Return of service tax credited to the Government of
India for the period _______________ to
_______________ Collectorate
1.
Name of the assessee
_____________________
2.
Whether an individual or
proprietary firm or partnership firm or any other (please
specify) ____________________
3.
Category of services
__________________________
4.
Service Tax Registration
No. _____________________
Month(s)
Value of Taxable
service charged or billed (indicate break-up of the amount
month-wise)
Value of taxable
service realised (indicate break-up of the amount
month-wise)
Amount of service tax
payable
Amount of
service tax adjusted in terms of sub-rule (3) of rule 6 of the
Service Tax Rules, 1994
Amount of interest, if any
payable
1
2
3
4
5
6
Amount paid
Total amount
paid {7(a)+7(b)+7(c)}
Challan No. and
date/Journal Slip No. and date
Service tax paid
to the Government credit
Interest
paid
Any other amount
paid
7(a)
7(b)
7(c)
8
please specify
and enclose documentary evidence
please specify
on what account the amount has been
paid
I/We
declare that the above particulars are in accordance with the
records and books maintained by us and are correctly
stated.
Place :
Date :
Signature of the assessee or
his Authorized representative
Assessment Memorandum
1.
The service tax has
been paid correctly.
2.
The service tax has
been short/excess paid to the extent of Rs._____________ The
correct assessment of the service tax is as per the following
details:
The assessee is
requested to pay the deficiency of Rs.________ within 10 days
from the receipt of this Assessment Memorandum. The assessee
may apply for refund, if any, in______________.
Date:
(Signature
and stamp of the Central Excise
Officer)