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Form

FORM VCES-3

Document type
Form
Dated

ACKNOWLEDGEMENT OF DISCHARGE

FORM VCES-3
ACKNOWLEDGEMENT OF DISCHARGE
[Issued under sub-section (7) of section 107 of the Act]
[See rule 7]
No.                


This acknowledgment of discharge has been issued under sub-section (7) of section 107 of the Act, to ACKNOWLEDGE that the tax dues declared under sub-section (1) of section 107 of the Act have been paid, in respect of declaration so made as per the following details.
 

1 Declaration No.               Date            


 

2. Name of the declarant
 

                                         


3 Address of the declarant

                                         
                                         


4 STC No.                              


5 Tax dues declared under the Scheme                    

6 Payment of tax dues
A Tax dues paid on or before 31.12.2013                
B Tax dues paid after 31.12.2013 but on or before 30.6.2014                
C Tax dues paid after 30.6.2014 but on or before 31.12.2014                
D Interest paid under section 107 (4) on amount mentioned at ‘6C’                
E Total amount paid (A+B+C+D)                

7 Details of challan(s)

Challan No(s)(CIN) Amount
   


Signature, name and seal of designated authority
Place: ________________ Date: __________________

(Above Form VCES -3 vide NTF. NO. 10/2013-ST, DT. 13/05/2013 )

 

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