Schedule (A)
Statement to be furnished pursuant to Rule 3
Wealth Tax
S.n. No. 7(a)
To,
The Wealth Tax Officer,
…………………………
Dear Sir/Madam,
I / we have furnished the following statement pursuant to Section 4 of
the Wealth Tax Act and Rule 3 of the Wealth Tax Rules. I/we request that the
wealth tax be assessed under the Act and the Rules. I/we shall pay the payable
tax at the prescribed place within the time-limit as referred to in the Act from
the date of receipt of the tax assessment order.
Followings
Description of house and land………………..
(1) Number of house and land belonging to me / us, this organisation :-
(2) Description of each house and land:-
Number of zone divided for purposes of tax………………
Name of Tole …………………, house number………..
As per the design attached
Length of house ……………… foot, breadth ………. foot ……….. total feet,
number of storey’s
Height of the ground floor …… Foot
Height of the first floor ……. Foot
Height of the second floor ….. Foot
Height of the third floor ….. Foot
Height of the fourth floor ……. Foot
Whether joined with soil or cement ……… …… Foot
Built in which year ………… ……. Foot
If on the right or left hand ridge of the road
Name of the road………………………………….right or left. If this is open
land with the house;
Its length…….. foot, breadth ……. foot, area ……. square feet.
If purchased recently –
Purchased in which year …………… price…………….
Please attach a duplicate copy of the registered deed and if any portion
of the house and land has been sold, please put a mark on it in the map.
Length of such portion ……………….breadth there of ………………
Selling price………. Rs.
Name, surname and address of the buyer:-
Please attach a duplicate copy of the registered deed.
If this house has been rented out –
Name, surname of the person who rents it……
Date on which it was given on rent:-
(3) Furnish similar description of other house and land:-
(4) If there are may / partition shareholders:-
Name:-
Age:-
Relation with the chief person:-
Portion of wealth :-
Name:-
Age:-
Relation with the chief person:-
Portion of wealth:-
Please attach a duplicate copy of the registered partition deed.
The above-mentioned statement of the house and land belonging
to me / us this organisation is fully true and correct. If it is proved false,
I/we shall bear and pay according to the Wealth Tax Act, Rules and
prevailing law.
Date of submission of statement:-
Signature:-
Signature maker’s full name,
Surname and designation:-
Signature maker’s address:
Taxpayer’s Name:-
Taxpayer’s address:-