CHENNAI METROPOLITAN WATER SUPPLY AND SEWERAGE BOARD RECONCILIATION OF TAX AND WATER CHARGE RECORD AREA 1.Division No. 3.New Assessment Name and Address 4.Name Change 5.Address Change (furnish correct address) 6.Annual Value Change 7.Adjustment of Payment Details Half-year From to 8. New Connection: Name and Address 9. Category Change Annual Value Rs. New Name Order No. & Date Old A.V.Rs. New A.V.Rs. Effective Year Rule 3 A Notice No. & Date Payment made in (H.O./A.O./D.O./ BANK) FLA RATE Category (Specify nature of Occupation) TAX Effective Half-year Challan Number & Date SL.NO. 2.MMC No. Corporation Order No /Date Amount Rs. Date of Connection Present Category Proposed Category From Half-yearly Period To Half-yearly period 10.Payment Half Year From To Payment made in (H.O./ A.O./D.O./BANK) Challan Number Date Amount Rs. Signature of Assessee/Consumer ACKNOWLEDGEMENT Received the Details for Updating Water Tax and Water Charge record. Confirmation will be sent within 20 days. ASSISTANT/DEPOT MANAGER. (Name in capital letters)