Form
E
[See
Rule 31(i)]
Tax
due by ____________________________________________________ on the bets made
with _________________________________________________ for race meeting held
during the month of ___________________________________20________
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Race
meeting |
Held
on Date |
Total
amount of monies paid or agreed to be paid in satisfaction of winning bets |
Percentage
of tax |
Amount
of tax payable for each race meeting |
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Total
Rs. |
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DECLARATION
I
declare that to the best of my knowledge and belief the information furnished in
the above statement is true and complete and that it relates to the month of
____________________________________________
Place:
Date:
Signature