FORM ST-7
Form of application to Appellate Tribunal under Section 86(2) [or
Sec.86(2A) of the Finance Act, 1994 (32 of 1994)]
In the Customs, Excise and Gold(Control) Appellate Tribunal Appeal
No._____________of______________20_________________________Applicant
v.
_____________________Respondent.
| 1. |
Designation and address of the applicant (if the
applicant is not the adjudicating authority, a copy of the authorisation
from the Commissioner of Central Excise to make the application should
be enclosed). |
| 2. |
Name and address of the respondent. |
| 3. |
Designation and address of the officer passing the
decision or order in respect of which this application is being made and
the date of the decision or order. |
| 4. |
State/Union territory and the Commissionerate in which
the decision or order was made. |
| 5. |
Date on which order under sub-section(2) of Section 86
of the Finance Act, 1994, has been passed by the Board or the date on
which the order under sub-section (2A) of Section 86 of Finance Act,1994
has been passed by the Commissioner of Central Excise. |
| 6. |
Date of communication of the order referred to in (3)
above to the adjudicating authority. |
| 7. |
Whether the decision or order appealed against involves
any question having a relation to the rate of tax or to the value of
taxable service for purpose of assessment; if not , difference in tax or
duty involved, or amount of penalty involved or value of goods involved,
as the case may be. |
| 7A. |
(i) |
Period of dispute |
| |
(ii) |
Amount of tax, if any, demanded for the period mentioned in column (i) |
| |
(ii) |
Amount of refund, if any, claimed for the period mentioned in column
(i) |
| |
(iv)
|
Amount of interest imposed. |
| |
(v) |
Amount of penalty imposed. |
| 8. |
Reliefs claimed in the application. |
STATEMENT OF FACTS
Grounds of application
Signature of the applicant
Note:
The form of application including the statement of facts and grounds of
application shall be filed in quadruplicate and shall be accompanied by an equal
number of copies of the decision or order passed by the Commissioner of Central
Excise (one of which at least shall be a certified copy) and a copy of the order
passed by the Board or copies of orders of the Commissioner of Central Excise
(Appeals) (one of which shall be a certified copy) and a copy of the order of
the Commissioner of Central Excise, as the case may be, under Sub-section(2) of
Section 86.
FORM
(see sub-rule (4) of rule 5)
Return under rule 5 of the Service Tax Credit Rules, 2002
(For the period from________ to________)
Input service
| Sl No. |
Date and no. of document on which credit is availed |
Details of input service provider |
Details of input service |
| ST regd. No. |
Address |
Description |
Value |
Credit taken |
| |
|
|
|
|
|
|
Service tax credit
| Opening Balance |
Credit Taken |
Credit utilised |
Closing Balance |
| |
|
|
|
Place:-
Date :- |
Name and signature of the assessee or
his authorised representative". |