	Application No.

BRUHAT BENGALURU MAHANAGARA PALIKE SELF ASSESSMENT OF PROPERTY TAX FORM /RETURN PART-I (General Information)

Year of Assessment

SAS BASE APPLICATION NO:

Name of the Owner Shri/ Smt (If jointly held, mention any one name)

Occupation: Service/Business/House Wife/Other:

Age:

Working/Retired

Tel(Res) *		Tel(Off) *		Mobile
E-mail *

4
	Address of Property :
	a. Property No	b. Name of the Road / Cross
	c. Stage/ Phase/ Block No:
	d. Locality: Village
	e. Ward No.	Name of the Ward
	f. Bangalore City - Pin code
	g. Postal Address for Correspondence
	BESCOM RR No * :	BWSSB RR No * :	AADHAR CARD * :

5a	Zonal Classification Residential (See below)**
		(i) Zonal Classification of the property as per SAS 2008
		(ii) Zonal Classification of the property under 2016-17
		(iii) Cap on Zone applied if any.
5b	Zone classification Non-residential ( See below)**
		(i) Zonal classification of the property as per SAS 2008
		(ii) Zonal classification of the property under 2016-17
		(iii) Cap on Zone applied if any.

a) Details of the Residential use (Please tick the correct Box)

Vacant Site

Vacant Site
With Storage

RCC / Madras Terrace

Tiled / Sheet

Apt. complex

Hutments

Red oxide or Cement flooring

Other Flooring

b. Site Dimension (in Sft):

c. Built Up Area (in Sft):

d) Number of floors and plinth area in respect of single owner/occupier

e. Excess vacant land (in Sft) (if it is 3 times the plinth area of the building)

Number of Floors

Plinth area in sft:

f. Use of Property

Residential

Non-Residential

Both

*Not mandatory

** Please note that if any street is not found in the zonal classification list then as provided in Rule 3 (i) you will have to calculate on the highest rates applicable to nearest neighboring /street/area/locality.

Please use these columns to fill up for telecommunication towers and Hoarding/billboard/electronic display	Number erected	Zone in respect of Hoarding
Telecommunication towers erected
Hoarding erected
Please give number of surface parking details
Two Wheelers: Four Wheelers:

For sub-category and Group mentioned in this table (7) please see the category and subcategory details in Notification No. Commr. BBMP - DC(Rev)/5675/15-16,Bangalore dated 09-03-2016 Table I for Residential Use and Table II for Non Residential Use

8) Please give details of the previous assessment of the property:
Residential			Non-residential
Tenanted in sft	Self occupied in sft	Total (a+b) (in sft)	Tenanted in sq. ft	Self occupied in sft	Total built up area in sft (d+e)
(a)	(b)	( c)	(d)	(e)	(f)

Usage	Property tax paid for the previous year (2015-2016)	Cess paid Rs.	Total tax paid (c) + (d)	Receipt Challan / Cheque No	Dues if any Rs..
(a)	(b)	(c)	(d)	(e)	(f)
Res*
NR**
* Residential use ** Non-residential use

9) Details of appeal preferred, if any
Property tax originally assessed		Property tax on revision		Date of revision
Property tax	Rs.	Property tax	Rs.
Cess	Rs.	Cess	Rs.
Total Tax	Rs.	Total Tax	Rs.
Name of the authority with whom appeal is pending
Date of filing the appeal	Case No.

Note: Wherever the reference is made to the category of property it shall refer to the categories notified by Commissioner, Bruhat Bangalore Mahanagara Palike under sub-section (2) of Section 108A of KMC Act 1976

* If the flooring is completely of cement or red oxide then strike “other” and calculate at the rates prescribed in category II. If the flooring i.e even a small portion is other than cement or red oxide then calculate at the rates prescribed under category I.

**UAV “Unit Area Value” per month x10 months= Gross Annual Unit Area Value

Please note: If your premise is only residential usage you need to fill only minimum details. Please see note below

Note: I (a) If there is excess vacant land please fill up column 12.
(b) If telecommunication towers and or hoarding are erected on your property then fill up column 15 and or 16 as the case maybe.
(c) Add the sub-total in column 14 and then compute the tax in the computation table in the columns mentioned after column 16.

Note II If your premises is purely residential and does not have either (a) or (b) as mentioned in Note (I) above, then put a neat cross mark from column 11 to 13 and 15 to 16 . In column 14 enter the sub-total of column 10 (xi). Then compute the tax in the computation table in the columns mentioned after column 16.

I/we certify that the particulars furnished in this form have been duly filled up by me/us and the details furnished are true and correct to the best of my/our knowledge. I/we understand that for false declarations there will be penal actions. I/we am also aware that if the cheque is dishonored action as per Negotiable Instruments Act will be taken against me/us.

Further I am aware, this payment is accepted subject to verification of accounts. If payment instrument is dishonored action as per Negotiable Instruments Act will be initiated. Further this payment is accepted subject to verification of the property by the BBMP. If the above declaration made under SAS is found to be false action as per KMC Act will be initiated. If the tax-reassessed is more than 5 % then the tax remitted under self-declaration, the evaded tax shall be payable together with a penalty not less than twice the tax payable along with interest for the difference amount payable calculated @ 24% p.a.

Terms and conditions : This computation of property tax caping the increase to 20%-25% is subject to verfication of property and verification of previous property tax returns filed.The tax payer is liable to pay the balance property tax as per rules in all cases of discrepancies.

		Signature of the Property owner or person liable to pay property tax Name in block letters: