Appendix B

APPLICATION FOR ISSUE OF ELIGIBILITY CERTIFICATE FOR

EXEMPTION OF ASSAM MUNICIPAL PROPERTY TAX FOR THE (FY) 2023-24

To,
The Director, Directorate of Sainik Welfare, Guwahati, Assam
(Through the Zila Sainik Welfare Officer,_______________________________)

Sir,

1. I, (Name) ______________________________________ Self/Wife of No. _________________

Rank _____________________Name ___________________________ do hereby request you
to issue the Eligibility Certificate for exemption of payment of Property Tax for our property as
mentioned below :-

House/Flat/Holding No. _____________________________ Ward No. ___________________

Name of Municipality _______________________________ P.S.________________________

District __________________________(Assam) Mob No. ______________________________

2. The payment of property tax has been exempted for Ex-Servicemen / Widows from payment of
property tax vide The Govt of Assam Gazette Notification No. UDD(M) 23742/54 dated 01 Nov,
2022 for amendment of Assam Municipal Act.

3. I am enclosing the following documents in my respect :-

(a) Copy of Ex-Serviceman/Widow Identity Card.
(b) Copy of last municipality Tax payment receipt.

4. I hereby certify that I / my husband was not retired / released from military service due to
dismissal or discharge on account of misconduct or inefficiency

5. The property mentioned above is occupied and used by me.

Yours faithfully,
Signature__________________________
Name _____________________________
Enclosures : As stated above.

REMARKS OF THE ZILA SAINIK WELFARE OFFICER

(a) No_____________ Rank _____________________ Name ___________________________

was not not retired / released from military service due to dismissal or discharge on account of
misconduct or inefficiency.
(b) The particulars of the applicant have been checked and found to be correct
(c) Any Other Remarks.

Office Seal Signature________________________

Date :_________________ ZSWO__________________________