Application for Permission to Pay Tax Under Section 4(1-A) of the Andhra Pradesh Entertainments

FORM-III

[See Rule 27]

Application for permission to pay tax under Section 4(1-A) of the Andhra Pradesh Entertainments Tax Act, 1939

To

The Entertainments Tax Officer.

Sir,

I, Proprietor of …………..(place of entertainment) situated in ………. taluk ……………. Whose particulars are furnished below hereby signify my intention to opt for the payment of a fixed amount of tax payable under Section 4(1A) in respect of the shows to be held in the said theatre. I hereby apply for permission to pay tax under the above mentioned section and agree to abide by the rules and conditions prescribed in this behalf.

(1) Name of the proprietor and his residential address.

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

1.

2.

3.

4.

5.

(3) Name and address of the place of entertainment.

(4)Local authority in whose jurisdiction the theatre is situated.

(5)Classification of the theatre(whether temporary, touring, semi-permanent, Air

cooled or Air conditioned).

(6) (a) Particulars of the Licence for cinematography exhibition granted by the

licensing authority under the Andhra Pradesh Cinemas (Regulation) Act,

1955. (Copy of licence in Form-B to be enclosed).

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

(7).Capacity of the place of entertainment.

______

Category of Rate of admission No.of seats Gross Collection

Class

(1) (2) (3) (4)

______

(a)

(b)

(c)

(d)

Total Gross collection capacity per show

(Rupees in words)

(8). The amount of Tax payable every week with reference to the gross collection

capacity worked out in Column 7 above read with Section 4(1-A) of the Andhra

Pradesh Entertainments Tax Act.

(9). Date from which the application opts to pay the amount of tax under Section 4(1-A).

I agree to furnish the security demanded for the proper payment of amount of entertainment tax due from me and to furnish true and correct returns of the payments for admission to the entertainments under each class of ticket value and in such form and at such time as may be stipulated.

I agree to pay the amount of entertainments tax every week as determined by you irrespective of whether the number of shows actually held and shall submit the returns as per the provisions of Act and rules and due shall also pay any excess found within 7 days after it is demanded.

I agree and shall abide by all the conditions of the permit.

If I fail to pay the amount of tax 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 give3n above is true and correct.

Place :

Date :

Signature of Proprietor.