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    Service Tax - Form A1

    Uploaded by

    kuriakose_mv3653
    1) The document is an application form for claiming a refund of service tax paid under Notification No. 17/09-ST dated 07/07/2009 for services used in the export of goods. 2) The application requests a refund of Rs. [amount] and provides details of the exported goods including shipping bill numbers, descriptions of goods, quantities, unit FOB values. 3) The applicant declares that no CENVAT credit has been taken for the service tax, only paid tax is being claimed, and records will be made available for inspection.

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    Attribution Non-Commercial (BY-NC)
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    Service Tax - Form A1

    Uploaded by

    kuriakose_mv3653
    342 views5 pages
    1) The document is an application form for claiming a refund of service tax paid under Notification No. 17/09-ST dated 07/07/2009 for services used in the export of goods. 2) The application requests a refund of Rs. [amount] and provides details of the exported goods including shipping bill numbers, descriptions of goods, quantities, unit FOB values. 3) The applicant declares that no CENVAT credit has been taken for the service tax, only paid tax is being claimed, and records will be made available for inspection.

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    1) The document is an application form for claiming a refund of service tax paid under Notification No. 17/09-ST dated 07/07/2009 for services used in the export of goods. 2) The application requests a refund of Rs. [amount] and provides details of the exported goods including shipping bill numbers, descriptions of goods, quantities, unit FOB values. 3) The applicant declares that no CENVAT credit has been taken for the service tax, only paid tax is being claimed, and records will be made available for inspection.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    342 views5 pages

    Service Tax - Form A1

    Uploaded by

    kuriakose_mv3653
    1) The document is an application form for claiming a refund of service tax paid under Notification No. 17/09-ST dated 07/07/2009 for services used in the export of goods. 2) The application requests a refund of Rs. [amount] and provides details of the exported goods including shipping bill numbers, descriptions of goods, quantities, unit FOB values. 3) The applicant declares that no CENVAT credit has been taken for the service tax, only paid tax is being claimed, and records will be made available for inspection.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
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    Form A1

    [ See paragraph 2(b) and 2(e)]


    Application for claiming refund of Service Tax paid under Notification No.17/09-ST., dtd
    08-07-2009

    To,

    The Deputy/ Assistant Commissioner of Central Excise

    ------------------------------

    1 Name of the Exporter


    2 Membership number of the Export
    Council
    3 Name of the Export Council
    4 Address of the Head office of the
    Exporter
    5 Telephone No and email of the
    exporter
    6 Division and Commissioner ate
    7 Service Tax Registration Number
    8 Import Export Code number
    9 Details of Bank Account
    1 Details of refund claim (Separately for each shipping bill)
    0
    Sir,

    I/We claim refund of Rs........... (Rupees in words) under Notification No.17/09-ST. dated 07.07.09 in
    respect of service tax paid on services used for export of goods

    (Rupees in thousands)

    S Details of goods exported on which refund of service tax claimed.


    .
    N
    o.
    Details of shipping bill/ Bill Details of goods exported.
    of export, etc. (2) (3)
    No. Date. Date of Bill of Date. Descriptio Quanti Unit. FOB
    Let export lading or n of ty. value.
    order. Airway goods
    bill exported.
    Number.
    1
    2
    3

    7
    Form A1
    [ See paragraph 2(b) and 2(e)]
    Application for claiming refund of Service Tax paid under Notification No.17/09-ST., dtd
    08-07-2009
    8

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    Form A1
    [ See paragraph 2(b) and 2(e)]
    Application for claiming refund of Service Tax paid under Notification No.17/09-ST., dtd
    08-07-2009
    3
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    Form A1
    [ See paragraph 2(b) and 2(e)]
    Application for claiming refund of Service Tax paid under Notification No.17/09-ST., dtd
    08-07-2009
    6
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    9. Declaration:-

    I / We hereby declare that-


    Details of specified services used for export of goods mentioned in Columns Total amount of
    2 and 3. Document service tax claimed as
    (4) s attached refund.
    to (6)
    evidence
    the
    amount of
    service tax
    paid and
    establish
    the use of
    service in
    exports.
    (5)
    Name of Service Invoice Date. Description of Classifi Total In As a
    service Tax No specified cation amount of Figures. percentage
    provider. Registr (pl.attach service. under service of f.o.b.
    ation on original the tax value
    No. invoice). Finance paid. in shipping
    Act, bill.
    1994.
    Form A1
    [ See paragraph 2(b) and 2(e)]
    Application for claiming refund of Service Tax paid under Notification No.17/09-ST., dtd
    08-07-2009
    (i) the information given in this application form is true, correct and complete in every respect and that
    I am authorised to sign on behalf of the exporter;

    (ii) no CENVAT credit of service tax paid on the specified services used for export of said goods shall
    be taken under the CENVAT Credit Rules, 2004;

    (iii) the exemption has been claimed for service tax which has been actually paid on the specified
    services;

    (iv) I / we shall maintain records pertaining to export goods and the taxable services used for export of
    the said goods and shall make available, at the declared premises, at all reasonable time, such
    records for inspection and examination by the Central Excise Officer authorised in writing by the
    jurisdictional Assistant Commissioner of Central Excise or the Deputy Commissioner of Central
    Excise, as the case may be.

    Date:

    Place:

    Signature and full address of Exporter

    (Affix stamp)

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