Form of Application for Settlement of a Case under Section 127B

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....ving jurisdiction over the applicant : (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....

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....wing information may be provided: (a) Application No. and date (b) Show cause notice No. and date (c) Amount of admitted duty (d) Issue involved (e) Status of the application, if decided, then (i) Settlement order No. and date (ii) Details of deposit of settlement amount 14. If any other application, filed by the applicant, on or after 1^st June, 2007, is pending before the Settlement Commission, then whether the present application for settlement involves issue identical to the issue in respect of which the other application is pending before the Settlement Commission as on date.   Signature of the applicant Verification I.......

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.... hundies or other negotiable instruments. 2. Please state whether individual, Hindu undivided family, company, firm, an association of persons, etc. 3. Details of the additional amount of Customs duty accepted as payable and interest thereon referred to in item 10 of the application shall be furnished in annexure to this application. 4.          Original copy of the TR-6 challan indicating amount of duty accepted as payable for settlement and interest thereon, referred to in item 10, be retained by the applicant, duplicate be endorsed to Customs Officer having jurisdiction over the applicant, triplicate be endorsed to the jurisdictional Chief Accounts Officer of the Customs Comm....

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....e 2] 4. Commissioner of Customs having jurisdiction over the applicant : 5. Period/date of the cause/dispute in connection with which the application for settlement is made : 6. Details of Bill(s) of Entry/Shipping Bill(s) filed in relation to the case for settlement : 7. Proceedings to which application for settlement relates, the date from which the proceedings are pending and authority before whom the proceedings are pending : 8. Where any appeal or application for revision has been preferred after the expiry of the period specified for filing such appeal or application for revision, as the case may be, whether such appeal or revision has been admit....