FORM - B

FORM-B

(See rule 13)

Intimation of Issue of Sacramental Wine

(To be prepared in quadruplicate.)

To,
²[The Chief Accounts Officer of Prohibition and Excise,]
The Treasury Office, ______

Sir,

I have the honour to inform you that ______ gallons of sacramental wine are required for issue to ______ of ______ from my manufactory situated at ______.

³[The sum of Rs. ______ being the amount of excise duty, transport fee and special fee] ²[at the rates of 22 nP, 4 nP, and 12 nP respectively per litre] as prescribed under rule 13 of the Bombay Sacramental Wine (Manufacturing) Rules, 1950, is sent herewith. Please pass me a challan in duplicate in token of its receipt.

Yours faithfully,

Signature of the licensee

Copy forwarded for information to—

1. the Officer-in-charge, ______;
2. the Collector of ______.