FORM TD-4
[See rule 17(f)]
Application for permission to tap toddy-producing trees
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 :
- Name of the licensee
- Shop No.
- Names of the owner of the trees
- 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 and District | Taluka |
|---|---|---|---|---|
| (1) | (2) | (3) | (4) |
The duty on trees mentioned above, amounting to Rs has been credited under Chailan No dated which is enclosed.
Yours faithfully.
Signature of the licensee.
Date: