FORM VCES-3
ACKNOWLEDGEMENT OF DISCHARGE
[Issued under sub-section (7) of section 107 of the Act]
[See rule 7]
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.
2. Name of the declarant
3 Address of the declarant
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5 Tax dues declared under the Scheme |
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6 Payment of tax dues |
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A Tax dues paid on or before 31.12.2013 |
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B Tax dues paid after 31.12.2013 but on or before 30.6.2014 |
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C Tax dues paid after 30.6.2014 but on or before 31.12.2014 |
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D Interest paid under section 107 (4) on amount mentioned at ‘6C’ |
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E Total amount paid (A+B+C+D) |
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7 Details of challan(s)
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Challan No(s)(CIN) |
Amount |
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Signature, name and seal of designated authority
Place: ________________ Date: __________________
(Above Form VCES -3 vide NTF. NO. 10/2013-ST, DT. 13/05/2013 )