Notification No.35/ 2004-Central Excise (N.T.)

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1st November, 2004

Notification No.36 / 2004-Central Excise (N.T.)

In exercises of the powers conferred by clause (a) of sub-rule (2) of rule 12 of the Central Excise
Rules, 2002, the Central Board of Excise and Customs hereby specifies the following Form for the purposes of the said clause
(a) of sub-rule (2) of rule 12, namely,:-

“Form E.R.-4
Original / Duplicate

[See rule 12(2)(a) of the Central Excise Rules, 2002]

ANNUAL FINANCIAL INFORMATION STATEMENT FOR THE FINANCIAL YEAR _______
(All figure relating to value and amount to be given in Rs. lakhs)

1. Registration number

2 . Registration number

3.     Details of expenditure:

(i) Details of inputs including packing material and components used for manufacture.

(a) Total value of inputs including packing materials and components used for manufacturing on which CENVAT credit availed (value as per purchase invoice or import document excluding all taxes). Rs…………….

(b) Total value of inputs including packing materials used for manufacturing on which CENVAT credit not availed. Rs……………

(c) Value of raw material including packing material and components consumed as per Profit and loss account.                 Rs…………….

(ii) Value and quantity of each major raw material consumed in the manufacture of goods^#.

(a) Description of raw material……………………..                    Raw Material ‘A’

Quantity (Please specify the unit also) Value

Opening stock of Raw material

(+) Purchase of raw material

(-) Closing Stock of Raw Material

Raw Material consumption

(b) Please state description of final product {as mentioned at Sr. No. 4 (ii) below}, where the raw material is principally used

(iii)       Details of other expenditure

(a) Total Inward Freight                    Rs…………..

(b) Total Outward Freight   Rs…………..

(c) Advertisement/Sales Promotion                   Rs………….

(d) Commission paid for sales of manufactured goods        Rs…....……

(e) Total R & D expenditure                     Rs…………

(f) Wages    Rs…………

(g) Power and Fuel                Rs…………

(h)   Other expenses* {excluding (a) to (g) above}.     Rs……..….

(iv) Details of goods got manufactured by the assessee through job workers:

(a) Whether goods are got manufactured through job worker? Yes/No

(b) If yes, whether any raw material/inputs are supplied to job worker? Yes/No

(c) Whether any raw material/inputs are used by the job worker       which are not supplied by the assessee?   Yes/No

(d) Total amount paid by the assessee to jobworker.                                              Rs. ………….

4.         Details of Income:

(i)   Total Sales value (Gross) as per Profit & Loss account      Rs………….

(ii) Value and quantity of each major manufactured finished goods sold^@.

        Please mention description and Chapter sub-heading.    Finished Good ‘A’

Quantity (Please specify the unit also) Value (excluding Taxes)

Opening stock of finished goods

(+) Production of finished goods

(-) Closing Stock of finished goods

Finished goods sold

(iii)       Details of trading activity {excluding inputs cleared as such as per Sr. No.(viii) below}

Quantity (Please also specify the unit) Value (excluding Taxes)

Opening stock of Trading Goods

(+) Purchase of Trading Goods

(-) Closing Stock of Trading Goods

Trading Goods sold

(iv) Sale value of non-excisable and fully exempted goods (excluding the goods exported) cleared during the financial year. Rs…………….

(v) Value of goods exported under Bond

(vi) Value of goods exported under claim for rebate Rs ……………

(vii) Total value of sale of waste and scrap.     Rs…………..

(viii) Value of inputs on which CENVAT credit has been availed and cleared as such:

(a) On payment of amount equal to the credit availed.                Rs………….

(b) Without payment of any such amount to job worker (excluding the value of both the inputs as such or the inputs used in job worked goods, received back by the assessee from job worker).                      Rs…………

(ix) Total Sales Tax paid.     Rs………….

(x) Details of other income:

Sl. No. Category Amount

Warranty charges from buyers

Advertisement / Marketing Expenditure recovered from customers

Handling, storage, packing & forwarding charges

Pre-delivery inspection charges

Product development, Drawing, design and development charges

Transportation charges received

Erection & Commissioning charges received

Technical, Engineering, Consultancy etc. charges received

Other receipts/income {excluding (1) to (8) above}

(xi)       Total “Other income” as per Profit and Loss Account.                           Rs……………

(xii) Details of job work undertaken by the assessee for others:

(a)

Whether any such job work activity carried out by the assessee?

Yes/No

(b)

Whether job work done using own raw material / inputs (i.e. other than those supplied by the person for whom job-work is done).

Yes/No

(c)

Whether job work goods are cleared on payment of duty or without payment of duty

Yes/No

(d)

Total amount of job work charges received during the financial year

Rs……

5.         CENVAT Credit details:

Credit Availed (Rs.) Credit utilised (Rs.)

On inputs

On Capital Goods

On Taxable input Service

6. (i)    I/We ________________declare that the particulars declared above have been compared with the records and books of my/our factory/warehouse and the same are true and correct to the best of my/our knowledge.

   (ii) I/we am/are authorized to sign this return.

(Name in capital letters and signature
of the assessee or authorized signatory)

Place:

Date:

Note: ^# To be given separately and distinctly for each major raw material consumed on the lines of

Sl. No. 3 (ii) (a) (1) of Part II of the Schedule VI pertaining to section 211 of the Companies Act, 1956(1of 1956), i.e. each such raw material which in value independently accounts for 10 % or more of the total value of the raw materials consumed.

* other expenses include all expenses like interest, depreciation, other overheads as shown in Profit and loss Account.

^@ To be given separately and distinctly for each class of major finished goods sold i.e. each such finished goods which in value independently accounts for 10 % or more of the total value of the finished goods sold as clarified in Note 3 to the para 3 of Part II of the Schedule VI pertaining to section 211 of the Companies Act, 1956(1 of 1956).

Please enclose copy of Profit and Loss Account and Balance Sheet.

ACKNOWLEDGEMENT

Annual Financial Information Statement For The Financial Year _____

D   D      M M    Y Y   Y Y

Date of receipt

Name and signature of the officer with seal”.

[F.No. 206/4/2004-CX 6]

Place:

Date:                                                                                                               (Neerav Kumar Mallick)
Under Secretary to the Government of India

Ref. No. Particulars sought for Purpose

3 (i) (a) to (c) Value of raw material consumption To compute the ratio of value of CENVATable purchase to Gross sales of excisable goods and to match it with the ratio of CENVAT to Cash duty.

3 (ii) Item-wise value and quantity of major raw material consumed
(i) Computation of physical input-output ratio

(ii) Co-relation with CENVAT availment

(iii) Computation of unit value of raw material for checking value addition.

3 (iii) (a) Value of Capital Goods supplied free of cost by the customer To ascertain whether the amortised value is included in the value of the final product.

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(i)	Details of inputs including packing material and components used for manufacture.
(a)	Total value of inputs including packing materials and components used for manufacturing on which CENVAT credit availed (value as per purchase invoice or import document excluding all taxes).	Rs…………….
(b)	Total value of inputs including packing materials used for manufacturing on which CENVAT credit not availed.	Rs……………
(c)	Value of raw material including packing material and components consumed as per Profit and loss account.	Rs…………….
(ii)	Value and quantity of each major raw material consumed in the manufacture of goods^#.
(a)	Description of raw material…………………….. Raw Material ‘A’

	Quantity (Please specify the unit also)	Value
Opening stock of Raw material
(+) Purchase of raw material
(-) Closing Stock of Raw Material
Raw Material consumption

(a)	Total Inward Freight	Rs…………..
(b)	Total Outward Freight	Rs…………..
(c)	Advertisement/Sales Promotion	Rs………….
(d)	Commission paid for sales of manufactured goods	Rs…....……
(e)	Total R & D expenditure	Rs…………
(f)	Wages	Rs…………
(g)	Power and Fuel	Rs…………
(h)	Other expenses* {excluding (a) to (g) above}.	Rs……..….
(iv)	Details of goods got manufactured by the assessee through job workers:

(a)	Whether goods are got manufactured through job worker?	Yes/No
(b)	If yes, whether any raw material/inputs are supplied to job worker?	Yes/No
(c)	Whether any raw material/inputs are used by the job worker which are not supplied by the assessee?	Yes/No
(d)	Total amount paid by the assessee to jobworker.	Rs. ………….

(i)	Total Sales value (Gross) as per Profit & Loss account	Rs………….
(ii)	Value and quantity of each major manufactured finished goods sold^@.

	Quantity (Please specify the unit also)	Value (excluding Taxes)
Opening stock of finished goods
(+) Production of finished goods
(-) Closing Stock of finished goods
Finished goods sold

	Quantity (Please also specify the unit)	Value (excluding Taxes)
Opening stock of Trading Goods
(+) Purchase of Trading Goods
(-) Closing Stock of Trading Goods
Trading Goods sold

(iv)	Sale value of non-excisable and fully exempted goods (excluding the goods exported) cleared during the financial year.		Rs…………….
(v)	Value of goods exported under Bond
(vi)	Value of goods exported under claim for rebate		Rs ……………
(vii)	Total value of sale of waste and scrap.		Rs…………..
(viii)	Value of inputs on which CENVAT credit has been availed and cleared as such:
	(a)	On payment of amount equal to the credit availed.	Rs………….
	(b)	Without payment of any such amount to job worker (excluding the value of both the inputs as such or the inputs used in job worked goods, received back by the assessee from job worker).	Rs…………
(ix)	Total Sales Tax paid.		Rs………….
(x)	Details of other income:

Sl. No.	Category	Amount
	Warranty charges from buyers
	Advertisement / Marketing Expenditure recovered from customers
	Handling, storage, packing & forwarding charges
	Pre-delivery inspection charges
	Product development, Drawing, design and development charges
	Transportation charges received
	Erection & Commissioning charges received
	Technical, Engineering, Consultancy etc. charges received
	Other receipts/income {excluding (1) to (8) above}

(a)	Whether any such job work activity carried out by the assessee?	Yes/No
(b)	Whether job work done using own raw material / inputs (i.e. other than those supplied by the person for whom job-work is done).	Yes/No
(c)	Whether job work goods are cleared on payment of duty or without payment of duty	Yes/No
(d)	Total amount of job work charges received during the financial year	Rs……

	Credit Availed (Rs.)	Credit utilised (Rs.)
On inputs
On Capital Goods
On Taxable input Service

Ref. No.	Particulars sought for	Purpose
3 (i) (a) to (c)	Value of raw material consumption	To compute the ratio of value of CENVATable purchase to Gross sales of excisable goods and to match it with the ratio of CENVAT to Cash duty.
3 (ii)	Item-wise value and quantity of major raw material consumed	(i) Computation of physical input-output ratio (ii) Co-relation with CENVAT availment (iii) Computation of unit value of raw material for checking value addition.
3 (iii) (a)	Value of Capital Goods supplied free of cost by the customer	To ascertain whether the amortised value is included in the value of the final product.
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