Schedule 6 Relating to Rule 6(1)
Tax Office
Taxpayer’s Index No. :-
House and Land Tax Assessment Order
Fiscal year:
Section of the Act under which tax is assessed:
Taxpayer’s name, surname, address:-
Total value of house and land:-
Total and land tax payable: – Fine:-

You are required to pay a total sum of Rs…………… (………………… in words) including the tax of Rs……………….. and the fine of Rs. ……….. as mentioned above at ………………place within Thirty Five days from the date of receipt of
this tax assessment order or its service on your house/rented house. …….. Copy of the voucher to pay the amount is attached herewith.
Tax Inspector’s signature:-
Tax Officer……..
Date: -……………