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Annexure - II |
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(In Duplicate)
(To be filed in the Service Tax Cell) |
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| FORMAT FOR APPLICATION FOR OBTAINING SERVICE TAX CODE NUMBER |
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To
The Deputy/Assistant Commissioner,
(Address of the Service Tax Cell). |
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Sir, |
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Subject:- Allotment of Service Tax Code Number - Regarding.
I/We may kindly be allotted Service Tax Code Number (STC Number) for which the details are as under:- |
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FORMAT FOR THE DETAILS (All entries shall be in BLOCK letters) |
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1. Name of the Applicant (S): _________________________________
2. Permanent Account Number: _________________________________ |
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| (Issued by Income Tax Department) (Attested copy to be enclosed) |
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Registration Number :
Address :
Door / Flat / Block :
Name of Premises / Building / Village :
Road / Street / Lane / Locality / Town :
Main Post Office :
City / District :
Pin Code :
State :
Telephone Nos.:
Fax Nos.:
e-mail Address
Division ____________ Commissionerate ______________ Location Code (To be filled by the Service Tax Cell (Headquarter / Division) __________________ |
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| 4. Names of Services provided from the registered premises by the applicant: |
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5.
Does this office pay tax for services rendered :
from other Premises under Central Billing system : YES / NO
(sub-rule (2) and (3A) of Rule 4 : |
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| If yes, give the following details for other Premises / Office |
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S.No. |
Name and address |
Service being provided |
Tel. No(s). |
Fax No. |
E-mail No. |
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| Please furnish the aforesaid information for each of the other registered premises of offices. Address should be furnished in the following format |
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Address : |
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Door / Flat / Block :
Name of Premises / Building / Village :
Road / Street / Lane / Locality / Town :
Main Post Office :
City / District :
Pin Code :
State : |
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I/We hereby certify that the information given in this form is true, correct and complete in every respect and that I am authorized to sign on behalf of the applicant.
(Signature of the authorized person)
Date:
Place: |
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NOTE: |
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| 1. |
Use separate application form for each registered premises or offices, for allotment of STC Number. |
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Location Code is to be filled by the Service Tax Cell, Headquarter or Division, based on the new codes allotted by the Directorate of Statistics and Intelligence only. |
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Telephone numbers / Fax Numbers/ E-mail address is to be filled if available. |
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| Acknowledgement |
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Subject: Allotment of Service Tax Code Number - regarding. |
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Your application for allotment of STC Number received on ___________ is hereby acknowledged. The Receipt Number is ______________ dated _____________ .
(Signature of the Inspector)
with Official Seal |
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