Prepared & Uploaded by

Himanshu Patel

* This VCES-1 Excel file can be used only for Service Tax Liability upto 8 digits only.

Name of the declarant Address

Telephone Number E-Mail ID Telephone Number

: ABCDE CORPORATION LIMITED : 440, ABCDE BUILDING, ABCDE STREET, ABCDE CITY, ABCDE DISTRICT, ABCDE STATE - 000001 : (91)9876543210 : servicetax@vces.gov.in : ABCDE1234FSD001

Service Tax Education Cess @ 2% Sec & HS Edu. Cess @ 1% Amount under section 73A of the Act Total Tax dues

Details of Tax Dues : : : :

10000000 200000 100000 0 10300000

* This VCES-1 Excel file can be used only for Service Tax Liability upto 8 digits only.

Name of Declarant Son/Daughter of Capacity of Declarant in the Firm Place Date

: : : : :

DECLARANT SON/DAUGHTER OF DIRECTOR/PROPRIETOR/PARTNER Ahmedabad 8/2/2013

Enclosures Calculation sheet in respect of tax dues (refer S. No. 6 above and the instructions)

FORM VCES-1
Declaration under sub section (1) of section 107 of the Act. [See rule 4] (Please read the instructions carefully before filling the form)

Name of the declarant

A B C D E D
2 Address of the declarant 4 D B T 3 4 5 6 4 E C E D 0 , S E T A R D 0

C O R P O R A T

O N

T E

B E I 0

C E S 0

D T T 0

E , R 0 ( I 1 9

B A C

U B T

I C ,

L D

D E A

N C

G I D

, T E Y

A , S

C A

Telephone No. E-mail Service Tax Code (STC No.) Details of tax dues*
A B C D E Service tax Education cess Sec & Higher Education Cess

servicetax@vces.gov.in

A B C D E 1

F S D 0

1 0 0 0 0 0 0 0 2 0 0 0 0 0 1 0 0 0 0 0 0 1 0 3 0 0 0 0 0

Amount u/s 73A of the Finance Act,1994 Total Tax dues* [A+B+C+D]

*Furnish a calculation sheet separately [for the purposes of calculation of tax dues, the manner of calculation as prescribed in S. No. 3F (I), or as the case may be, the Part B of Form ST-3, as existed during relevant period may be used and calculation of tax dues may be furnished tax return period wise, and service wise if the tax dues relates to more than one service.]

VERIFICATION

DECLARANT SON/DAUGHTER OF I, son/daughter of Shri solemnly declare that I have read and understood the Service Tax Voluntary Compliance Encouragement Scheme as contained in Chapter VI of the Finance Act 2013, and to the best of my knowledge and belief -

(a) the information given in this declaration and the enclosures accompanying it are correct and complete and the amount of tax dues and other particulars shown therein are truly stated; (b) the tax dues declared above do not attract the provisions of sub-section (1), including the provisos thereto, of section 106 of the Act; (c) no inquiry, investigation or audit is pending against the declarant as on the 1st day of March 2013 as envisaged in sub-section (2) of section 106 of the Act; I further declare that I am authorised to make this declaration and verify it on behalf of the declarant in the DIRECTOR/PROPRIETOR/PARTNER capacity as

Enclosures:

No 1 2 3 4 5

Details of enclosure/statement annexed Calculation sheet in respect of tax dues (refer S. No. 6 above and the instructions) -

V
Signature of the declarant/authorised person with stamp Place : Ahmedabad Date : 2-Aug-2013

Declaration No.
(To be assigned by the department) 1 2 3 4 5 6 7

Date

The Scheme has been prescribed in the Chapter VI of the Act. The provisions contained therein may please be read carefully. This Form shall be submitted to the Central Excise Officer notified as designated authority under section 105(c) of the Act. The tax dues may be computed separately for each service if the tax dues relates to more than one service during the period of declaration. For calculation of tax dues, the manner as prescribed at S. No. 3F(I), or as the case may be the Part B of Form ST-3, as existed during the relevant period, may be used and calculation of tax dues may be furnished tax return period wise. Calculation sheet showing the tax dues calculation may please be enclosed with this declaration. Obtain an acknowledgment from the designated authority in form VCES -2. The declarant may approach the designated authority for any clarification.