ULHASNAGAR MUNICIPAL CORPORATION CITIZEN FACILITATION CENTRE SUBJECT: COMPLAINTS REGARDING PROPERTY TAX Token Number (For Office Use) Date:- / / Citizen Identification Number (If Citizen Identification Number is given, do not fill below Details) Applicant's Details: Last Name/ Surname Name Father/Husband's Name Details of Society (If Application from Society): Name Of Society: Designation Address: Head Information House/Building/Soc. Name: Flat/Block/Barrack No.: Wing/Floor: Road/Street/Lane: Area/Locality/Town/City: Taluka: Pin code: Wards Committee No.: 1 [ ] 2 [ ] 3 [ ] 4 [ ] Electrol Panel No.: Telephone No. (if any): Contact Person: Email Address (if any): Information of Property: Property Number (Computerized ) Classification: - (Tick [ ] whichever applicable) [ ] Property not assessed [ ] Unreasonable / Excess rates charged [ ] Area of property wrongly recorded [ ] Receipt not received after payment of tax [ ] Illegal transfer of Property [ ] Refund amount not received within the stipulated period [ ] Delay in issue of certificate [ ] Others Details of Complaint:- Applicant's Signature [Note:- Please attach necessary documents regarding Complaint.]
