FORM VIII (Rule 18) (The Goa, Daman and Diu Motor Vehicles (Taxation of Passengers and Goods) Rules, 1975) APPLICATION FOR COMPOSITION OF THE TAX To, The Tax Officer, Government of Goa. Sir, I/We the undersigned, hereby apply for permission to compound the tax payable under the Goa, Daman and Diu Motor Vehicles (Taxation on Passengers and Goods) Act, 1974 by paying in lieu thereof a fixed sum. (Strike out whichever is not applicable) 1. Name of the permit holder ......................... 2. Address of the permit holder ......................... 3. Number of permit ........................... 4. Registration number of vehicles covered by the permit including spare vehicles .... .................................... 5. Seating capacity of each vehicle ...................... 6. Number of standing passengers permitted ................... 7. Route or routes for which permit is held .................. 8. Daily mileage permitted to be operated by each vehicle ............ 9. Date of expiry of the permit ....................... 10. Period for which permission of composition is required ............ 11. Rate at which permission for composition is sought for : (a) at the rate of Rs. 1.50 per seat per year per km. of the total daily kms. or ...... (b) at Rs. 24.00 per seat per month ..................... (c) at Rs. 38.00/60.00 per month for public carrier .............. 12. Approximate probable gross receipt from fare and/or freight, per day......... 13. Actual receipt from fare and/or freight during each of the preceding three months, if any ................................... 14. Amount paid by the operator in lieu of tax .................. Name of Treasury Challan No. Date of payment 15. Special ground in support of the applicant ................. I/We declare that the above statements are true and complete to the best of my/our knowledge and belief I/We agree to, and shall abide by, such conditions as may be laid down by the Government. Signature or L. H. Thumb impression of the permit holder Place: Date: ....................................... ACKNOLEDGEMENT Received on the ....... an application in Form IX from ........... holding Registration Certificate No. ......... Receiving Officer Office Seal Price : Rs. 10.00 Note:Please pay the cost of this form to the concerned RTO Printed from www.gatransport.com
