Schedule (G)
Wealth Tax
San. No. 6(a)
Zonal Tax Officer’s Name:-
Index No.-
House and land tax assessment form
Fiscal year for which wealth tax has to be levied:-
Section of the Act under which wealth tax
Has to be assessed:-
Taxpayer’s index No:-
Taxpayer’s name and address:-

Value of the whole house:-
(a) If partition has not been made by getting a deed registered, its total tax –
Penalty Total NRs. …….. In Words……………
(b) If partition has been made by getting a deed registered:

Date of wealth tax assessment order:-
Signature
Wealth Tax Officer
Zonal Wealth Tax Officer’s Name:-