Panchayat:Repo18/vol2-page0266
Date Number of stamps Purchased Number of stamps issued for affixture to tickets Balance on hand Remarks (1) (2) (3) (4) (
Place of Entertainment Date Seating Price of Serial Number Number of Number Amount Amount of the Remarks capacity admission of tickets tickets of free received entertainment in each. issued (From sold passes on account class numbers to issued of tickets numbers) sold (1). (4) (5) (6) (7) Rs. Ps. Rs. Ps. TOTAL (Signed) Proprietor FORM No. IV [See Rule 20] Application to the. .. for permission to pay the entertainments tax on the basis of returns under Section 5 _of the Kerala Local Authorities later part of section Entertainments Tax Act, 1961. Applicant's (Proprietor's) name. Residential Address. Kind of entertainments. Place where they will be held. How often in a week and on what days. Price of admission. Sir, I beg to apply for grant of permission to pay the entertainments tax on the basis of returns under Section 5 of the Kerala Local Authorities Entertainments Tax Act, 1961. I agree to furnish the security demanded for the payment of the entertainments tax due from me and to furnish true returns of payments for admission to the entertainments under each class of ticket value in such form and at such time as may be stipulated. I agree to pay the taxes due in respect of each entertainment along with the returns before the next entertainment commences and shall pay any excess found due within seven days after it is demanded.
I agree to and shall abide by all the conditions of the permit.