Application for claiming refund of service tax paid on specified services used for authorised operations in SEZ under notification No.12/2013- Service Tax dated 1st July, 2013

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....Service Tax dated 1st July, 2013 To The Assistant/Deputy Commissioner of Central Excise/Service Tax ___________ Division, _______ Commissionerate Sir, I /We having details as below,- (i) Name of the SEZ Unit/Developer: (ii) Address of the SEZ Unit/Developer with telephone and email: (iii) Address of the registered/Head Office with telephone and email: (iv) Permanent Account Number (PA....

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....s per the details below Table-I S. No. Description of taxable service Name and address of service provider STC No. of service provider (Indicate " self" if reverse charge applies to the specified service) Invoice* No. Date Value of service Service tax +cesses paid (1) (2) (3) (4) (5) (6) (7) (8) Total amount claimed as refund *Certified copies of documents are enclosed....

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....s are enclosed 2. (i) The turnover of the authorised operation of the SEZ Unit/Developer in the previous financial year:________________________; (ii) Turnover of the DTA operations in the previous financial year:____________ 3. I/We Declare that- (i) information given in this application for refund is true, correct and complete in every respect and that I am authorised to sign this applicatio....