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Memorandum for provisional deposit under rule 6 of the Service Tax Rules, 1994
May, 02nd 2013
                                          FORM ST-3A*

Memorandum for provisional deposit under rule 6 of the Service Tax Rules, 1994,

                                                             For the month of ______ 20__

 Sl. Provisional Provisional Form    Actual        Actual  Difference Form TR- Remarks
 No    value of  amount of TR-6    value of       amount between the 6 No. and
        taxable  service tax No.    taxable          of    amount of        date
     service in ~{***} paid and service in        service provisionally indicating
       terms of              date  terms of         tax   paid tax and payment
     section 67                   section 67      payable the amount       under
      of the Act                                           of service     column
                                                          tax payable        (7)
  1       2            3         4         5         6            7          8        9




Reasons for making provisional deposit of Service Tax _________

* Attach separate sheet for each month.
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