Firozabad Nagar Nigam
Property Self Assessment Tax : Assessment Form
(See Rule-7-Under section 207A Nagar Nigam Adhiniyam)

    

Survey Date * Entry Date *
House No *
Mohalla * Circle
Owner / Occupant Name *
Father/Mother/Spouse Name
Relationship          
Mobile No *
Email Id
Postal Address *
Remark
Road Width          
Type Of Building          
    
Arrear Details
Arrear As On     (DD/MM/YYYY) House Tax
Water Tax Sewer Tax
Property Type Property Type               

Type Of Area     

Property Usage
Construction Type
Age Of Building
Construction Year Construction Year
If, Bhawan is empty
Details of Owned Bhawan (Covered Area)
Total Owned Area Area in Sqr.Ft.
Rate after 20%discount
Total MRV
Total ARV
Rebate @
Total Owned Bhawan Tax
Details of Rented Bhawan (Covered Area)
Total Rented Area Area in Sqr.Ft.
Rate after 20%discount
Total MRV
Total ARV
Rebate @
Total Rented Bhawan Tax
Details of Open Bhukhand Total Open Area Area in Sqr.Ft.
Rate
Total MRV
Total ARV
Rebate @
Total Opened Bhukhand Tax
Total Tax
Total Rebate
Total Bhawan Tax
Arrear
Total Tax Payable
Action                                                    
 
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