July To December 12STATEMENT SHOWING MONTH WISE CALCULATION OF SERVICE TAX PAYABLE IN RESPECT OF PEG GODOWN ________________ DISTRICT _________________Name Of PEG Godown:-Montyly Rate Of Rent:-Storage Capacity:-Montyly Rent:-Table 'A' - For The Period 01.07.2012 To 31.12.2012Payment Under Voluntary Scheme - No Interest/Penalty is to be paid if Payment is already made before 31.12.2013S. No.Month/yearService Tax On RentService Tax on PMSService Tax on Supervision ChargesService Tax on Loading & UnloadingTota Service TaxInterest to be Calculated up to the date of payment @18%Total Amount To be paid (col.27 + col.28)Monthly rentService TAX @ 12%Edu cess @ 2% on Service TaxSec. & Higher Edu. Cess @ 1% on Service TaxTotal Tax*Average Qnty of rice storedAmount of PMS paid on rice (PMS charges for total godown capacity * Col.8/Total Storage Capacity)Service TAX @ 12%Edu cess @ 2% on Service TaxSec. & Higher Edu. Cess @ 1% on Service TaxTotal TaxTotal amount of SC billed to FCI on total capacityService TAX @ 12%Edu cess @ 2% on Service TaxSec. & Higher Edu. Cess @ 1% on Service TaxTotal TaxAmount paid on rice(Total monthly Bill/Total stock *Col.8)Service TAX @ 12%Edu cess @ 2% on Service TaxSec. & Higher Edu. Cess @ 1% on Service TaxTotal TaxService TAX @ 12%Edu cess @ 2% on Service TaxSec. & Higher Edu. Cess @ 1% on Service TaxTotal Tax12345678910111213141516171819202122232425262728291Jul-1211000132026.413.21359.611000132026.413.21359.611000132026.413.21359.611000132026.413.21359.65280105.652.85438.45438.42Aug-120000000000000000000003Sep-120000000000000000000004Oct-120000000000000000000005Nov-120000000000000000000006Dec-12000000000000000000000TOTAL11000132026.413.21359.6011000132026.413.21359.611000132026.413.21359.611000132026.413.21359.65280105.652.85438.405438.4*Average monthly quantity of rice= Sum of daily evening stock position of rice/No. of days in the relevent month

January To February 13STATEMENT SHOWING MONTH WISE CALCULATION OF SERVICE TAX PAYABLE IN RESPECT OF PEG GODOWN ________________ DISTRICT _________________Name Of PEG Godown:-Montyly Rate Of Rent:-Storage Capacity:-Montyly Rent:-Table 'B' - For The Period 01.01.2013 To 16.02.2014S. No.Month/yearService Tax On RentService Tax on PMSService Tax on Supervision ChargesService Tax on Loading & UnloadingTota Service TaxInterest to be Calculated up to the date of payment @18%Total Amount To be paid (col.27+col.28)Monthly rentService TAX @ 12%Edu cess @ 2% on Service TaxSec. & Higher Edu. Cess @ 1% on Service TaxTotal Tax*Average Qnty of rice storedAmount of PMS paid on rice (PMS charges for total godown capacity * Col.8/Total Storage Capacity)Service TAX @ 12%Edu cess @ 2% on Service TaxSec. & Higher Edu. Cess @ 1% on Service TaxTotal TaxTotal amount of SC billed to FCI on total capacityService TAX @ 12%Edu cess @ 2% on Service TaxSec. & Higher Edu. Cess @ 1% on Service TaxTotal TaxAmount paid on rice(Total monthly Bill/Total stock *Col.8)Service TAX @ 12%Edu cess @ 2% on Service TaxSec. & Higher Edu. Cess @ 1% on Service TaxTotal TaxService TAX @ 12%Edu cess @ 2% on Service TaxSec. & Higher Edu. Cess @ 1% on Service TaxTotal Tax12345678910111213141516171819202122232425262728291Jan-130000000000000000000002Feb-130000000000000000000003Mar-130000000000000000000004Apr-130000000000000000000005May-130000000000000000000006Jun-130000000000000000000007Jul-130000000000000000000008Aug-130000000000000000000009Sep-1300000000000000000000010Oct-1300000000000000000000011Nov-1300000000000000000000012Dec-1300000000000000000000013Jan-1400000000000000000000014Feb-14000000000000000000000TOTAL000000000000000000000000000*Average monthly quantity of rice= Sum of daily evening stock position of rice/No. of days in the relevent month

Depot SummarySTATEMENT SHOWING MONTH WISE CALCULATION OF SERVICE TAX PAYABLE IN RESPECT OF PEG GODOWN ________________ DISTRICT _________________Name Of PEG Godown:-Montyly Rate Of Rent:-Storage Capacity:-Montyly Rent:-Table 'C' - For The Period 01.07.2012 To 16.02.2014S. No.Month/yearService Tax On RentService Tax on PMSService Tax on Supervision ChargesService Tax on Loading & UnloadingTota Service TaxInterest to be Calculated up to the date of payment @18%Total Amount To be paid (col.27 + col.28)Monthly rentService TAX @ 12%Edu cess @ 2% on Service TaxSec. & Higher Edu. Cess @ 1% on Service TaxTotal Tax*Average Qnty of rice storedAmount of PMS paid on rice (PMS charges for total godown capacity * Col.8/Total Storage Capacity)Service TAX @ 12%Edu cess @ 2% on Service TaxSec. & Higher Edu. Cess @ 1% on Service TaxTotal TaxTotal amount of SC billed to FCI on total capacityService TAX @ 12%Edu cess @ 2% on Service TaxSec. & Higher Edu. Cess @ 1% on Service TaxTotal TaxAmount paid on rice(Total monthly Bill/Total stock *Col.8)Service TAX @ 12%Edu cess @ 2% on Service TaxSec. & Higher Edu. Cess @ 1% on Service TaxTotal TaxService TAX @ 12%Edu cess @ 2% on Service TaxSec. & Higher Edu. Cess @ 1% on Service TaxTotal Tax12345678910111213141516171819202122232425262728291July to December11000132026.413.21359.6011000132026.413.21359.611000132026.413.21359.611000132026.413.21359.65280105.652.85438.405438.42January To February000000000000000000000000000TOTAL11000132026.413.21359.6011000132026.413.21359.611000132026.413.21359.611000132026.413.21359.65280105.652.85438.405438.4

Distt SummaryDISTRICT SUMMARY STATEMENT SHOWING DEPOT WISE SERVICE TAX PAYABLE IN DISTRICT _________________ FOR THE PERIOD FROM 01.07.2012 TO 16.02.2014Table 'D' -S. No.Name Of DepotService Tax On RentService Tax on PMSService Tax on Supervision ChargesService Tax on Loading & UnloadingTota Service TaxInterest to be Calculated up to the date of payment @18%Total Amount To be paid (col.22 + col.23)Service TAX @ 12%Edu cess @ 2% on Service TaxSec. & Higher Edu. Cess @ 1% on Service TaxTotal TaxService TAX @ 12%Edu cess @ 2% on Service TaxSec. & Higher Edu. Cess @ 1% on Service TaxTotal TaxService TAX @ 12%Edu cess @ 2% on Service TaxSec. & Higher Edu. Cess @ 1% on Service TaxTotal TaxService TAX @ 12%Edu cess @ 2% on Service TaxSec. & Higher Edu. Cess @ 1% on Service TaxTotal TaxService TAX @ 12%Edu cess @ 2% on Service TaxSec. & Higher Edu. Cess @ 1% on Service TaxTotal Tax1234567891011121314151617181920212223241ABC0000000002DEF0000000003XYZ000000000TOTAL0000000000000000000000Accounts OfficerDistrict ManagerDistrict:____________________PungrainDistrict:_______________________