Date Number of stamps Purchased Number of stamps issued for affixture to tickets Balance on hand Remarks
(1) (2) (3) (4) (5)
Seating Capasity of each classes Priceof admission Serial number of tickets issued (from numbers to numbers ) Number of ticket sold Number of Free pass issuied Amount received on account of ticket sold Amount of Entertainment Tax Remarks
(1) (2) (3) (4) (5) (6) (7) (8)
Rs. Ps. Rs. Ps.
Application to the.................................................................... for permission to pay the entertainments tax on the basis of returns under Section 5 of the Kerala Local Authorities Entertainments Tax Act, 1961.
Applicant's (Proprietor's) name.
Kind of entertainments.
Place where they will be held.
How often in a week and on what days.
Price of admission.
Sir, I beg to apply for grant of permission to pay the entertainments tax on the basis of returns under Section 5 of the Kerala Local Authorities Entertainments Tax Act, 1961.
I agree to furnish the security demanded for the payment of the entertainments tax due from me and to furnish true returns of payments for admission to the entertainments under each class of ticket value in such form and at such time as may be stipulated.
I agree to pay the taxes due in respect of each entertainment along with the returns before the next entertainment commences and shall pay any excess found due within seven days after it is demanded.
I agree to and shall abide by all the conditions of the permit.