FORM VCES-1
[In duplicate]
Declaration under sub section (1) of section 107 of the Act.
[See rule 4]
(Please read the instructions carefully before filling the form)
1.
Name of the declarant
2 Address of the declarant
3 Telephone No.
4 E-mail id
5...
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FORM VCES-1
[In duplicate]
Declaration under sub section (1) of section 107 of the Act.
[See rule 4]
(Please read the instructions carefully before filling the form)
1.
Name of the declarant
2 Address of the declarant
3 Telephone No.
4 E-mail id
5 Service Tax Code (STC No.
)
6 Details of tax dues*
A Service tax `
B Education cess `
C Secondary & Higher Education Cess `
D Amount under section 73A of the
Finance Act,1994
`
E Total Tax dues* [A+B+C+D] `
*Furnish a calculation sheet separately [for the purposes of calculation of tax dues, the
manner of calculation as prescribed in S.
No.
3F (I), or as the case may be, the Part ‘B’ of
Form ST-3, as existed during relevant period may be used and calculation of tax dues may
be furnished tax return period wise, and service wise if the tax dues relates to more than one
service.
]
VERIFICATION
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(name in block letters) son/daughter of Shri.
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