State of Odisha - Act
The Orissa Entertainment Tax Rules, 2006
ODISHA
India
India
The Orissa Entertainment Tax Rules, 2006
Rule THE-ORISSA-ENTERTAINMENT-TAX-RULES-2006 of 2006
- Published on 23 September 2006
- Commenced on 23 September 2006
- [This is the version of this document from 23 September 2006.]
- [Note: The original publication document is not available and this content could not be verified.]
Chapter I
Preliminary
1. Short title and commencement.
Chapter II
2. Definitions.
Chapter III
3. Levy and collection of tax.
4. Payment of Tax.
5. Purchase and issue of stamps.
6. Refund of valuable of unused stamps and renewal of damaged and spoiled stamps.
7. Account of stamps purchased and issued.
8. Verification of balance of stamps in hand.
9. Exemption from payment of Tax.
10. Cancellation of exemption.
- Where an exemption granted is proposed to be cancelled under Sub-section (7) of Section 8 or proviso to Sub-section (4) of Section 8, the Commissioner shall give a reasonable opportunity of being heard to the person to whom exemption was granted before submitting his findings to the Government recommending for cancellation of exemption so granted or for such action as the Government may deem fit.11. Submission of information before holding an entertainment.
- A person or society desirous of holding an entertainment shall submit to the Commissioner an application in Form IX where it is a ticketed programme and in Form X where the admission to the entertainment is exclusively by invitation, at least seven days excluding the holidays before the date of such entertainment:Provided that the Commissioner may accept the application at a shorter period if he is satisfied that there were cogent grounds or difficulties for not submitting the application earlier and there is sufficient time for depositing the security, getting the tickets attested, obtaining Register in Form II and IIA and for completing other necessary formalities before starting the show.12. Permission to be obtained to operate cable television net work.
- The proprietor of a cable television network shall submit to the Commissioner an application in Form XA within fifteen days from the date of commencement of these rules or at least fifteen days before the date of such entertainment and shall furnish any other information which may be so required by the Commissioner.13. Deposit of security.
- The proprietor required to deposit security under Sub-section (1) of Section 10 shall furnish security for such amount as may be fixed by the Commissioner by any of the following ways, namely :-14. Amount of Security.
15. Deduction of Tax from Security and forfeiture of security.
16. Refund of security.
- Where the proprietor of an entertainment sells or otherwise disposes of his business and ceases to be the proprietor of such entertainment for the purposes of the Act or discontinues his entertainment, the Commissioner may, upon application in Form XX and after satisfying himself that no dues are outstanding and no case is pending for disposal against the said proprietor under the Act or these rules, release the security and order the balance in the security amount to be refunded:Provided that where the proprietor of an entertainment has already deposited certain amount of security which is subsequently reduced, the Commissioner may, upon application, order the differential amount to be refunded to the proprietor.17. Form of tickets.
18. Payment of tax in cases where admission is controlled by mechanical contrivance.
19. Issue of tickets.
20. Retention of tickets.
21. Production of tickets.
- On demand by the inspecting officer, portion of tickets retained as referred to in rule 20 shall be produced before him immediately by the gate keeper and by the proprietor or the person obtaining admission to the entertainment, as the case may be.22. Restriction on use of plural tickets.
- A ticket shall be issued for each person and not more than one person shall be admitted on one ticket:Provided that in the case of casual entertainment programmes, more than one person can be admitted to the programme on one ticket with prior approval of the Commissioner.23. Season tickets.
- Where a particular taxable entertainment is to be completed in more than one show to be held on a number of days, the proprietor of entertainment may issue one season ticket for all the days in Form XV and the dates for which it is issued shall be clearly noted on such ticket and its middle counterfoil shall have as many parts as the number of days for which the ticket is valid so that one part may be collected at the gate on each day.24. Attestation of tickets.
- The proprietor of a taxable entertainment shall, before bringing into use, get all ticket books attested by the Entertainment Tax Officer, or the Addl. Entertainment Tax Officer, or the Assistant Entertainment Tax Officer, as the case may be in such manner as may be directed by the Commissioner and any unattested ticket book founding use, shall, unless proved to the contrary, be considered to be an unauthorized ticket book used for evading the payment of tax due:Provided that where the tickets are issued through computer or any other mechanical device, the proprietor of a taxable entertainment shall, before issue of such tickets, intimate the Entertainment Tax officer or Addl. Entertainment Tax Officer or Assistant Entertainment Tax Officer, as the case may be, the serial number to be issued for each class of ticket for each show.25. Sale of tickets.
26. Issue of Admission Fee and Tax Collection Authorisation Certificate.
Chapter IV
27. Return for payment of tax.
28. Books of accounts.
29. Maintenance of Register of Ticket Books.
30. Maintenance of Show Register.
Chapter V
31. Assessment.
32. Refund of tax deposited in excess.
33. Appeals.
34. Service of notice, etc.
- Any notice or order under the Act or these rules shall be served on a proprietor or authorized person in any of the following ways, namely :-35. Inspecting officer to discharge the duties without making any payment for admission and seizure of records, books, etc.
36. Recovery of tax as arrears of land revenue.
| Date | Opening Balance | Stamps Purchased | |||
| Number | Value | Challan number & date | Number & date of stamps | Value | |
| 1 | 2(a) | 2(b) | 3(a) | 3(b) | 3(c) |
| Total | Stamps Used | Balance | Remarks | |||
| Number | Value | Number | Value | Number | Value | |
| 4(a) | 4(b) | 5(a) | 5(b) | 6(a) | 6(b) | 7 |
| Feature day | Date | |||||||
| First Show | ||||||||
| Class | Rate | Serial No. of tickets issued | No. of tickets sold | No. of persons admitted under Section 5 of theOrissa Entertainment Tax Act. | Amounts received on account of tickets sold | Amount of entertainment tax | ||
| Book No. | From | To | ||||||
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 |
| Rs. P. | Rs. P. |
| Second Show | ||||||||
| Serial No. of tickets issued | No. of tickets sold | No. of persons admitted under Section 5 of theOrissa Entertainment Tax Act. | Amounts received on account of tickets sold | Amount of entertainment tax | ||||
| Book No. | From | To | ||||||
| 10 | 11 | 12 | 13 | 14 | 15 | 16 | ||
| Rs. | P. | Rs. | P. |
| Third Show | |||||||||
| Serial No. of tickets issued | No. of tickets sold | No. of persons admitted under Section 5 of theOrissa Entertainment Tax Act. | Amounts received on account of tickets sold | Amount of entertainment tax | Remarks | ||||
| Book No. | From | To | |||||||
| 17 | 18 | 19 | 20 | 21 | 22 | 23 | 24 | ||
| Rs. | P. | Rs. | P. |
| Fourth Show | |||||||||
| Serial No. of tickets issued | No. of tickets sold | No. of persons admitted under Section 5 of theOrissa Entertainment Tax Act. | Amounts received on account of tickets sold | Amount of entertainment tax | Remarks | ||||
| Book No. | From | To | |||||||
| 25 | 26 | 27 | 28 | 29 | 30 | 31 | 32 | ||
| Rs. | P. | Rs. | P. |
| Fifth Show | |||||||||
| Serial No. of tickets issued | No. of tickets sold | No. of persons admitted under Section 5 of theOrissa Entertainment Tax Act. | Amounts received on account of tickets sold | Amount of entertainment tax | Remarks | ||||
| Book No. | From | To | |||||||
| 33 | 34 | 35 | 36 | 37 | 38 | 39 | 40 | ||
| Rs. | P. | Rs. | P. |
| Shows | No. of person admitted under Section 5 of theOrissa Entertainment Tax Act | Amount received | |||||
| Net price of tickets | Tax | Total | |||||
| 1 | 2 | 3 | 4 | 5 | |||
| First ShowSecond ShowThird ShowFourth ShowFifth Show | Rs. | P. | Rs. | P. | Rs. | P. | |
| Total | |||||||
| Total till the previous day :Progressive total of the month : |
| Date | Opening stock of books | Books received | Date of receipt | Total No. of Books | Sl. No. of Books brought into use | Books containing Sl. No. of tickets | Date of use | Date of completion | Closing stock of books | |
| Sl. No. From | Sl. No. To | |||||||||
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | |
1. Name of the proprietor:
2. Name of the entertainment:
3. Place or location of the entertainment :
4. Date upto which the licence for cinematograph exhibition is valid (quote the licence No. and date and name of the authority granting licence):
5. Admission fee and Entertainment Tax collected during the month and seating capacity of the entertainment:
| Sl. No. | Name of the class | Seating capacity | Gross collection capacity | Rate of admission | Total No. of spectators allowed | Total No. of tickets issued | Total No. of concessional/ complementary ticketissued | Total admission, fee collected | Total Entertainment Tax collected |
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
6. Number of shows actually held during the month :
7. Normal shows,if any, not held during the month and reasons therefore:
8. From IV and V enclosed for issue of tickets/stamps, if any, used during the month:
9. Payment details :
| Sl. No. | Name of the Treasury, where tax deposited or Bankon which DD/ Banker’s cheque issued | Treasury Challan No./D.D/Bankers Cheque | For official use only | ||||
| Type of Instrument | No. | Date | Amount | P.C.R. No. | Date | ||
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 |
| Number of shows performed during the month | No. of persons admitted class wise | Sl. No. of books used | Total | Total No. of ticket sold | Net price of tickets sold | Tax realized | ||
| Book No. | From | To | ||||||
| (1) | (2) | (3-a) | (3-b) | (3-c) | (4) | (5) | (6) | (7) |
| 1st show | ||||||||
| 2nd show | ||||||||
| 3rd show | ||||||||
| 4th show | ||||||||
| 5th show | ||||||||
| Total |
| Denomination of Entertainment Tax Stamps | Opening Balance | Stamps Purchased | |||
| Number | Value | Challan number & date | Number of stamps | Value | |
| 1 | 2(a) | 2(b) | 3(a) | 3(b) | 3(c) |
| Total |
| Total | Stamps Used | Balance | Remarks | |||
| Number | Value | Number | Value | Number | Value | |
| 4(a) | 4(b) | 5(a) | 5(b) | 6(a) | 6(b) | 7 |
1. Name of the Applicant (in block letters)
2. Status of the Applicant with relation to the Society/Association of persons.
3. Name of the Society/Association of persons.
4. Full address of the Society/Association of persons
5. Telephone Nos. Office............ Residence...............
6. Is the society/club/Association, a registered body (if so, an attested copy of the registration Certificate and a copy of Memorandum of Association is to be attached)
7. Total number of members and list of Executive members with full address and their professions and membership fees to be given
8. Bank balance (state the name of the bank with branch and account No. and in whose name the account is operated)
9. Audited Balance Sheet for the last three years.
10. Whether exemption granted in past. (If so, give reference of last exemption order)
11. Whether accounts of the previous show furnished and proceeds, if credited, have been utilised for the declared objective (if so, give details)
12. In case the performance is being organised by a School/College or other educational Institutions/Registered Social Organisation, it may be mentioned whether recognized by the Directorate of education or affiliated with the University or some other affiliating body or under Societies Act.
13. Description of entertainment in respect of which exemption is applied for with full details.
14. Date and time of show
15. Place where entertainment is to be held/performed
16. Purpose for which gross proceeds have to be donated or used with supporting documents.
17. Rates of admission to various classes.
18. Number of seats provided in each class
19. (a) Total expected receipts from sale of tickets
20. Estimate of expenses with details
21. Sources for meeting the expenses
22. Amount of tax for which exemption is sought
23. Amount of security deposit (give details of D.D. No. date and issuing bank etc.)
24. Any other information required by the Commissioner
25. I hereby give the following undertaking
(a)That the whole of the takings on account of entertainment shall be donated/funded for the purpose specified at Col. No.16 without any charge on the takings for any expense of the entertainments, which will be met from other funds of the society.(b)That within fifteen days from the date of entertainment. I shall furnish the accounts of the whole of the takings in the proforma for Income and Expenditure given below(i)Date of performance(ii)Venue of entertainment(iii)Rate of Admission(iv)Total number of tickets Printed SI No. wise number of complimentary invitation cards printed and issued serial number wise.(v)Name and address of the Printing Press with certificate from the Press.(vi)No. of sold and unsold tickets(vii)Total money realised(a)through sale of tickets(b)through advertisement and other sources(viii)Details of expenditure incurred(ix)Receipts/Vouchers of expenditure together with a certificate from the Society/Institution/Organisation to the effect that the amount has been spent on the declared object. In case of non-utilisation of amount for the specified purpose within 30 days from the date of completion of entertainment a certificate that the funds shall be utilised within a reasonable period together with bank account showing the deposit there of shall be furnished. In such cases, the account of proper utilisation of the funds shall be rendered within fifteen days after the utilisation of the funds.(c)That if I fail to comply with the conditions mentioned in the exemption certificate the security amount of Rs shall stand forfeited to the Government.SignatureName of ApplicantAddressDate.........Note : The application shall be signed by the President, Vice-President, General Secretary, Secretary or any other persons specially authorised by the Association/Society in this behalf.Form VII[See Rule 9(4)(1)]Certificate of Exemption from Entertainment TaxThis is to certify that the entertainment specified below is permitted to be given free of entertainment tax provided that the whole of the takings is devoted to philanthropic, religious, or charitable purposes under Subsection (5) of Section 8 of the Orissa Entertainment Tax Act, 2006 as specified below :-DescriptionDatePlacePurpose for which the proceeds are to be utilizedThis certificate is issued subject to the following conditions:| No.............. | Dated............ |
1. Period of assessment (Quarter ending)...........Date............
2. Name and address of the proprietor .................
3. Nature of the entertainment ...........
4. (a) Entertainment tax assessed under Section 17(1)/17 (3)..............
5. Total amount of tax and penalty .................
6. Amount already paid ...................
7. Balance due.....................
OrderPlace : ...............Date : ................Entertainment Tax OfficerForm VIII B[See Rule 31(2)]Notice for Assessment of Tax Under Section 17 (3) of the Orissa Entertainment Tax Act, 2006| No.............. | Dated............ |
| (a) | Entertainment tax by cinema house | Rs...........P. |
| (b) | Tax on exhibition of Entertainment by cable service | Rs...........P. |
| (c) | Penalty imposed under Section 17 | Rs...........P. |
| (d) | Total | Rs...........P. |
| 1. | Name of Entertainment | |
| 2. | Nature of entertainment | |
| 3. | Name and permanent as well as local address of the Proprietor | |
| 4. | Name and permanent as well as local address of the person whowill be responsible for management and for conducting day-to-dayentertainment. | |
| 5. | Approximate period of stay in Orissa | |
| 6. | Place or places where shows are proposed to be held. | |
| 7. | Date from which shows are proposed to be started. | |
| 8. | Charge for admission to various classes (excluding tax),entertainment tax and total amount payable | |
| 9. | Number of shows to be given daily as well as special shows, ifany, and the time of starting of each show | |
| 10. | Number of seats in each class | |
| 11. | Starting SI. No. of each kind of tickets for each class foreach show. | |
| 12. | Total number of each kind of tickets printed for each classfor each show. | |
| 13. | Maximum amount of tax for one month on the basis of fullseating capacity for the maximum number of shows proposed to beheld in a month. | |
| 14. | Name of place and date, if any, where shows were last held. | |
| 15. | Last serial number of each kind of ticket for each class andfor each show issued at last place. | |
| 16. | The amount of security deposit, it any, lying with the Deptt.if shows were previously held. | |
| 17. | The amount of arrears of tax, if any, to be deposited inrespect of shows held previously. | |
| 18. | Names and full address of two persons to whom the proprietoris known and to whom reference could be made in case it becomesnecessary. | |
| 19. | Whether exemption from payment of entertainment tax is claimedand, if so, specific purpose and the reference thereof. | |
| 20. | Specimen signature of the persons who own. | |
| 21. | Specimen signature of the person responsible for management. | |
| 22. | Additional information, if any, required by the Commissioner. |
| 1. | Name of Entertainment | |
| 2. | Nature of entertainment | |
| 3. | Name and permanent as well as local address of the Proprietor | |
| 4. | Name and permanent as well as local address of the person whowill be responsible for management and for conducting day-to-daybusiness. | |
| 5. | Approximate period of stay in Orissa | |
| 6. | Place or places where shows are proposed to be held. | |
| 7. | Date from which shows are proposed to be started | |
| 8. | Estimate of expenses with details | |
| 9. | Sources for meeting the expenses | |
| 10. | Name of sponsors and the amount sponsored by them | |
| 11. | Name of advertiser and the amount received from them | |
| 12. | Number of shows to be given daily as well as special shows, ifany, and the time of starting of each show | |
| 13. | Number of seats in each class | |
| 14. | Total number of each kind of tickets printed for each classfor each show | |
| 15. | The amount of security deposit if any, lying with the Deptt. ifservices were previously held | |
| 16. | The amount of arrears of tax, if any to be deposited inrespect of services held previously. | |
| 17. | Manner and criteria of distribution of invitation cards | |
| 18. | Outlets of distribution of invitation cards if distribution ison first come first serve basis | |
| 19. | Specimen signature of the persons who own | |
| 20. | Specimen signature of the person responsible for management | |
| 21. | Additional information, if any, required by the Commissioner |
| 1. | Name of Entertainment | |
| 2. | Nature of entertainment | |
| 3. | Name and permanent as well as local address of the Proprietor | |
| 4. | Name and permanent as well as local address of the person whowill be responsible for management and for conducting day-to-daybusiness. | |
| 5. | Place or places where cable service shows are proposed to beheld. | |
| 6. | Date from which cable services are proposed to be started | |
| 7. | Total No. of subscribers | |
| 8. | Name of subscribers | |
| 9. | Amount fixed for each subscriber | |
| 10. | The amount of security deposit if any, lying with the Deptt.if services were previously held | |
| 11. | The amount of arrears of tax, if any to be deposited inrespect of services held previously | |
| 12. | Manner and criteria of distribution of cable network services | |
| 13. | Specimen signature of the persons who own | |
| 14. | Specimen signature of the person responsible for management | |
| 15. | Additional information,if any, required by the Commissioner |
2. The nature of business is as under:
3. Particulars in respect of the persons having an interest in the business are as under :
| Sl. No. | Name in full | Father’s/ Husband’s Name | Age | Extent of interest in the business | Present Address | Permanent Address | Signature |
| (1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) |
4. The business keeps accounts in............and declare that the above information are true and correct to the best of my/our knowledge and belief.
VerificationI/We........... do hereby solemnly affirm and declare that the information contained in paragraph 1 to 4 are true and correct to the best of my/our knowledge and belief.Signature of Proprietor or theAuthorised person.Form XIIDemand Notice of Security[See rule 14 (3)]To............Proprietor,............. Address.............Please take notice that you have been demanded with security amounting to a sum of Rs.......... (Rupees...........only) under Section 10(1) for the purpose of.............You are required to furnish security of the above amount in the manner specified in Rule 13 within fourteen days from the date of receipt of this notice, failing which the action will be taken as per provisions of the Act.Place...............Date................Signature and Designation of the OfficerForm XIII[See rule 26 (2)]Admission Fee and Tax Collection Authorisation Certificate Under Section 14 of the ActThis is to certify that the business known as........ having its place of entertainment at........ has been authorised under Section 14 of the Orissa Entertainment Tax Act, 2006 to charge payment for admission to entertainment and collect entertainment tax and to deposit the same with the Government as per the provision of the Act and the rules framed thereunder.The names(s) and signature(s) of the proprietor/karta/partner/principal officer/other persons having interest in the business is/are as under:| Name | Signature | Signature of Authorised Officer |
| (1) | (2) | (3) |
| Inner | Middle | Outer |
| Sl.... No.... | Sl.... No.... | Sl.... No.... |
| 1. Name of entertainment.....2. Place.....3. Class and kind of ticket.....4. Show/Day and show.....5. Admission charge.....6. Entertainment Tax.....7. Total payable......8. Date of issue.......9. Name of printing press......... | 1. Name of entertainment.....2. Place.....3. Class and kind of ticket.....4. Show/Day and show.....5. Admission charge.....6. Entertainment Tax.....7. Total payable......8. Date of issue.......9. Name of printing press......... | 1. Name of entertainment.....2. Place.....3. Class and kind of ticket.....4. Show/Day and show.....5. Admission charge.....6. Entertainment Tax.....7. Total payable......8. Date of issue.......9. Name of printing press......... |
| Inner | Middle | Outer |
| Sl.... No.... | Sl.... No.... | Sl.... No.... |
| 1. Name of entertainment.....2. Place.....3. Class and kind of ticket.....4. No. of shows and dates for which issued.....5. Admission charge.....6. Entertainment Tax.....7. Total payable......8. Date of issue.......9. Name of printing press......... | 1. Name of entertainment.....2. Place.....3. Class and kind of ticket.....4. No. of shows and dates for which issued.....5. Admission charge.....6. Entertainment Tax.....7. Total payable......8. Date of issue.......9. Name of printing press......... | 1. Name of entertainment.....2. Place.....3. Class and kind of ticket.....4. No. of shows and dates for which issued.....5. Admission charge.....6. Entertainment Tax.....7. Total payable......8. Date of issue.......9. Name of printing press......... |
| Price of admission | Number of persons admitted on payment | Number of persons admitted on free passes | No. of persons admitted at concessional rate | Gross receipts | Amount of tax collected | Remarks |
| (1) | (2) | (3) | (4) | (5) | (6) | |
| TOTAL |
1. Return for the period ending.................
2. Name of the Proprietor of Cable Television Network...........
3. Local and Permanent residential address of the Proprietor..............
4. Area of business (with the name of the locality, etc.)..................
5. Business address of the Proprietor....................
6. Admission fee and tax collection authorisation Certificate No. and date of issue.................
7. Month to which return relates.....................
| Sl. No. | Total No. of subscribers | Rate of subscription per subscriber | Total amount received | Entertainment Tax payable |
| (1) | (2) | (3) | (4) | (5) |
8. Amount of monthly entertainment tax..........
9. Amount and date of tax last paid...........
10. Payment details
| Entertainment Tax due | Mode of payment | Entertainment Tax paid | |
| D.D. | Banker's Cheque | Treasury Challan No. | Date |
1. Month and year to which refund relates :
2. Amount of tax/penalty paid
3. Amount of tax actually due ............
4. Amount of refund claimed.................
5. Reasons for claiming such refund with proof :
I, Sri....................... the applicant named above, do hereby declare that what is stated above is true to the best of my knowledge and belief.SignatureSealForm XX[See rule 16]Application for Refund Arising Out of Order Under Section 10 (1) of the Orissa Entertainment Tax Act, 2005ToThe Commissioner .................Sir,I............proprietor/partner/manager/principal officer of the show business known as....... situated at............ P.O.....pray for a refund of Rs............(Rupees......only) being the excess/balance amount of security under provision of Section 10 of the Orissa Entertainment Tax Act, 2006 and read with rule 16 made thereunder. The refund may be paid in cash/by Refund Adjustment Order payable at the ......... Treasury/Sub-treasury.1. Month and year to which refund relates :
2. Amount of security paid :
3. Amount as finally determined:
(quote No. and date of order):4. Amount of refund claimed..............
5. Reasons for claiming such refund with proof..............
I, Sri............ the applicant named above, do hereby declare that what is stated above is true to the best of my knowledge and belief.Date...........SignatureSealForm XXI[See rule 27(4)]Notice of DemandTo........................................................................Take notice that I hereby demand payment by you of this sum of Rs........... (Rupees.......... only) under Section......../under Rule....... being..........| COUNTER FOILA. Tax Revenue-(c) Taxes on Commodities and Services-045-Othertaxes and duties on Commodities and Services-(a)-EntertainmentTax. | REFUND PAYMENT ORDERBook No. ..... VoucherNo.A. Tax Revenue-(c) Taxes onCommodities and Service-045-Other taxes and duties on Commoditiesand Services-(a)-Entertainment Tax.ToThe Treasury Officer | REFUND PAYMENT ORDER(Treasury Officer'scopy not be encashed)Book No.Voucher No.A. Tax Revenue-(c) Taxes onCommodities and Services-045-Other taxes and duties onCommodities and Service-(a)- Entertainment Tax.ToThe Treasury Officer |
| Refund payableTo.........Date of order directing amount ofRefund......Initials of the Officer grantingRefund.......Signature of the recipient of theVoucher.Date of encashment in the Government Treasury | 1. Certified that with reference tothe record of..... for the month ending..... a refund ofrupees...... is due to......2. Certified that the amount oftax/penalty concerning which the refund is allowed had been dulycredited to the Government Treasury.3. Certified that no refund orderregarding the sum now in question has previously been granted.4. Please pay to..... the sum ofRs..... in figures) (Rupees......) (in words.)SignatureDate......DesignationDate of encashment in theGovernment TreasuryDate......... Place.......Pay Rupees....... Only.Treasury OfficerThe ................ 20......Received paymentClaimant's signature | 1. Certified that with reference tothe record of..... for the month ending..... a refund ofrupees...... is due to......2. Certified that the amount oftax/penalty concerning which the refund is allowed had been dulycredited to the Government Treasury.3. Certified that no refund orderregarding the sum now in question has previously been granted.4. Please pay to..... the sum ofRs..... in figures) (Rupees.....) (in words.)SignatureDate......DesignationDate of encashment in theGovernment TreasuryDate...... Place......Pay Rupees...... Only.Treasury OfficerThe ............... 20.....Received paymentClaimant's signature |