Application Form
FORM TD-4
Application for permission to tap toddy-producing trees
See rule 17(1)
Form text (extracted)
[FORM TD-4]
[See rule 17(1)]
Application for permission to tap toddy-producing trees
To
The Superintendent/District Inspector of Prohibition and Excise,
.................................................
Sir,
I, give below the following particulars with a request to permit me to tap toddy trees
for my shop for the year 19 -19 . I have already obtained permission of the
owners of the trees for tapping them, copy enclosed :
1. Name of the licensee . . . .
2. Shop No. . . . .
3. Names of the owner of the trees . .
4. Numbers of trees required for tapping under the application, particulars of
which are given below :
————————————————————————————————————
Kind and number of trees
to be tapped
Survey
No.
Block
No.
Village Taluka
and District
(1) (2) (3) (4)
————————————————————————————————————
————————————————————————————————————
The duty on trees mentioned above, amounting to Rs. .....................................................
has been credited under Challan No..............................................................................., dated
................................................... which is enclosed.
Yours faithfully.
Signature of the licensee.
Date :
Original PDF (as scanned from printed manual)