Form ST-3 (Return under Section 70 of the Finance Act, 1994)

Registration Number : AANPP6541NST002 Assessee's Name : LEELAVATHI ENTERPRISES,

PROP.SATYANARAYAN MURTHY PRATHI
Return Number : AANPP6541NST002_220 Status : FILED
2120001_ST3_042011
Address of Registered Unit : - C4-113 VIA HANUMANU JUNCTION VEERAVALLI VEERAVALLI -

Commissionerate : GUNTUR Division : VIJAYAWADA Range : SERVICE TAX RANGE-III - VI-

JAYAWADA
Financial Year : 2011-2012 Return for the period : April-September

Single Return : Yes

Category of Service : BUSINESS AUXILIARY SERVICES

COMPUTATION OF SERVICE TAX(TO BE FILLED BY A PERSON LIABLE TO PAY SERVICE/NOT TO BE FILLED BY INPUT SER-
VICE DISTRIBUTOR)
A2 Assessee is liable to pay service tax on this taxable service as

(i) a Service Provider : Yes

(ii) a Service Receiver liable to make payment of service tax : No

B Sub-clause No. of clause(105) of section 65 :

C1 Has the assessee availed benefit of any exemption notification : No

C2 If reply to above is yes, please furnish Notification Nos. :

A2 Notification No.

D Sr.No in the Notification (If Abatement is claimed as per Notification No. 1/2006-ST) :

E1 Whether provisionally assessed : No

E2 Provisional Assessment Order No.(If Any) :

F. VALUE OF TAXABLE SERVICE,SERVICE TAX PAYABLE AND GROSS AMOUNT CHARGED (ALL FIGURES IN RUPEES)

FOR SERVICE PROVIDER

Sl.n Apr-Jun July-Sept Total

o
(I) SERVICE TAX PAYABLE

(a) Gross Amount received in money

(i) Against service provided : 374764 395919 770683

(ii) In advance for service to be provided : 0 0 0

(b) Money equivalent of considerations re- 0 0 0

ceived in form other than money :
(c) Value on which Service Tax is exempt/not payable

(i) Amount received against export of ser- 0 0 0

vice :
(ii) Amount received towards exempted ser- 0 0 0
vice(other than export of service) :
(iii) Amount received as pure agent : 0 0 0

(d) Abatement amount claimed : 0 0 0

(e) Taxable value = (a+b) - (c+d) : 374764 395919 770683

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 (f) Service Tax rate wise break-up of taxable value = (e)

Sl.n Taxable Rate Taxable Value

o
% Apr-Jun July-Sept Total

Service Tax Rate @ :10 Education Cess 374764 395919 770683

Rate @ :2 Secondary and Higher Educa-
tion Cess Rate @ :1
(g) Service tax payable : 37476 39592 77068

(h) Education cess payable : 750 792 1542

(i) Secondary and higher education cess 375 396 771

payable :
(II) TAXABLE AMOUNT CHARGED

Gross amount for which bills/in- 374764 395919 770683

voices/challans are issued relating to ser-
vice provided/to be provided (including
export of service and exempted service) :
Money equivalent of other considerations 0 0 0
charged,if any,in a form other than
money :
Amount charged for exported service 0 0 0
provided/to be provided :
Amount charged for exempted service 0 0 0
provided/to be provided (other than ex-
port of service) :
Amount charged as pure agent : 0 0 0

Amount claimed as abatement : 0 0 0

Net taxable amount charged = (j+k) - 374764 395919 770683

(l+m+n+o) :

Sl Apr-Jun July-Sept Total

No.

4. AMOUNT OF SERVICE TAX PAID IN ADVANCE UNDER SUB-RULE(1A) OF RULE 6

Amount paid in Advance : 0 0 0

(ii) Challan Details for Advance Payment

Month GAR-7 Challan

Apr-Jun

Jul-Sep

4A. SERVICE TAX,EDUCATIONAL CESS AND OTHER AMOUNTS PAID(TO BE FILLED BY A PERSON LIABLE TO PAY SERVICE
TAX/NOT TO BE FILLED BY INPUT SERVICE DISTRIBUTOR)
Apr-Jun July-Sept Total

(I) SERVICE TAX ,EDUCATION CESS,SECONDARY AND HIGHER EDUCATION CESS PAID

(a) SERVICE TAX PAID

In cash : 37476 39592 77068

By CENVAT Credit ^ : 0 0 0

Advance Service Tax utilized [Rule 6(1A)] 0 0 0

:
Service Tax paid [Rule 6(3)] : 0 0 0

Service Tax paid [Rule 6(4A)] : 0 0 0

(b) EDUCATION CESS PAID

In cash : 750 792 1542

By CENVAT Credit ^ : 0 0 0

Advance Educess utilized [Rule 6(1A)] : 0 0 0

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 Educess paid [Rule 6(3)] : 0 0 0

Educess paid [Rule 6(4A)] : 0 0 0

(c) SECONDARY AND HIGHER EDUCATION CESS PAID

In cash : 375 396 771

By CENVAT Credit ^ : 0 0 0

Advance Sec.& High. Educess utilized 0 0 0

[Rule 6(1A)] :
Sec.& High. Educess paid [Rule 6(3)] : 0 0 0

Sec.& High. Educess paid [Rule6(4A)] : 0 0 0

(d) OTHER AMOUNTS PAID

Other amounts paid - Arrears Cash : 0 0 0

Other amounts paid - Arrears Credit : 0 0 0

Other amounts paid - Arrears (Educess) 0 0 0

Cash :
Other amounts paid - Arrears (Educess) 0 0 0
Credit :
Other amounts paid - Arrears (Sec & 0 0 0
Higher Educess) Cash :
Other amounts paid - Arrears (Sec & 0 0 0
Higher Educess) Credit :
Other amounts paid - Interest : 0 0 0

Other amounts paid - Penalty : 0 0 0

Section 73A Amount Paid ^ : 0 0 0

Any Other Amount (Please specify) : 0 0 0

(II) DETAILS OF CHALLAN (VIDE WHICH SERVICE TAX EDUCATION CESS, SECONDARY AND HIGHER EDUCATION CESS AND
OTHER AMOUNTS PAID IN CASH)
Month GAR-7 Challan

Apr-Jun 00007830505201100015,00007830106201100010

Jul-Sep 00007832908201100013,00007832909201100012

4B. SOURCE DOCUMENT DETAILS FOR ENTRIES AT COLUMN 4A(I)(a)(iii), 4A(I)(a)(iv), 4A(I)(b)(iii), 4A(I)(b)(iv), 4A(I)(c)(iii),
4A(I)(c)(iv), 4A(I)(d)(i) to (vii)
Sl Entry in table Service tax,educational cess,secondary and higher Source document
No. education cess paid
Source Document Type Month No./ Period Date

4C. DETAILS OF AMOUNT OF SERVICE TAX PAYABLE BUT NOT PAID AS ON THE LAST DAY OF THE 0
PERIOD FOR WHICH RETURN IS FILED :

5. DETAILS OF INPUT STAGE CENVAT CREDIT(TO BE FILED BY A TAXABLE SERVICE PROVIDER ONLY/NOT TO BE FILLED BY
SERVICE RECEIVER LIABLE TO PAY SERVICE TAX OR INPUT SERVICE DISTRIBUTOR)
5A. WHETHER THE ASSESSEE PROVIDING EXEMPTED/NON TAXABLE SERVICE OR EXEMPTED GOODS

Whether providing any exempted or non taxable service No

Whether manufacturing any exempted goods No

If any one of the above is yes, whether maintaining separate account for receipt or consumption of in- No
put service and input goods(refer to rule 6(2) of CENVAT credit Rule,2004)

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 (d) If any one of the (a) and (b) is 'Yes' and (c) is 'No',which option is being availed under rule
6 (3) of the Cenvat Credit Rules,2004
(i) Opted to pay an amount equal to 10% of the value of exempted goods and 8% of the No
value of exempted service (Y/N) or
(ii) Opted to pay an amount equivalent to CENVAT Credit attributable to inputs and input No
services used in or in relation to manufacture of exempted goods or provision of exemp-
ted service(Y/N)

5AA AMOUNT PAYABLE UNDER RULE 6 (3) OF THE CENVAT CREDIT RULES,2004

Sl MONTH Apr-Jun July-Sept

No
(a) Value of Exempted good cleared : 0 0

(b) Value of exempted services provided : 0 0

(c) Amount paid under rule 6(3) of Cenvat 0 0

Credit Rules,2004 by CENVAT Credit :
(d) Amount paid under rile 6(3) of Cenvat 0 0
Credit Rules,2004 by cash :
(e) Total Amount paid for Cenvat : 0 0

(f) Challan Nos,vide which amount mentioned in (d) is paid

Month GAR-7 Challan

Apr-Jun

Jul-Sep

CREDIT DETAILS FOR SERVICE TAX PROVIDER / RECEIPIENT

(A) CENVAT CREDIT DETAILS (all figures in rupees)

Details of Credit Apr-Jun July-Sept

Opening Balance : 0 0

Credit taken on inputs : 0 0

Credit taken on capital goods : 0 0

Credit taken on input services received 0 0

directly :
Credit taken as received from input ser- 0 0
vice distributor :
Credit taken from inter unit transfer by a 0 0
LTU :
Total credit availed : 0 0

Credit utilized for payment of service tax : 0 0

Credit utilized for payment of educational 0 0

cess on taxable service :
Credit utilized for payment of excise or 0 0
any other duty :
Credit utilized towards clearance of input 0 0
goods and capital goods removed as
such :
Credit utilized towards inter unit transfer 0 0
of LTU :
Credit of education cess and secondary 0 0
and higher education cess utilized for
Payment under rule 6(3) of the Cenvat
Credit Rules,2004 :
Total credit utilized : 0 0

Closing Balance of CENVAT credit : 0 0

(B) EDUCATION CESS CREDIT DETAILS (all figures in rupees)

Details of Credit Apr-Jun July-Sept

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 Opening Balance : 0 0

Credit of education cess and secondary 0 0

and higher education cess taken on in-
puts :
Credit of education cess and secondary 0 0
and higher education cess taken on cap-
ital goods :
Credit of education cess and secondary 0 0
and higher education cess taken on input
services received directly :
Credit of education cess and secondary 0 0
and higher education cess taken as re-
ceived from input service distributor :
Credit of education cess and secondary 0 0
and higher education cess taken from
inter unit transfer by a LTU :
Total credit of education cess and sec- 0 0
ondary and higher education cess taken :
Credit of education cess and secondary 0 0
and higher education cess utilized for
payment of education cess and second-
ary and higher education cess on ser-
vices :
Credit of education cess and secondary 0 0
and higher education cess utilized for
payment of education cess and second-
ary and higher education cess on goods :
Credit of education cess and secondary 0 0
and higher education cess utilized to-
wards payment of education cess and
secondary and higher education cess on
clearance of input goods and capital
goods removed as such :
Credit of education cess and secondary 0 0
and higher education cess utilized to-
wards inter unit transfer of LTU :
Total credit of education cess and sec- 0 0
ondary and higher education cess utilized
:
Closing Balance of Education cess and 0 0
secondary and higher education cess :

CREDIT DETAILS FOR INPUT SERVICE DISTRIBUTOR

(A) DETAILS OF CENVAT CREDIT RECEIVED AND DISTRIBUTED (all figures in rupees)

Details of Credit Apr-Jun July-Sept

(B) DETAILS OF EDUCATION CESS RECEIVED AND DISTRIBUTED (all figures in rupees)

Details of Credit Apr-Jun July-Sept

7. SELF-ASSESSMENT MEMORANDUM

(a) I/We declare that the above particulars are in accordance with the records and books maintained by me/us and are correctly stated.

(b) I/We have assessed and paid the service tax and/or availed and distributed CENVAT credit correctly as per the provisions of the Finance
Act, 1994 and the rules made thereunder.
(c)I/We have paid duty within the specified time limit and in case of delay, I/We have deposited the interest leviable thereon.

8. IF THE RETURN HAS BEEN PREPARED BY A SERVICE TAX RETURN PREPARER (STRP), FURNISH FURTHER DETAILS AS
BELOW:
(a) Identification No. of STRP
:
(b) Name of STRP :

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 Name : P.SATYANARAYANAMURTHY, LEELAVATHI ENTERPRISES

Place : AMPAPURAM Date : 21/10/2011

Revised Date :

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