Cantt Board Government Tax Exemption Form

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EXEMPTION CERTIFICATE FOR GOVERNMENT SERVANT / RETIRED GOVT

SERVANT / WIDOW OF GOVT SERVANT

YEAR

I / We
CNIC # Resident of
Certify:

i) That I am / We are / the owners of House No


situated at in Cantonment Board
ii) That I am / we declare that the house in question is in my / our personal occupation / rented
out @ Rs P.M.
iii) That I, am
a) Government Servant
b) Retired Govt Servant
c) Widow of Govt Servant
d) Ward(s)
(e) Parents Authorized
Name of Government Department
iv) That the Co-owner is also a Government servant / my wife / Husband.
v) That I am Co-owner to the extent of % and am seeking exemption . Rebate to this
extent only (in case the other co-owner is not spouse of the Government Servant)
vi) That I declare that the said house is not being used commercial / Guest house / Rent House
of Non-confirming use.
vii) That I also declare that I / my spouse have / has not applied for exemption envisaged under
Gazette Notification No SRO. 156(1) 2004 and 13-3-2004, in any other Cantonment in Pakistan.
I further certify the above information is correct to the best of my knowledge and belief and nothing
has been concealed herein.

IN CASE OF GOVT SERVANT (FOR INITIAL SUBMISSION ONLY)


Verified by his / her department:-

Name:

Designation

Department

Signature & Stamp

IN CASE OF RETIRED GOVT SERVANT / WIDOW OF GOVT SERVANT (FOR INITIAL


SUBMISSION ONLY)

Please attached a copy of:-

a) CNIC
b) Pension Book / Bank Letter
SIGNATURE OF APPLICANT
FOR OFFICE USE REPORT FOR REBATE OF HOUSE TAX

YEAR

Property No

Situated at

Owned by according to

the record to the certificate produced

By
Status

Annual Demand
60% 100% Rebate being
R/Govt.Servant / Widow of

R/Govt. Servant / Govt. Servant

Arrears if any

Total Demand

Water Charges

Conservancy Charges

Status of Property

Revenue Supdt.
L.D.0 / R.0

Verified by
A/Rev.Supdt.

ALLOWED / NOT ALLOWED

Cantonment Executive Officer


Wah Cantonment

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