FORM ST-4
Form of Appeal to the Commissioner of Central Excise (Appeals)
[under section 85 of the Finance Act,1994 (32 of 1994)]
1.
No.
__________of______20___ :
2.
Name and address of the appellant :
3.
Designation and address of the officer
passing the...
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FORM ST-4
Form of Appeal to the Commissioner of Central Excise (Appeals)
[under section 85 of the Finance Act,1994 (32 of 1994)]
1.
No.
__________of______20___ :
2.
Name and address of the appellant :
3.
Designation and address of the officer
passing the decision or order appealed
against and the date of decision or order
:
4.
Date of communication of the decision or
order appealed against to the appellant
:
5.
Address to which notices may be sent to
appellant
:
5A.
(i) Period of dispute :
(ii)
Amount of service tax, if any,
demanded for the period mentioned in
column (i)
:
(iii)
Amount of refund, if any, claimed for
the period mentioned in column (i)
:
(iv) Amount of interest :
(v) Amount of penalty :
(vi)
Value of the taxable service for the
period mentioned in column (i)
:
6.
Whether service tax or penalty or interest or
all the three have been deposited?
:
6(A)
Whether the appellant wishes to be heard in
person?
:
7.
Relief claimed in appeal :
STATEMENT OF FACTS
Grounds of
Less
