[See rule 39
(iii)]
Receipts and
Payments on account of Immoveable Property (other than Agricultural Property)
1. Ward No.
2. Name or street/lane.
3. Municipal No. of House/Business Premises/Factory.
4. Name of owner with parentage and address.
5. Name or occupant with parentage.
6. Date of occupation.
7. Assessed Rent; Licence Fee.
8. House Tax/ Water charges, if recoverable.
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RECEIPT |
PAYMENT |
REMARKS |
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Prog- ressive Total |
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Nature of expenditure |
Progressive Total |
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1 |
2 |
3 |
4 |
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5 |
6 |
7 |
8 |
9 |
10 |
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11 |
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12 |
13 |
14 |
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15 |
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Serial No. |
No. and date of Challan Receipt |
Brief particulars and period |
Amount |
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Initials |
Remarks |
Date of payment |
No. of vouchers and date |
House tax |
Water tax |
Repairs |
(a) Ordinary repairs |
(b) Special repairs |
Miscellaneous |
Administrative charges and custodians fee |
Total Rs. |
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Initials |
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