FORM I-A
Form I-A 1st foil
Name of Entertainment
Book No. Sl. No. of tickets
Class ………………………
Admission price ..………….
Amusement tax ..…………..
Total ………………………
Date seal …………………..
Time seal ………………….
Proprietor/Manager
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Form I-A 2nd foil
Name of Entertainment
Book No. Sl. No. of tickets
Amusement Tax Stamp
Class ………………………
Admission price ..………….
Amusement tax ..…………..
Total ………………………
Date seal …………………..
Time seal ………………….
Proprietor/Manager
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Form I-A 3rd foil
Name of Entertainment
Book No. Sl. No. of tickets
Class ………………………
Admission price ..………….
Amusement tax ..…………..
Total ………………………
Date seal …………………..
Time seal ………………….
Proprietor/Manager
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FORM -IB
Daily Sale Report
Name of Cinema/or other entertainment : ………………………………………………… Date of Sale : …………………………………………………
Show & Time
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Class Commencing No.
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Closing No.
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Ticket Sold
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Remarks
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1st Show
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Reserve
1st Class
2nd Class
3rd Class
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2nd Show
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Reserve
1st Class
2nd Class
3rd Class
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3rd Show
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Reserve
1st Class
2nd Class
3rd Class
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Daily Total
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DAILY TOTAL
Class
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Ticket Sold
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Price
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Tax
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Reserve ………………………
1st Class ……………………...
2nd Class ……………………..
3rd Class ……………………...
Etc. …………………………..
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Certified correct. Total Rs. …………… Total Rs. ……………….
Proprietor/Manager
Cinema Goers:
Please:-
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Accept only the whole ticket at the counter.
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Check the Tax Stamp, and time of the show.
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Demand your half of the ticket at the entrance and retain it.
Proprietor
FORM ID
Register of books of tickets
[See Rule 2(4)]
Name of Cinema or other Entertainments
Date
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Opening Balance
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Receipts
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Total No. of books of stock
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Issue for use
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Closing Balance
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Class
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Serial No. of books
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Serial No of ticket
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From to
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Class
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Serial No. of books
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Serial No of ticket
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From to
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Class
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Serial No. of books
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Serial No of ticket
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From to
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Class
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Serial No. of books
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Serial No of ticket
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From to
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Proprietor
FORM IE
See Section No. 3(5)
Form IE 1st foil
Name of Entertainment
Book No. Sl. No. of tickets
Class ………………………
Admission price ..………….
Amusement tax ..…………..
Total ………………………
Date seal …………………..
Time seal ………………….
Free/Complimentary passes/Tickets
Proprietor/Manager
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Form IE 2nd foil
Name of Entertainment
Book No. Sl. No. of tickets
Tax Stamp
Class ………………………
Admission price ..………….
Amusement tax ..…………..
Total ………………………
Date seal …………………..
Time seal ………………….
Free/Complimentary passes/Tickets
Proprietor/Manager
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Form IE 3rd foil
Name of Entertainment
Book No. Sl. No. of tickets
Class ………………………
Admission price ..………….
Amusement tax ..…………..
Total ………………………
Date seal …………………..
Time seal ………………….
Free/Complimentary passes/Tickets
Proprietor/Manager
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FORM II-I
Theatre
Cinema
Statement of Tickets sold
………………….. Performance Date: …………………..
Signed ……………………… Total :……………………………
FORM III
Return of persons admitted mechanical contrivance
Name & Place of the entertainment:-………………………………………………………...
Date of Performance:-…………………………………………………………………………
Price of admission
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No. of persons admitted
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Gross receipts
Rs. A. P.
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Amount of tax collected
Rs. A. P.
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Remarks
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1
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2
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3
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4
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5
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Dated, ……………………… Signature……………………..
FORM IV
Return of Complimentary tickets
Name & Place of the entertainment:-………………………………………………………...
Date of Performance:-…………………………………………………………………………
Rates of tickets of each class issued
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Number of tickets issued at each rate
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Remarks
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Ordinary
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Season
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1
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2
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3
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4
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FORM V
Form of Certificate prescribed under rule 20 of the
Manipur Amusement and Betting Tax Rules, 1953
This is to certify that the Taxation Officer authorizes the entertainment specified below to the given free of entertainment tax provided that it is of the type referred to in any of the clauses of section 8 of the Act.
Description :-
Date :-
Place :-
This certificate is issued on the following conditions:-
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Conditions mentioned in any of the clauses of section 8 are fully satisfied.
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If the entertainment is of the type failing under clause (a) of section 3, the whole of the takings of the entertainment without any deduction for expenses, however small must be paid over to …………… and if the Taxation Officer so requires a full and true account of the whole of the takings, together with a written acknowledgement form the society, Institution of Fund specified above must be furnished to him by the persons responsible for the management and those persons will be liable for the payments of the proper tax if the Taxation Officer is not satisfied that the whole of the takings, without any deduction for expenses, have in fact been paid over to the society, Institution or Fund referred to
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This certificate must not be used for any other entertainment than that specified above, and it must be exhibited in a prominent position at the public entrance to the place of the entertainment at the time of public are admitted and during the entertainment no correction or erasure of any kind must be made in the certificate.
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If the Entertainment is not given on the date or at the place specified above, the persons responsible for the management of the Entertainment must give notice in writing to that effect within one week after the date fixed for holding it.
The…………….,20………
Office Seal Taxation Officer
……………District.
Note:- Failure to comply with any of the conditions set out in this certificate involve liability to penalty of Rs.500/-
FORM VI
Return of Cinematograph Exhibition
See rule 14(2)
Name of Cinema House : …………………………………………………………
Month : …………………………………………………………
Date
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Number of Shows
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1
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2
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3
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4
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5
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6
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7
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8
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9
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10
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11
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12
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13
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14
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15
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16
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17
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18
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19
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20
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21
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22
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23
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24
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25
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26
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27
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28
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29
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30
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31
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Total:-
Tax payable at Rs. 5/- per show Rs. ………………………………………….
Paid, vide Treasury Challan No. ……………………………………………..
Proprietor/Manager
FORM VII
BOOKMAKERS’ ACCOUNT OF BETS
Name of Horse
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Name of Horse
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a
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b
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c
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d
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e
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a
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b
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c
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d
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e
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WIN
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PLACE
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Amount paid out on Win Rs. ………………
Amount paid out on 1st Place Rs. ………….
Amount paid out on 1st Place Rs. ………….
Amount paid out on 1st Place Rs. ………….
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is the running total of (b) & (c)
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is the amount staked by the licensed bookmaker.
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is the amount staked by the backer.
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is the running total of (c).
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is name of the backer or ticket number.
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Total Rs…………….
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Amount of tax at 7 percent Rs……………
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The difference between the total of (a) and of (d) is the net amount paid out by the licensed bookmaker.
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FORM VIII
RETURN OF BETTING TRANCACTIONS
…………………. Races ………………………. Day …………………., 20………………..
No of Race
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Amount paid or due to be paid to backer
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Total
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Winner ………………………...
First place …………………......
Second place …………………..
Third place ……………………
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Rs.
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Rs.
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-
Winner ………………………...
First place …………………......
Second place …………………..
Third place ……………………
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Rs.
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Rs.
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-
Winner ………………………...
First place …………………......
Second place …………………..
Third place ……………………
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Rs.
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Rs.
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-
Winner ………………………...
First place …………………......
Second place …………………..
Third place ……………………
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Rs.
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Rs.
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-
Winner ………………………...
First place …………………......
Second place …………………..
Third place ……………………
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Rs.
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Rs.
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-
Winner ………………………...
First place …………………......
Second place …………………..
Third place ……………………
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Rs.
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Rs.
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………………… Races
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Grand Total ……………
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