Memorandum of a Partnership Firm India by ndx23235


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									                                                                                             FORM ST - 3
                Return of Service Tax credited to the Government of India for the Period                                             To

1.   Name of the Assessee :                                                       2.    Whether an individual or Proprietory Firm or
                                                                                        Partnership Firm or any other (please specify)

                      Value of taxable      Value of taxable                  Amount of service                                      Amount Paid
                      Service charged       service realised    Amount of      tax adjusted in     Amount of
     Month(s)        or billed (indicate   (indicate break-up   service tax   terms of sub-rule    interest, if    Service tax paid
                      break-up of the        of the amount       payable        (3) of rule 6 of   any payable    to the Government
                    amount month-wise)       month-wise)                       the Service Tax                          credit
                                                                                 Rules, 1994*
          (1)                (2)                  (3)               (4)                (5)             (6)              (7) (a)

*please specify and enclose documentary evidence
** please specify on what account the amount has been paid
                                                                           SELF-ASSESSMENT MEMORANDUM
1.   I/We declare that the above particulars are in accordance with the records and books maintained by us and are correctly s
2.   I/We have assessed and paid the service tax correctly in terms of the provisions of the Act and Rules made thereunder.
3.   I/We have paid duty within the time specified in these rules and in case of delay, I/We have deposited the interest leviabl
     per the Section 75 of the Act (Worksheet of interest calculation is attached).
Place :
Date :
                                                                                                                                  Name and Signatu
Date of Receipt :
Place :
Date :
                                                                                                                                  Signature and Off
                     To                     Collectorate                       .

 or Proprietory Firm or                3.       Category of Services
 y other (please specify)

                                       4.       Service Tax Registration No.

                    Amount Paid                        Total amount                Challan No. and
                                                           paid                     date/journal
  Service tax paid        Interest   Any other        [7(a)+7(b)+7(c)]         Slip No. and date
 to the Government         Paid       amount
       credit                         paid**

       (7) (a)            (7) (b)     (7) (c)                            (8)

ned by us and are correctly stated.
d Rules made thereunder.
deposited the interest leviable as

                 Name and Signature of the assessee or his authorised representative

                 Signature and Official Seal of the Superintendent of Central Excise

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