Form E.R.-1: MM Yyyy
Form E.R.-1: MM Yyyy
Form E.R.-1: MM Yyyy
-1
{ see rule 12 of Central Excise Rules, 2002 and rule 9(7) of CENVAT Rules, 2002 } Return of excisable goods and availment of CANVET credit for the month of 1 2 3 Registration Number Name of the assessee Details of the manufecture, clearance and duty payable: Description of goods (2) unit of Qty. (3) opening balance (4) Qty Manuf. (5) Qty cleared (6)
closing Balance
MM YY Y Y
Original / Duplicate
CETSH NO.
Duty
S.No in notificati on
(1)
(7)
(11)
Tariff Rate Tariff Rate CC Tariff Rate Tariff Rate Tariff Rate Tariff Rate Tariff Rate
Clearance details of inter unit transfer of intermediate goods without payment of duty under sub rule (1) of rule 12BB*Registration No. of the receipent unit Name and address of he receiprnt premises CETSH NO. Description of goods sent Unit of Quantity Quantity Cleared
(1) 5
(2)
(3)
(4)
(5)
(6)
Receipt details of intermediate goods received from other premises under Sub-rule (1) of rule 12BB*Registration No. of the receipent unit Name and address of the receiprnt premises CETSH NO. Description of goods sent Unit of Quantity Quantity Cleared
(1)
(2)
(3)
(4)
(5)
(6)
Details of duty paid on excisable goods: Duty Code (1) CENVAT Other Duties (Edu. Cess) Other Duties ( S.& H.Edu. Cess) A Part-II Credit account (Rs.) C Part-II Service Tax 0 0 0 Account Current (Rs) (3) 0 Challan No. (5) Date (6)
B.S.R. Code Total duty paid (Rs.) (2+3+4)
(7)
(8) 0 0 0
Abstract of ACCOUNT CURRENT (Cash Payment) : Summary particulars (1) Opening Balance Add: TR-6/ GAR-7 Challan payments made in the month (in aggregate) Add=Adjustment of the excess duty paid during previous period under sub rule (2) of rule 12BB (incase of LT) Total amount available Less= Utilization towards Payment of duties on excisable goods during the month (vide. Details furnished under col.no.3 in Sl.No.(6) of the Return) Less= Utilization towards Other Payments made during the month (vide. Details furnished under Sl.No.(9) of the Return) Closing balance 0 0 0 0 BED Amount in Rs. CESS
Hire & Sec. Edu. Cess
0 0
0 0
0 0
Details of CENVAT credit availed and utilized CENVAT (Rs.) (2) AED (TTA) (Rs.) (3) 2% Ed Cess on 1% H. & S. Ed NCCD excis. Cess on excis. (Rs) goods goods (Rs.) (Rs.) (4) (5) (6) Services Tax (Rs.) (7) Education Cess on taxable services (Rs.)
Details of Credit
(1) Opening Balance Credit availed on inputs on invoice issued by manufacturer Crdit availed on inputs issued by I ans II stage Dealer Credit taken on on Imported Iputs Credit taken on capital goods Credit taken on input services Total Credit available Credit utilized for payment of duty on goods Credit utilized when inputs or capital goods are removed as such Credit utilized for payment of amount in terms of Rule 6 of CENVAT Credit Rules, 2004. Credit utilized for payment for other payment Credit utilized for payment of tax on services Closing balance
(8)
(9)
A PART I C PART I
TOTAL
Details of other payments made : NOT APPLICABLE Amount Paid (Rs.) Account current Payments Credit account (1) Arrears of duty under rule 8 Other arrears of duty Interest payment under rule 8 Other interest payments Misc. Payments (2A) (2B)
No (3A)
BSR Code
10 .Self-assessment memorandum : a) I hereby declare that the information given in this Return is true, correct and complete in every respect and that I am authorized to sign on behalf of the assessee b) During the month, total Rs - was deposited vide TR 6 Challans (copies enclosed). c) During the month, invoices bearing S. No. 01 to S. No 251 were issued. d) During the month, transfer challans under rule 12BB of the Central Excise Rules, 2002 bearing S. No. ____ to _____, and transfer challan under rule 12A of the CENVAT Credit Rule, 2004 bearing S. No.______ to ______were issued. * (Name of the Assessee or Authorised signatory) Place : Pithampur Date : *Applicable only for large taxpayers defined under Rule 2(ea) of the Central Excise Rules, 2002 and who has optedp as Large taxpayers ACKNOWLEDGEMENT MM Y Y Y Y Return of excisable goods and availment of CENVAT credit for the month of Date of receipt D D M M YYY Y Name and signature of the Range Officer with Official Seal
(14)
TOTAL