Form No. CSTR- I CHECKLIST FOR CENTRAL SALES TAX [CST] REIMBURSEMENT NAME OF THE UNIT: Sl. No Documents Required 1.1 A request letter for CST Reimbursement (Format CSTR) Yes No 1.2 Duly completed and Signed Application form in Prescribed Yes No Format (CST_AF) http://www.hyd.stpi.in/downloads/reimbtax.doc 1.3 Chartered Accountant Certificate as per the Prescribed Format Yes No (CST_CA) http://www.hyd.stpi.in/downloads/reimbtax.doc Quarter to which the claim pertains (Tick the quarter No. I, II, 1.4 Yes No III & IV) Due date for submission: 30th June / 30th Sept /31st Dec/ 31 1.5 Yes No Mar Certificate of Registration of CST (Sec.7 of the CST Act, 1956) 1.6 Yes No Original Invoices / Bills as per the application 1.7 Yes No Bank Payment details as a proof of payment to the vendor 1.8 Yes No Original Counter Foils of C Forms along with one Photocopy 1.9 Yes No Board Resolution authorizing for signing of C Forms 1.10 Yes No (CST_BR) Specimen Signature in Triplicate of the authorized signatory. 1.11 Yes No This should be on Company Letterhead (CST_SS) Indemnity Bond on Rs. 100/- Stamp Paper in the prescribed 1.12 Yes No format (CST_IB) Advance Stamped Receipt for CST Claim (CST_ASR) 1.13 Yes No Declaration as per the Format from the company for 1.14 Yes No preservation of all original documents viz, Invoices, Bank Statement etc. for 3 years (CST_POD) Copy of the material receipt register/fixed assets register, stock 1.15 Yes No register, bond register etc as proof of goods received Copy of the valid CPBW license 1.16 Yes No Sl. No Documents Verification Kindly highlight or tick mark in the documents as following: 1.1 A request letter for CST Reimbursement 1.1.2 Yes No Request letter for CST Reimbursement duly signed by the Authorized Signatory 1.2 1.2.1 1.2.2 1.2.3.1 1.2.3.2 1.2.4 1.2.5 1.2.5.1 1.2.5.2 1.2.5.3 1.2.5.4 1.2.5.5 1.2.5.6 1.2.5.7 1.2.5.8 Duly completed and Signed Application form in Prescribed Format Name of the applicant : Full Postal address : Yes Yes No No No. and date of letter of Approval issued Under EOU/EHTP/STP Scheme : Whether the Letter of Approval is still valid on the date of this application : Yes No Registration No. : (with date of issue) issued by S.T. Authorities under CST Act 1956 Details of the goods brought into units : Name and address of the supplier (including the name of the state where the supplier is located) Description of Goods Quantity Value Date of purchase of goods Date of receipt of goods in the Customs Bonded Premises of the EOU unit Total amount of CST paid against ‘C’ Form Total amount of CST paid (without ‘C’ Form) by ITES/BPO unit Yes No Yes No 1.2.5.9 Sales Tax Registration No. & date of the Supplier under Section (7) of the Central Sales Tax Act, 1956 1.2.6 Amount of CST claimed 1.2.7 1.3 1.3.1 1.3.2 1.4 1.5 1.6 1.7 1.7.1 1.7.2 1.7.3 1.7.4 1.7.5 1.8 1.8.1 1.9 1.9.1 1.9.2 1.10 1.10.1 1.11 1.12 1.13 1.13.1 1.14 1.14.1 : Application Form duly signed by the Authorized Signatory with stamp/seal Chartered Accountant Certificate as per the Prescribed Format The Partnership Chartered Accountant firms should have at least one full time partner, who should be an FCA Signature & stamp/seal of the C.A., Name, Membership No. & Full address Quarter to which the claim pertains (Tick the quarter No. I, II, III & IV) Due date for submission: (Tick the date 30th June / 30th Sept /31st Dec/ 31st Mar) Certificate of Registration of CST (Sec.7 of the CST Act, 1956) copy attested by authorized signatory with stamp/seal Original Invoices / Bills as per the application The Supplier should be from Interstate Invoice should be original Buyer Address should be as per STPI unit address & should match with CPBW license address Material procured should be as per LOP Invoice should be signed by the supplier & quantity should be matched with Stock register Bank Payment details as a proof of payment to the vendor Bank Statements should be issued by the Banker (Bank Certificate) and the amount paid should match with the Invoice value. Incase of short payment to supplier, details of the deductions made viz., TDS etc. Original Counter Foils of ‘C’ Forms along with one Photocopy Counterfoil of C-Form should be filled in with Name of the party, Invoice No., date & value In case of IT enabled services (ITES) / Business Process Outsourcing (BPO) units, reconciliations with ‘C’ form will not be necessary, as they are not eligible for issue of ‘C’ form. Board Resolution authorizing for signing of ‘C’ Forms Board Resolution should be on the Company letter head and signed by the Authorized Signatory Specimen Signature in Triplicate of the authorized signatory. This should be on Company Letterhead. Indemnity Bond on Rs.100/- Stamp Paper in the prescribed format (CST_IB) Advance Stamped Receipt for CST Claim Advance Stamped receipt should be prior to the claim period Declaration as per the Format from the company for preservation of all original documents viz, Invoices, Bank Statement etc. for 3 years (CST_POD) Declaration should be given on Company letter head and signed by the Authorized Signatory Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes Yes Yes No No No Yes Yes No No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No 1.15 Copy of material receipt register/fixed assets register, stock register, bond register as proof of goods received 1.15.1 Annexure listing with details (in the given below Format) Sl. No. Name and address of the supplier (including the name of the state where the supplier is located) (a) Date of purchase of goods 1.16 1.16.1 Description of Goods Quantity (b) (c ) (d) Date of Total Sales Tax receipt of amount of Registration goods in CST paid No. & date the against ‘C’ of the customs Form Supplier bonded u/s (7) of premises the CST of the Act, 1956 EOU unit (f) (g) (h) (i) CPBW License Copy CPBW License validity _____________ Yes No Yes No Value (e) NOTE: (a) Penalty @2% applicable if the delay is less than six months after due date (b) Penalty @5% applicable if the delay is less than 1 Year and more than six months after due date (c) Penalty @10% applicable if the delay is less than 2 years and more than 1 year after the due date. (d) Claim not admissible if the delay is more than 2 years after the due date. *NOTE: (i) CST Reimbursement of STP Unit that are complete will be accepted (ii) CST Reimbursement of STP Unit is subject to detailed verification (iii) In case of ‘NO’ for any of the item, kindly take action and submit completed document FOR FURTHER CLARIFICATIONS: Contact Person: __________________________________ Contact No.: __________________________________ Present Communication Address: __________________________________ Email id: ___________________________________ Note: Please enclose this check list along with each application. The above mentioned contact details must be of company person only. Consultant details are not entertained. For more details on CST Reimbursement refer Foreign Trade Policy & information provided on STPH website www.hyd.stpi.in [ON LETTER HEAD] Format – CSTR Date _____________ To The Director, Software Technology Parks of India, 6Q3, 6th Floor, Cyber Towers Hitec City, Madhapur, Hyderabad-500 081. Dear Sir, Sub: Central Sales Tax (CST) Reimbursement - Reg. *** We intend to claim Central Sales Tax (CST) Reimbursement & enclosing herewith the following documents: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. Duly completed and signed Application in Prescribed Format CST_AF Chartered Accountant Certificate as per the Prescribed Format CST_CA Certificate of Registration of CST (Sec.7 of the CST Act, 1956) Original Invoices / Bills Bank Certificate for payment or Bank Statement for Payment Original Counter Foils of C Forms along with one Photocopy Board Resolution authorizing for signing of C Forms (Format CST_BR) Specimen Signature in Triplicate of the authorized signatory. This should be on Company Letterhead (Format CST_SS) Indemnity Bond on Rs. 100/- Stamp Paper in the prescribed format CST_IB Advance Stamped receipt (Format CST_ASR) Declaration as per the Format from the company for preservation of all original documents viz, Invoices, Bank Statement etc. for 3 years (Format CST_POD) Copy of material receipt register/fixed assets register, stock register etc as proof of goods received Copy of the valid CPBW license In this regard we request your good office to kindly reimburse the CST claim. Thanking you, Yours faithfully, (AUTHORISED SIGNATORY) WITH NAME Format - CST_AF Note: All figures should be filled in Indian Rupees APPLICATION FOR CLAIMING REIMBURSEMENT OF CENTRAL SALES TAX AGAINST ‘C’ FORM FOR THE GOODS BROUGHT INTO THE BONDED PREMISES OF THE EOU/EHTP/STP FOR THE QUARTER ENDING ON ____________ 1. Name of the applicant : 2. Full Postal address : 3. (a) No. and date of letter of Approval issued under EOU/EHTP/STP Scheme : (b) Whether the Letter of Approval is still valid on the date of this application : 4. Registration No. (with date of issue) issued by S.T. Authorities under CST Act 1956 : 5. Details of the goods brought into units : a) Name and address of the supplier (including the name of the state where the supplier is located) b) Description of Goods c) Quantity d) Value e) Date of purchase of goods f) Date of receipt of goods in the Customs Bonded Premises of the EOU unit g) Total amount of CST paid against ‘C’ Form h) Sales Tax Registration No. & date of the Supplier under Section (7) of the Central Sales Tax Act, 1956 6. Amount of CST claimed : UNDERTAKING AND DECLARATION I/We hereby solemnly undertake/declare that the particulars stated above are true and correct to the best of my/our knowledge and belief. No other application for claiming CST has been made or will be made in future against purchase covered by the application. (a) The goods for which the claim has been made are meant for production of goods for export and/or for export production of the EOU/EHTP/STP unit and will be utilised only in our factory and we shall not divert or dispose off the material procured without obtaining prior permission of the concerned Development Commissioner. (b) The goods for which the claim has been made have been entered into the stock register maintained by the unit. (c) Any information, if found to be incorrect, wrong or misleading, will render/us liable to rejection of our claim without prejudice to any other action that may be taken against us in this behalf. If as a result of scrutiny any excess payment is found to have been made to me/us, the same may be adjusted against any of the subsequent claims to be made by my/our firm or in the event no claim is preferred, the amount overpaid will be refunded by me/us to the extent of the excess amount paid. Signature : Name in Block letters Designation Name of the Applicant Firm : : : : Format - CST_CA CHARTERED ACCOUNTANT CERTIFICATE I/We hereby confirm that I / we have examined the prescribed material receipt registers, books of account and the bank statement in respect of the goods mentioned in the table appended, and each entry of the application of M/s. ______________________ for the period _______________________________ and hereby certify that: (i) The following documents/records have been furnished by the applicant and have been examined and verified by me/us, namely material handling registers certified by the zone administration/Bonding Officer, original invoice/bill, books of accounts and 1 Bank statement. (ii) Relevant registers have been authenticated under my/our seal, signatures. It has been ensured that the information furnished is true and correct in all respects, no part is false or misleading and no relevant information has been concealed or withheld. (iii) The payment has been made by the said M/s._______________________________ to the DTA suppliers in respect of goods received against the original invoice bill(s) as indicated in the table annexed hereto. (iv) The payments have been made through normal banking channel and have been credited to the accounts of the DTA suppliers. (v) Such payment includes the amount of CST indicated in the respective invoices. (vi) All the items shown in the table are admissible for reimbursement of CST under provisions of EOU Scheme. Neither I/We nor any of our partners is a partner/Director or an employee of the above named entity or its associated concerns. I fully understand that any submission made in this certificate if proved incorrect or false, will render me/us liable to face any penal action or other consequences as may be prescribed in the law or otherwise warranted. Signature & Stamp/seal of the Signatory ________________________ Name _______________________________ Membership No. ______________________________ Full address _________________________________ Name and address of the Institution where registered Date: Place: TABLE DETAILS OF GOODS BROUGHT INTO UNIT AND CENTRAL SALES TAX PAID DURING THE QUARTER _____________________________________ (i) (ii) (iii) (iv) (v) (vi) (vii) (viii) (ix) (x) (xi) (xii) S.No. Name and address of the Supplier Nature and description of goods Quantity received and accepted Invoice value accepted Invoice/Bill No. and date Date of Receipt of the goods and S.No. of entry in material receipt register CST Amount paid ‘C’ Form No. Cheque/DD No. date and amount Name of Bank and Branch CST Registration No. of the supplier Note: Table shall show supplier-wise sub-total and grand total of column (v), (vii) and (x) Cheque/DD amount. Signature & Stamp/seal of the Signatory _________________ Name ____________________________ Membership No. _______________________ Full address ____________________________ Name and address of the Institution where registered. Date: Place: Format - CST_BR Extract of Minutes of the Meeting of the Directors of the Board held on _______________ at _____________________________________ at the Registered Office of the Company. Application for Central Sales Tax (CST) Reimbursement Claim “RESOLVED THAT, the consent of the Board of Directors be and is hereby accorded for making an application for Central Sales Tax (CST) Reimbursement Claim of the company under STPI (Software Technology Parks of India), Hyderabad, Andhra Pradesh.” “RESOLVED FURTHER THAT, Mr/Ms _______________________ of the company be and is hereby authorized to sign the documents, agreements etc., with STPI – Hyderabad and to take all the incidental and ancillary steps in relation to the aforesaid CST reimbursement claim. The specimen signature of the authorized signatory is as stated below: 1 2 3 “Attested” For and on behalf of the board of Directors For (Name of the company) (Name of the Director) Director (Name of the Director) Director Format - CST_SS The format has to be printed on the letter head of the STP Unit SPECIMEN SIGNATURE COPY 1. …………………………………………. Signature of the Authorized Signatory Full Name of the Authorized Signatory:……….……………………….. Designation :……………………………….. Name of the Company with official seal: ………………………………. 2. …………………………………………. Signature of the Authorized Signatory Full Name of the Authorized Signatory:……….……………………….. Designation :……………………………….. Name of the Company with official seal: ………………………………. 3. …………………………………………. Signature of the Authorized Signatory Full Name of the Authorized Signatory:……….……………………….. Designation :……………………………….. Name of the Company with official seal: ………………………………. Format - CST_IB INDEMNITY BOND We, M/s.___________________________________ STP/EHTP Unit, located at __________________________________________________________________ are claiming CST Reimbursement against purchase of Capital goods/ Raw Materials & others from domestic units for the period from _______________ to _______________. The CST amount claimed for the period is Rs.____________________ (Rupees _________________________________________________________________). We hereby undertake to indemnify the Govt. of India that in case of any excess payment is made by the Director, STPI, Hyderabad against this claim which is detected later on, the same will be refunded by us immediately on receipt of the demand notice by the Director, STPI, Hyderabad. Signature of the authorized signatory Full Name of the authorized signatory: Designation: Name of the company with official seal: Format - CST_ASR The format has to be printed on the letter head of the STP Unit Note: Advance Stamped receipt should be prior to the claim period Date ____________ To The Director, Software Technology Parks of India, 6Q3, 6th Floor, Cyber Towers, Hitec City, Madhapur, Hyderabad-500 081. ADVANCE STAMPED RECEIPT Received with thanks a sum of Rs…………… Rupees …………………………..) by Cheque No……………Date…………………..drawn in our favour on ……………………….. Payable at Hyderabad, towards reimbursement of CST amount for the quarter ………………. of the Financial year ……………(Period from ……………to ……………..) …………………………………………. Signature of the Authorized Signatory Full Name of the Authorized Signatory: …………………………………….. Designation : …………………………………….. Name of the Company with official seal: …………………………………….. Format - CST_POD The format has to be printed on the letter head of the STP Unit Date ____________ To The Director, Software Technology Parks of India, 6Q3, 6th Floor, Cyber Towers, Hitec City, Madhapur, Hyderabad-500 081. Dear Sir, Sub: Declaration for preserving original documents – Reg. *** We hereby declare that we will preserve all the original documents viz., Invoices, Bank Statements submitted for CST Reimbursement for at least three years. Thanking you, Yours truly, (Authorized Signatory) Name Designation