TaxTMI 
TaxTMI 
Form of Application for Settlement of a Case under Section 127B
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....t : (ii) Postal address of the [Principal Commissioner or Commissioner] having jurisdiction over the applicant: 6. Details of the Show Cause Notice issued to the applicant (a) Show Cause Notice No. and date (b) Period of dispute in the notice (c) Duty demanded in the notice (in Rs.) (d) Dispute in connection with which the application for settlement is made. (e) Adjudicating authority before whom the notice is pending adjudication. 7. (i) Whether Bill(s) of Entry or Shipping Bill(s), as the case may be, showing full particulars of the goods and customs duty paid was/were filed. (ii) Whether the disputed goods were entered in the Bill(s) of Entry or Shipping Bill(s). If so, details thereof. Note: Self-attested copies....
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.... which the other application is pending before the Settlement Commission as on date. Signature of the applicant Verification I.....................................son/daughter/wife of..................................residing at................. do solemnly declare that I am making this application in my capacity as. ...................... and I am competent to verify it. That the contents of this application are true and that I have not filed any application for settlement in contravention of the provisions of the Chapter XIVA of the Customs Act, 1962 before the Settlement Commission and also that no information relevant to the facts of the case has been suppressed. Annexures of the documents accompanying the application are true copie....
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....ate be endorsed to the jurisdictional Chief Accounts Officer of the Customs Commissionerate, quadruplicate be retained by the bank and quintuplicate copy be enclosed with this application form. Annexure Statement containing particulars, referred to in item 9 of the application made under section 127B(1) . 1. Details of information which has not been correctly declared in the Bill of Entry/ Shipping Bill ; 2. Duty liability accepted to be payable out of the total duty demanded in the show cause notice issued and the manner in which such duty liability has been derived; 3. Full and true disclosure of the facts regarding the issues to be settled, including the terms of settlement sought for by the applicant. Signature of the app....
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....ayable : [See Note 3] Signature of the applicant. Verification I, ..................................... son/daughter/wife of......................................... residing at ................. do solemnly declare that I am making this application in my capacity as ...................... and I am competent to verify it. That the contents of this application are true to the best of my knowledge and belief and no information relevant to the facts of the case has been suppressed. Annexures of the documents accompanying the application are true copies of the originals and the tables showing financial transactions are correct and are duly attested by me. Verified today the.. ..........................................day of....................