MUNICIPAL CORPORATION OF HYDERABAD
Self-Assessment of Property Tax Form/Return
FORM A
(Fully Residential Property)
(Information required to be filed by Owner/Occupiers (Owner/Tenant/lessee)
under Section 213 of the HMC Act, 1955
 
        Property Tax Identification No (PTIN)
          (To be filled up by MCH Office)
 
 
II.   Location Details :
       Circle No
 
Ward No
 
Block No
 
       Locality Name
 
Locality No
 
       Street Name
 
Street No
 
       House No
 
       Area pin Code No
 
       Name of the Building
 
II.   Land Details :   
       Land Area in Square Yards
 
       If Own land, state
       (a)   Name of Owner (s)
 
       (b)   Address
 
       If Land is taken on Lease,    
       state from whom lease taken
 
III. Building Details :
       Type of Building: Roof Code No.
Flooring Code No.
 
       (Code Numbers:
 
        Roof:   RCC 01
                   Tiled/Asbestos/Other 02
                   Thatched 03
        Flooring: Party Fully Marble/Granite 01
                   Mosaic/Ceramic Tiles/Polished Stone 02
                   Other 03
       If Flat, Floor No. (Ground-G, First-01, Second-02, etc.).
 
       Individual  House, No of Floors
 
       Built-up (Plinth) Area of the Building/Flat in Square Feet  
 
       Year of construction of Building/Flat 
 
       Use of the Building Code No. (In case Non-residential)
 
       (Code No
        Star Hotels  01
        Other Hotels/Lodging Houses/Restaurants 02
        Commercial Complexes/Markets/
        Shops/Office Complexes/Offices/Banks  03
        Cinema Theaters 04
        Kalyan Mandapam/Function Halls 05
        Hospitals/Nursing Homes/Clinics/Health
        Care Establishments/Diagnostic Centres 06
        Educational Institutions 07
        Industries/Factories 08
        Religious/Charitable Institutions 09
        Other Uses 10
IV.  Ownership Details:
 
        Name of the Owner,
        Address & Telephone No
        Category of Ownership Code No.
 
          (Code Numbers:
                     Private: Individual 01
                     Private: Corporate 02
                     State Govt. 03
                     Central Govt. 04
                     State Govt. Undertaking 05
                     Central Govt. Undertaking 06
                     Other 07)
V.  Occupancy Details:
S.No.  Name of the Occupant(s)  Area
 Occupied in
 Square
 Footage		  If Rented, Monthly
 Rent Paid/Rate per
 Square Feet		  If Self Occupied,
 Monthly Rent expected
 if let out/Rate per
Square Feet prevailing
for similar Property in
the Vicinity (MRV)
 1        
 2        
 3         
 4           
 5        
VI.    Existing  Tax Details:
         Whether assessed to Tax or not: Yes or No    
 
         If Yes, Property Tax Assessment/Bill No  
 
         Half Yearly Tax in Rupees
 
         Use of the Building Code No. (In case Non-residential)
 
VII.  Self Assessment Tax
        (Proposed by Occupier (Owner/Tenant/Lessee):
        Total Plinth Area of Property (PA) 
 
        Monthly Rental value (Prevailing Rent in
        Local Area per Month)-MRVs
 
        Annual Tax payable (In Figures & Words)
        (For Guideline, see Annexure) 
 
        Amount already paid for 1999-2000
        (in figures & Words) 
 
        Balance to be paid for 1999-2000
        (in figures & Words) 
 
        Cheque/Demand Draft by which Tax Paid Now
        (Name of Bank, Cheque/Draft No./Amount)
 
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Acknowledgement
         Received Self-Assessment Form along with Cheque/Demand Draft No_________________
Date__________________drawn on______________________________________________
(Name of Bank) from Shri_______________________________________________________
towards Self-Assessment Tax for the year__________________for Property on Premises bearing
No. ________________________________situated at _______________________________
Date:
Receiver's Signature
Name
Designation
Owner/Occupier

VIII. Address for Correspondence
 
 
 
          Telephone No O 
 
R 
 
__________________________________________________________________________________
DECLARATION
         I/We__________________________________________________________Son/daughter/wife of
Sri____________________________________________________________solemnly declare that I/We
am/are fully aware of the legal provisions contained in Section 213 and other  Sections of the HMC Act,1955
and other relevant Acts, and the above information is correct to the best of my/our knowledge and belief.
(Signature)             
NAME OF OCCUPIER/OWNER: ______________________________________________________
DATE                       :