ANNEXURE-57

Intimation of receipt of Duty Paid Goods into the Factory Premises

To,

The Superientendent of Central Excise,
AR________________,
Divn._____________, Ahmedabad - II.

Sir,

I/ We hereby declare that the under mentioned duty paid excisable goods have been received into our registered factory premises on (date) __________ at (address) ______________________________________ for purpose of _______________________

Name and address of the manufacturing factory	No. and date of invoice under which duty has been paid (if can be ascertain)	Description and variety of goods	Nature of containers/ packages and identifying makes on goods and containers/ received	Name and address from whom goods received	Quantity as shown in the invoice	Quantity received	Remarsk
1	2	3	4	5	6	7	8

I/We hereby declare (1) that proper entry of the aforesaid goods has been made in our account books/registers, and (2) that the goods have been stored __________________ (specify the place of storage) vide E. No. _________ (of Annexure "58").

Signature of assessee
or his authorised agent

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