FORM - 2
[See rule 9]
1. Name of the manufacturer:
2. Address of the manufacturing premise:
3. ECC No. :
4. I/We hereby confirm that we have paid a sum of Rs .............. towards the duty liability for the month of ............. as per *particulars given below :
(* Particulars in the given format may be given separately for each Retail Sale Price)
(i) Retail Sale Price of the pouches manufactured during the month :
(ii) Number of packing machines installed and operated in the factory for pouches of notified goods, with or without lime tube, of each Retail Sale Price :
(iii) Duty payment particulars :
(a) Cash payment of *duty (in Rs.) :-
* - Apportion amount of duty separately payable under various Acts, as per Table given at (iv) below
(b) Payment of duty by utilizing CENVAT credit (in Rs.)
(iv) Break-up of total duty payment in cash for various duties is as per details below :-
Illustration. - Assuming that the total duty payable on chewing tobacco under section 3A of the Act for a particular month is Rs. 1.00 lakh and that the CENVAT credit is available and is also utilised for payment of total duty as per details given below, then, the details at (iv) above shall be as per column (6) of the Table below :-
TABLE
5. Copies of Bank challans are enclosed as per following details: