FORM no. 30

[See Chapter XIII, paragraph 287]

Monthly statement of demands, realizations and arrears of rents Month–––––, 19 .

Serial number

Name of building

Name and designation of the occupant

Emoluments of the occupant.

Monthly rate of rent

Arrears from last month.

Assessment for the month.

Total amount to be realized.

Realized during the month

Name of Treasury in which credited.

Balance

Remarks. (Explanation of non-recovery, etc.).

Standard rent.

Rent actually fixed.

1

2

3

4

5

6

7

8

9

10

11

12

                       

Certified that the total amount shown in column 9 above has been duly recovered and credited in the account.

Certified also that the rent entered in column 5, rent actually fixed, has in the case of "optional occupants" been assessed at the rate prevailing in the locality for similar private accommodation.

NOTES—(1) In the case of optional occupants other than those who have elected to occupy a residence on the condition that their rent liability will be limited to 10 per cent of emoluments the word optional should be noted in column 3 and the rent assessed at the rates prevailing in the locality for similar private accommodation should be noted in column 5.

(2) Column 4 need only be filled in if the emoluments affect the assessment in column 7.