FORM L Page 1of 1 PRESS CTRL-P TO PRINT BACK FORM L.T. X (See sub-rule(1) of rule 19 of the Himachal Pradesh Tax on Luxuries (in Hotels and Lodging Houses) Rules, 1979) APPLICATION FOR NON-TAXABILITY To The Deputy Excise and Taxation Commissioner, ................ I, ..... The proprietor of the hotel known as ......... situated at ....... do hereby apply for grant of a certificate of non-taxability under the Himachal Pradesh Tax on Luxuries (in Hotels and Lodging Houses) Act, 1979, in respect of the aforesaid hotel. The following documents are sent herewith for the purpose of verification and examination of my claim for non-taxability: 1. 2. 3. A fee of rupees ten only has been credited into Government Treasury/ Sub-Treasury/State Bank of India, dated ........ (copy enclosed). The charges for residence in respect of the rooms provided in the hotel are as follows: Place: Signature of Proprietor. Date : http://hptax.nic.in/ltf5.htm 4/11/08
