FORM - 7 (See rule 8) Revised Declaration under section 28 of the Goa Tax on Luxuries Act, 1988. I/ We, ............... of ............. carrying on the business known as ................. at ................. and *other place in the State of Goa at ............ and liable to pay the tax under the Goa Tax on Luxuries (Hotels and Lodging Houses) Act, 1988, do hereby declare *in supersession of my/ our previous declaration dated ...... that *I/ We/ myself/ ourselves am/ are the owner/ owners of the hotel in which the abovesaid business is being carried on by me/us. *The hotel in which the abovesaid business is being carries on by us is owned by the following person/ persons:- Sr. No. Full name/ names of the person/ persons who owns/ own the hotel Constitution of the owner (i.e. individual firm, body Corporate etc.) Full address of the owner Signature of the owner 1. 2. 3. I/ We do hereby declare that what is stated hereinabove is true to the best of my our knowledge and belief. Place......... Signature/s .... Dated....... Status ...... * Strike out if not applicable.
