Form No:1 (M.A.C)
                                                                                         KANPUR NAGAR NIGAM 
E-Copy of the General Tax Assessment List 2008-2012(i.e 01-April-2008 to 31-March-2012)
Ward No: Ward Name:
s. no Road/ Mohalla name where property is situated Old Owner Name,
Address/Tenant
and Occupier
New Owner Name, Address/ Tenant If
Any/ Occupier details
Code value for Use of Property Details of Part of Property (Under-Gound,
Ground floor, First)
Residential
Old New
Chak House No Owner Name Chak House No Owner name Occupier Tenant/Agent Total Plot Area (Sq. Ft.) No Of Floor Floor Description Total coverage Area (80% of Covered) Total carpet Area (80% of covered) Monthly rate
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17

Non-Residential Proposed ARV/TAX Records Sum of Proposed ARV/Tax Records Final Tax Remarks
land Area (Sq. Ft) Construction Area (Sq. Ft.) Land Rate Cost of Construction rate Property Use Name of House/ Firm/ Institution On Upto Wide Road Location Type Of Construction Year of Construction on
(As per
Owner Occupier)
Self Assessment
/By KNN
Proposed
ARV
Proposed TAX Sum Of
Proposed
ARV
Sum of Proposed Tax Final
ARV
Final TAX
18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34

Amount In Rs Printed By Checked & Verified By True Copy
Receipt No. Date:
Signature & Date Signature & Date Signature & Date Officer In Charge
Seal With Name & Designation Seal With Name & Designation Seal With Name & Designation Seal With Name & Designation
Legal keepers Of records Nagar Nigam Kanpur
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