3. Demand your half of the ticket at the entrance and retain it.                 Proprietor

Form I-D
Form I-D
Register of books of tickets
Register of books of tickets
[ See Rules 2(4)]
Date
Opening Balance
Receipts
Class
SI. No. of Books
SI. Nos. of Tickets
Class
SI. No. of Books
SI. Nos. of Tickets
From
To
From
To
Total no. of Books in Stock
Issue for use
Closing Balance
Class
Class
SI. No. of Books
SI. Nos of Tickets
Class
SI. No. of Books
SI. Nos of Tickets
From
To
From
To
Form I-E
Form I-E
[ See Section 2 (5)]
Form No. I-E Book No.........
Form No. I-E Book No.........
Form No. I-E Book No.........
Fee/Complimentary passes/Tickets
Fee/Complimentary passes/Tickets
Fee/Complimentary passes/Tickets
1st Foil
1st Foil
2nd Foil
2nd Foil
3rd Foil
3rd Foil
Serial No. of Pass/Ticket.......... Class.........
Serial No. of Pass/Ticket.......... Class.........
Serial No. of Pass/Ticket.......... Class.........
Name of Cinema
Name of Cinema
Name of Cinema
or
or
or
Other entertainment.............
Other entertainment.............
Other entertainment.............
Date and time Seal...........
Amusement Tax.........
Amusement Tax.........
Tax Stamp
Proprietor/Manager
Proprietor/Manager
Proprietor/Manager
Form I-F
Form I-F
[Deleted vide Notification No. FTX 98/66/22, dated 30-1-1967]
Form II
Form II
Theatre/Cinema
Statement of tickets sold
Statement of tickets sold
Date...............
Price of admission
Serial No. of tickets issued
Number of tickets sold
Number of complimentary or free tickets issued
Amount received on account of tickets sold
Amount of the entertainments tax
Remarks
1
2
3
4
5
6
7
Total
Signed ..............
Form III
Form III
Return of persons admitted by mechanical contrivance
Return of persons admitted by mechanical contrivance
Price of admission
Number of persons admitted
Gross receipts Rs. P.
Amount of tax collected Rs. P.
Remarks
Signature
Form IV
Form IV
Return of Complimentary Tickets
Return of Complimentary Tickets
Rates of tickets of each class issued
Number of tickets issued at each rate
Remarks
Ordinary
Season
Form V
Form V
Form of certificate
Form of certificate
[Prescribed under Rule 20 of the Assam Amendment and Betting Tax Rules, 1939]
Description...................
Date....................
Place.....................
This certificate is issued on the following conditions:
(1) The conditions mentioned in any of the clauses of Section 8 are fully satisfied.
(2) If the entertainment is of the type failing under Clause (a) of Section 8, the whole of the taking of the entertainment without any deduction for expenses, however, small, must be paid over to and if the prescribed officer so requires a full and true account of the whole of the taking, together with a written acknowledgement from the Society. Institution or Fund specified above must be furnished to him by the persons responsible for the management of the entertainment, within one month after the date of the entertainment and those persons will be liable for the payment of the proper tax if the prescribed officer is not satisfied that the whole of the takings, without any deduction for expenses, have in fact been paid over to the Society, Institution or Fund referred to.
(3) This certificate must be not be used for any other entertainment than that specified above and it must be exhibited in a prominent position at the public entrance to the place of entertainment at the time the public are admitted and during the entertainment no correction or erasure of any kind must be made in the certificate.
(4) If the entertainment is not given on the date or at the place specified above, the persons responsible for the management of the entertainment must be given notice in writing to that effect within one week after the date fixed for holding it.
Prescribed Officer
.............District
Form VI
Form VI
Book-makers Accounts of Bets
Book-makers Accounts of Bets
Rac Meeting........
Date.........
Race...........
Name of Horse
Name of Horse
Win
a b c d e
a b c d e
Place
Amount paid out on win Rs..........
(a) is the running total of (b) and (c).
Amount paid out on 1st place Rs.........
b) is the amount staked by the licensed book-maker.
Amount paid out on 2nd place Rs.........
(c) is the amount staked by the backer
Amount paid out on 3rd place Rs.........
(d) is the running total of (c).
Total Rs.........
(e) is the name of the backer or ticket No.......
Amount of tax at 7 per cent Rs.........
The difference between the total of (a) and of (d) is the net
amount paid out by the licensed book-maker.
Form VII
Form VII
Return of Betting Transactions
Return of Betting Transactions
.................Races................
Day...........19.............
No. of race
Amount paid or due to be paid to backers
Total
1.
Winner First Place Second Place Third Place
Rs.
Rs.
2.
Winner First Place Second Place Third Place
Rs.
3.
Winner First Place Second Place Third Place
Rs.
4.
Winner First Place Second Place Third Place
Rs.
5.
Winner First Place Second Place Third Place
Rs.
6.
Winner First Place Second Place Third Place
Rs.
............Race
Grant Total..............
Rs.........
7 per cent on the Grant Total of Rs............
Rs.........
Licensed Book-maker
Form VIII
Form VIII
Readers' Sheet regarding Number of Tickets sold
Readers' Sheet regarding Number of Tickets sold
Render's sheet Rs.......
Totalisator
.........Race
Date........
Total number of tickets sold...........
Form IX
Form IX
Calculation Sheet for Win Bets
Calculation Sheet for Win Bets
Rs..........
Totalisator
Date............Win
Race No...............
Horse No.
Backed for tickets
Result
( )
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
X
Total Rs............
Less
Com.
Less per cent Tax.............
Net Pool Rs............
Form X
Form X
Calculation Sheet for Place Bets
Calculation Sheet for Place Bets
Pays 1, 2 when 4 to 7 starters. Pays 1, 2 and 3 when 8 or more starters.
Rs..........
Totalisator
Date............ Place
Race No...............
Horse No.
Backed for tickets
Result
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
Horse No......... Backed for tickets....... Horse No......... Backed for tickets....... Horse No......... Backed for tickets....... Horse No......... Backed for tickets.......
X
Pool Rs........... Less Rs...........
___________ )____________(
+ )____________( + )____________( +
+
Total Rs............
Less
Com.}......................
Less 7 per cent Tax................
Net Pool Rs............
Form XI
Form XI
Record and Summary for Win Bets
Record and Summary for Win Bets
Rs..........
Totalisator
WIN
Date............ Private Mark............
Race …..................
Horse No.
Backed for tickets
Result
Remarks
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
Total...................
=Rs....................................................
Tickets on Horse No. (….....) at Rs.......
=Rs....................................................
Tickets on Horse No. (….....) at Rs.......
=Rs....................................................
Commission
=Rs....................................................
Tax
=Rs....................................................
Surplus
=Rs....................................................
Total
=Rs....................................................
Loss
=Rs....................................................
Total Rs.
Commission............
=Rs....................................................
Surplus Horse No. (…........)
=Rs....................................................
Surplus …..........
(…........)
=Rs....................................................
Surplus............... (…........)
=Rs....................................................
Loss...................
(…........)
=Rs....................................................
Loss...................
(…........)
=Rs....................................................
Total profits
Form XII
Form XII
Summary Statement of Each Day's Racing
Summary Statement of Each Day's Racing
Rs............
Totalisator..........
Win...........
Statement
Statement
Race
Commission
Tax
Surplus
Loss
Takings
1 2 3 4 5 6 7 8 9
Form XIII
Form XIII
Record and Summary for Win Bets
Record and Summary for Win Bets
Rs..........
Totalisator
PLACE
Date............ Private Mark............
Place …..................
Horse No.
Backed for tickets
Result
Remarks
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
Total...................
=Rs....................................................
Tickets on Horse No. (….....) at Rs.......
=Rs....................................................
Tickets on Horse No. (….....) at Rs.......
=Rs....................................................
Tickets on Horse No. (….....) at Rs.......
=Rs....................................................
Tickets on Horse No. (….....) at Rs.......
=Rs....................................................
Commission
=Rs....................................................
Tax
=Rs....................................................
Surplus
=Rs....................................................
Total
=Rs....................................................
Loss
=Rs....................................................
Total Rs.
Commission............
=Rs....................................................
Extra Surplus......... (…........)
=Rs....................................................
Surplus Horse No. (…........)
=Rs....................................................
Surplus Horse No. (…........)
=Rs....................................................
Loss...................
(…........)
=Rs....................................................
Loss...................
(…........)
=Rs....................................................
Total profits
Form XIV
Form XIV
Summary Statement of Each Day's Racing
Summary Statement of Each Day's Racing
Rs............
Totalisator..........
Win...........
Statement
Statement
Race
Commission
Tax
Surplus
Loss
Takings
1 2 3 4 5 6 7 8 9
Form XV
Form XV
I.O.U. Voucher for a Win
I.O.U. Voucher for a Win
No.........
Race..........
WIN
Horse No.
Rs.
Form XVI
Form XVI
I.O.U. Voucher for a Place
I.O.U. Voucher for a Place
No.........
Race..........
PLACE
Horse No.
Rs.
Form XVII
Form XVII
Return for submission to the Prescribed Officer
Return for submission to the Prescribed Officer
Race Meeting..........
Date.........19......
Amount paid into Totalisator
Rs.
Rs.
Rs.
Total
Win
Place
Total
Total at 7 per cent
Form XVIII
Form XVIII
Return of Cinematograph Exhibition
Return of Cinematograph Exhibition
[ See Rule 14 (5)]
Name of the Cinema House............
Month........
Date
1st Show
2nd Show
3rd Show
4th Show (Matinee)
Total admission price of the tickets excluding
Amusement Tax
Tax payable under Section 3-A (1)
Total admission price of the tickets excluding
Amusement Tax
Tax payable under Section 3-A (1)
Total admission price of the tickets excluding
Amusement Tax
Tax payable under Section 3-A(1)
Total admission price of the tickets excluding
Amusement Tax
Tax payable under Section 3-A (1)
1
2
3
4
5
6
7
8
9
1st
2nd
3rd
4th
5th
7th
8th
9th
10th
11th
12th
13th
14th
15th
16th
17th
18th
19th
20th
21th
22th
23th
24th
25th
26th
27th
28th
29th
30th
31st
Total tax payable
Total tax payable for the month
Signature of the Manager/Proprietor
(Total of columns 3, 5 7 and 9).
Tax paid vide challan No...........
dated..................
[Forms IX to XVIII not printed]
[Forms IX to XVIII not printed]
Form-XIX
Form-XIX
Application for Permission to Operate Cable Television Network
Application for Permission to Operate Cable Television Network
[ See rule 9A(1) and 9A(2)]
(b) The Total Number of subscribers as on the date of this application is as follows-
(i) No. of individual subscribers-
(ii) No. of hotels covered by the Network with total number of connections-
(b) The number of subscribers both individual and hotels covered by the network shall be intimated as soon' as the operation of the network starts and thereafter at the beginning of every month.
(b) The Total number of connections as in the date of application is as follows-
(i) No. of rooms will Cable Television Network connection:
(ii) No. of other connection, if any:
(i) Name of the town/village
(ii) Exact area of operation (road/street/lane/mahalla)
(* Delete Whichever is not Applicable)
SI. No.
Name in full
Father's husband's name
Age
Extent of interest in the business
Present address
Permanent address
Signature
1
2
3
4
5
6
7
8
Verification
Verification
(i) I am authorised to make this application,
(ii) The information given above are true and correct to the best of my knowledge and belief, and
(iii) I shall abide by the provisions of the Assam Amusements and Betting Tax Act, 1939 and the Rule framed thereunder.
Yours faithfully,
[Signature]
Form-XX
Form-XX
Permission to Operate Cable Television Network
Permission to Operate Cable Television Network
[ See rule 9A(3)]
(i) Name of the town/village
(ii) Exact area of operation (road/street/lane/mahalla)
*(iii) the Proprietor of the hotel.......at (address)............having its own Cable Television Network is granted permission to operate the network within the hotel premises only with effect from......
(* Delete whichever is not applicable)
Sr. Superintendent of Taxes/ Superintendent of Taxes. Unit.........
Form-XXI
Form-XXI
Monthly Return Submitted by Operations of Cable Television Network.
Monthly Return Submitted by Operations of Cable Television Network.
[ See Rule 9(1)]
[To be submitted in duplicate]
1.
Name of cable operator
:
2.
Month for which the return is submitted
:
3.
Total No. for subscribers
:
(i) No. of individual subscribers
:
(ii) No. of connections in hotels
:
4.
Rate of subscription per subscriber per month
:
(i) For individual subscribers
:
(ii) For each connection in hotels
:
5.
Total connection during the month
:
6.
Total amount of entertainment tax payable
:
7.
Amount of entertainment tax paid
:
8.
Challan No. & Date
:
Original copy of the challan to be enclosed)
Signature of the Proprietor/Manager.
Form-XXII
Form-XXII
Monthly Return Submitted by Operators of Hotel having their Own Cable Television Network
Monthly Return Submitted by Operators of Hotel having their Own Cable Television Network
[ See rule 9B(2)]
(To be submitted in duplicate)
1.
Name of the Hotel
:
2.
Name of the Proprietor
:
3.
Address
:
4.
Month for which the return is submitted
:
5.
No. of rooms (including lounge, office, reception etc.) having
cable service
:
6.
Rate of entertainment tax per room per month
:
7.
Total amount of entertainment tax payable for the month
:
8.
Amount of entertainment tax paid
:
9.
Challan No. and Date
:
[Original copy of the challan to be enclosed]
Proprietor/Manager.
Form XXIII
Form XXIII
Information for Holding an Entertainment with Sale of Tickets for Admission
Information for Holding an Entertainment with Sale of Tickets for Admission
[ See rule 9C]
(1) The Commissioner of Taxes, Assam.
(2) The Sr. Superintendent of Taxes/Superintendent of Taxes, Unit........