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State of Goa - Section
Section 9 in The Goa Panchayat Raj (Imposition of taxes, fees and other dues) Rules, 1998
9. Preparation of assessment list.
| W.C. | Electricity | Water |
| No. or Bldg./ Structure | Name of Occupier | Owner or tenant | Rooms occupied | Measurement of each room | Total Area | Purpose of building used | Monthly Rent (in case the premises are let) | Annual letting Value | Remarks | ||
| Rent fixed by the assessment Officer | Rent approved by the Authorised Valuation Officer | Rent fixed after disposal of object | |||||||||
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 |
| (Col.No. 9, 10, 11 are to filled by A.O.) |
| Previous tax | Name of tax | Taxable amount | Tax as per new assessment |
| Consolidated | |||
| Tax | |||
| Total- |
| ____________________Assessment Officer | ______________________Sarpanch______________________Panchayat |