FORM No.-21

[See rule 39 (iv)]

Rent Demand and Collection Register of Immoveable

Property (other than Agricultural)

Ward No.

Name of Mohalla

Serial No.	House of Shop No.	And address of owner	Partic- ulars of tenants	Partic- ulars of property	Date of occupation	Authority	Monthly rent	Arrears up to 31-3-49	Initials of Rent officer or any Govt. servant authorized by the Custodian
1	2	3	4	5	6	7	8	9	10
		Name paren- Tage	Name and other

April				May				June
11				12				13
Rent assessed	No. and date of receipt	Amount realized	Balance	Amount assessed	No. and date of receipt	Amount Realized	Balance	Amount assessed	No and date of receipt	Amount relized	Balance
A	B	C	D	A	B	C	D	A	B	C	D

July				August
14				15
Amount assessed	No. and date of receipt	Amount realized	Balance	Amount assessed	No. and date of receipt	Amount realized	Balance
A	B	C	D	A	B	C	D

Amount assessed means amount due for the current month plus all arrears outstanding to end of the previous month.

September				October				November
16				17				18
Amount assessed	No. and date of receipt	Amount relized	Balance	Amount assessed	No and date or receipt	Amount realized	Balance	Amount assessed	No and date or receipt	Amount realized	Balance
A	B	C	D	A	B	C	D	A	B	C	D

19				20				21
December				January				February
Amount assessed	No. and date of receipt	Amount relized	Balance	Amount assessed	No and date or receipt	Amount realized	Balance	Amount assessed	No and date or receipt	Amount realized	Balance
A	B	C	D	A	B	C	D	A	B	C	D

22				23	24	25
March				Amount written off	Balance [col. 21 (d) minus 22 (b)	Remarks
Amount assessed	No. and date of receipt	Amount relized	Balance	Reference to order	Amount
A	B	C	D	A	B

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