Self Assessment

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Self Assesment of Property Tax Return

(To be filled under section 213 of HMC Act 1955)

I.Location Details
Ward No.*		Block No
Locality Name*		Street Name*
House/Door No*		Name of the complex/ Apartment/colony*

II. Land Details ( Please select the appropriate Ownership)
Land Area in Square mts*		Own Lease	If Lease, Lesee Details

III.Property Details( Please fill in the appropriate details)
Roof Type:*	Floor No.*
Built up plinth area in Square mts*		Building Age*

IV Usage Details: ( Please select the appropriate Usage of the Property from the list)
Category of Usage*

V Category of Ownership( Please Select appropriate category from the List)

VI. Existing Tax Details: ( Please Select in the appropriate details)
Whether Assessed Yes No
If Yes,Year of Assessment	If Yes, Property Tax Assessment/Bill No.
Half Yearly Tax in Rs.	Half Year upto which tax is paid

VII. Self Assessment of Propety Tax ( Proposed by Occupier/Owner/Lessee):
Name of the Owner *				Address & Telephone No
Name of the Occupant	Owner / Tenant	Roof Type	Floor	Area	Market Rental Value*	Property Tax (need not enter)





					Total
* If Lease agreement is available the rate accepted in the Lease agreement shall be taken. If no Lease agreement is available prevailing rent in the Locality shall be adopted. Know the MRV Values

Amount Paid along with this form (Cheque/DD shall be reached within 7 days)

D.D/Cheque No Bank Date / /
(DDs&Cheques must be drawn in favour of Commissioner,MCH.)
(Or)
Bill Junction Transaction No

IX Address for Correspondence	*
Telephone No.

Declaration

I/ We * son/daughter /wife of Sri * * of the property solemnly declare that I /We am/ are fully aware of the legal provisions contained in Section 213 and other sections of theHMC Act, 1955 and other relevant Acts, and the above information is correct to the best of my/our Knowledge and belief.

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