FORM B

(See rule 16-B)

Form Bound to use duty-free rectified spirit (including absolute alcohol)^*

Whereas, I/we ................................... of ............................in the village/ town of have made an application to³ ................. .................... the Collector of for exempting me/us from the payment of duty on the rectified spirit (including absolute alcohol) required by me/us for use in^* "we hereby bind mysel Yourselvesjointly and severally that ifthe exemption applied for is granted, I/we shall use the rectified spirit (including absolute alcohol), in respect of which such exemption has been granted, fbr the said purpose at situated at in the village / town of in the district of .......... in accordance with the Bombay Rectified Spirit Rules, 1951, and the conditions specified in the Order of Exemption referred to in the rule 16-C of the said rules and in case of my/our making default in the observance of the said rule, and the conditions of the Order of Exemption I/we bind myselOurselves jointly and severally and each and every one of my/our respective heirs, executors, administrators and representatives to forfeit to the ⁴Governer of Maharashtra⁴ the sum of Rs

Place:

Date this day of 19 .

In the presence of -

Signature

Mfe ⑴ of. and (2) of do hereby declare ourselves sureties for the abovenamed that he/ they shall do and perform all that he/they has/have undertaken to do and perform and in case ofhis/their making default there in, I/we hereby bind myselfi^ourselves jointly and severity to forfeit to the ⁴Govemor of Maharashtra⁴ the sum of Rupees ........

Place:

Dated this day of 19 ・

In the presence of—

(Signatures of the Sureties)]

Here specific '(the) purpose fbr which rectified spirit is required.
Ins. by GN. of 18-3-1953.
Deleted by G.N. of 4-11-1968.
Deleted by G.N. of 11-7-1961.
Subs. by GN. of 25-7-1963.