxTMI 
Application for refund of duty/interest
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....ent (Bill of Entry, Shipping Bill etc.)/ Purchase Invoice-Number and Date : 2. Duty deposit reference (Cash No. /Deposit No.) and date: 3. Description of good.: 4. Name and address of (a) Importer : (b) Custom House Agent : (c) Applicant : 5. Refund Claim under :-section 27(l)(a)/ section 27(1)(b) of the Act. 6. Ground of clai....
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....idence of duty payment. (d) Signed working sheet for the amount of refund claimed. (e) Customs attested invoice. (f) Customs attested packing List. (g) Documents for establishing the applicant's eligibility to receive the refund amount in terms of the proviso to sub-section (2) of section 27 of the Act, including documents for the purposes of section 28C and....
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....aim filed / pending against the same Import/ Export document (Bill of Entry, Shipping Bill etc.) If yes, give details. : Yes/No 12. Whether personal hearing required or not before the case is decided : Yes/No 13. (a) Whether the duty has been paid under protest : Yes/No (b) If yes, Custom House protest registration No. DECLARATION I/We .................... hereby d....
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....on vide Custom Refund Registration No. .............. dated ............. for Assistant Commissioner of Customs Date ACKNOWLEDGEMENT TO BE ISSUED TO THE APPLICANT FILE NO ................ Refund claim of Mr/M/s. .................. for Rs. .............. against Bill of Entry/Post Parcel/Baggage Form/ Shipping Bill No. ................. Dated ........... received in complete manner o....