Refund on the Bill of Entry No. ______________ dated ____________ permitted to be filed within the maximum time period of one year refundable under Notification No. 102/2007 dated 14/09/2007 .

Certificate correlating the payment of ST/VAT on the imported goods (in respect of which refund is claimed ) with the invoices of sale.

Sr. No. Sale Bill/Invoice Nos. Date Name of Party Quantity Total Sale Value VAT CST
VAT Tax payment Dated _________ in the Bank:Being Registered under No.    

It is further certified that

  1. The above information is from the sale invoices and Carbon copy / Office copy in original of the said invoices will be furnished, if so required.
  2. Against these sales, no refund of Additional duty of Customs duty has been claimed and no claim in future will be made in respect of these sales.
  3. Incidence of excess Customs duty deposited at the time of customs clearance and now covered by the refund claim has not been passed on to the customers and this amount has not been included in the sale value.
  4. Amount of Customs duty received as refund of duty deposited at the time of Customs clearance will be treated appropriately for tax purpose.


Date: For M/s. ________________________

Signature of the Applicant.

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