FORM 1  
(See Rule 5)  
Application for Permission to Pay the Entertainment Tax on per show basis 
under Section 6(2) of the Andhra Pradesh Entertainments Tax Act, 1939.

 

The Entertainments Tax Officer,  

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________________________________  

________________________________  

________________________________  

Sir,

I hereby apply for grant of permission to pay the entertainment tax as per section 6(2) of the Andhra Pradesh Entertainments Tax Act, 1939 and furnish the following particulars: -

 

1.   Name of the proprietor and his                    :            
      residential address.

 

 

 

2.   Name (s) and address (es) of the          :  
      proprietor, partners, members, all  
      persons having any  interest in the  
      entertainment.

(1) Serial No.                         :  

(2) Name in full of each person              :  

(3) Name of father of each person            :  

(4) Age of each person                        :  

(5) Permanent address of each person      :

 

(6) Present postal address of each               :  
      person

 

 

(7) Extent of interest of each person     :  

(8) Signature of the person                 :

3.   Name and address of the place of                         :  
      entertainment.

 

4.   Local Authority in whose jurisdiction                     :  
      the entertainment is situated.

 

5.   Classification of the theatre (whether             :  
      temporary, touring, semi-permanent  
      Permanent, Air Cooled or  
      Air-Conditioned)                                   

 

6.  (a) Particulars of the License for Cinematography exhibition granted by the licensing  authority 
      under the A.P. Cinemas (Regulation) Act, 1955 (copy of license in Form-B to be enclosed)

   
      (b) Period for which the above Licence is valid.

 

7.   Capacity of the place of the Entertainment.

I agree to furnish the security demanded for the payment of the entertainment tax due from me and to furnish true and 
correct returns of payments 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 the entertainment along with the returns as per the provisions of Act and rules
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.

If I fail to submit true and correct returns it is open to the Entertainment Tax Officer to forfeit the security furnished and recover the taxes due from me in addition.

Signature of Proprietor

 

DECLARATION:

I_____________________________________________________________________________________

son/daughter/wife of ________________________________________________________________ hereby declare that to

the best of my knowledge and belief the information in this application given above is true and correct.

Place       :  

Date         :                                                                                          Signature of Proprietor