Maharashtra Excise Manual
Application Form

FORM C. L. V

Intent for Spirit for Manufacture of Country Liquor

[See rule 6(17) (a)]

What this form is for

Form C.L. V is an indent, addressed to the Distillery Officer, requesting the issue of a stated quantity of spirit for manufacturing country liquor at a licensed manufactory. It is filed by the licensee or an authorised agent, countersigned by the Manufactory Officer, whenever the manufactory needs a fresh supply of spirit. By signing, the licensee also undertakes to pay duty at the tariff rate on wastage exceeding the prescribed allowance. The form is prescribed under rule 6(17)(a) of the Maharashtra Country Liquor Rules, 1973.

Form text (extracted)
502	Bombay Prohibition Act, 1949 [1949 : Bom. XXV
FORM  C. L.  IV
[See rule 6 (10)]
Register of Vats, Vessels or Receptacles for Country Liquor
————————————————————————————————————
Consecutive numbers Description of vats, vessels or Gauged Contents
receptacles
(1) (2) (3)
——————————————————————————————————————————
A B
Depth in mm.Capacity
——————————————————————————————————————————
——————————————————————————————————————————
When taken into use When taken out Where installed Remarks
of use
(4) (5) (6) (7)
——————————————————————————————————————————
——————————————————————————————————————————
FORM  C. L. V
[See rule 6(17) (a)]
Original
(To be sent to the Distillery Officer)
Intent for Spirit for Manufacture of Country Liquor
Name of Manufactory .............................................................................................................
Indent No. .............................................................. of 20 .................
To,
The Distillery Officer,
Sir,
Please issue .................................. litres  of  spirit  for  the  manufacture  of  Country
Liquor in my /our Manufactory.
I/We  shall pay  duty at the tariff rate on all  wastages in excess of  the prescribed
allowance.
Signature of Licensee or his Authorised agent.
Licence No.
Counter signature of the
Manufactory Officer.
Here affix
Court Fee
STAMP

5031949 : Bom. XXV]	Bombay Prohibition Act, 1949
FORM  C. L. V
[See rule 6(17) (a)]
Duplicate
(For Manufactory  Officer’s record )
Indent for Spirit for Manufacture of Country Liquor
Name of Manufactory .............................................................................................................
Indent No. .............................................................. of  20 .................
To,
The Distillery Officer,
Sir,
Please issue .................................. litres  of  spirit  for  the  manufacture  of  Country
Liquor in my /our Manufactory.
I/We  shall pay  duty at the tariff rate on all  wastages in excess of  the prescribed
allowance.
Signature of licensee or his Authorised Agent.
Licence No.
Counter signature of the
Manufactory Officer.
——————
FORM  C. L. V
[See rule 6(17) (a)]
Triplicate
(To be retained by the licensee as Office Copy )
Intent for Spirit for Manufacture of Country Liquor
Name of Manufactory .............................................................................................................
Indent No. .............................................................. of  20 .................
To,
The Distillery Officer,
Sir,
Please issue .................................. litres  of  spirit  for  the  manufacture  of  Country
Liquor in my /our Manufactory.
I/We  shall pay  duty at the tariff rate on all  wastages in excess of  the prescribed
allowance.
Signature of licensee or his Authorised Agent.
Licence No.
Counter signature of the
Manufactory Officer.
Original PDF (as scanned from printed manual)
This is a page from the printed 2023 Excise Manual containing the form. It may include manual page headers/footers.