FORM V Application No :1601349038

[(See Rule 8 (a)]

BRUHAT BENGALURU MAHANAGARA PALIKE

SELF ASSESSMENT OF PROPERTY TAX FORM /RETURN
FORM FOR THE SECOND AND SEBSEQUENT YEAR IN THE BLOCK PERIOD IN RESPECT OF TAXPAYERS WHO HAVE FILED RETURNS IN
THE PREVIOUS YEAR IN FORM I(PROPERTY WITH PID NUMBER) OR FORM II(PROPERTY WITHOUT PID NUMBER BUT HAVE KATHA
NUMBER) OR FORM III(PROPERTY THAT HAVE NO PID OR KATHA BUT HAVE A REVENUE SURVEY NUMBER) WHERE THERE IS CHANGE
EITHER IN THE EXTENT OF BUILT UP AREA, USAGE (RESIDENTIAL TO NON RESIDENTIAL OR VICE VERSA) OR ITS OCCUPANCY (OWNER
OCCUPIED TO TENANTED OR VICE VERSA), OR CHANGE IN CATEGORY FROM THE DECLARATION FILED IN THE PREVIOUS YEAR.

PART-I (General Information)

1) Year of Assessment 2018-2019 12

SAS Base Application No: 2730437
File No : Approval Date
Property Type :
2) Name of the owner Sri/Smt
(If jointly held, mention any JAMMAYA W/O THIMMMEGOWDA
one name)
3) Occupation: Age : 60 Working/Retired*
Tel(O) 0 Mob* 9448879046
E-mail: 0
4) Address of Property.
a) Property No: 235/405 BROGE FIELD MAIN ROAD
b) Name of the Road/Cross Hoodi Main Road
c) Stage/Phase/Block No: OPP KAMATHA YATHARO NIVAS HOTAL
d) Locality:Village: HOODI
e) Ward No.(Old) 901 Name of the Ward(Old) MAHADEVAPURA
f) Ward No.(New) 82 Name of the Ward(New) Garudacharpalya
235/405 Hoodi Main Road, OPP KAMATHA YATHARO NIVAS
g) Postal Address for Correspondence HOTAL, HOODI, Pin code - 560048
h) Bangalore City - Pin Code No: 560048
i) BESCOM RR.No: BWSSB RR.No:
5) a) Zonal A B C D E F
Classification
(i) Zonal Classification of the property as per SAS
Residential
2008 ‫ݱ‬
(ii) Zonal Classification of the property under 2016-17 ‫ݱ‬
(iii) Zone after application of Cab if any ‫ݱ‬
b) Zonal (i) Zonal classification of the property as per SAS
Classification Non- 2008
Residential (ii) Zonal classification of the property under 2016-17
(iii) Zone after application of Cab if any

a) Details of the Vacant Site

6) Residential use Vacant Site With Storage Rcc/Madras Terrace Tiled /Sheet Apt.Complex
Red oxide or
Cement flooring Other Flooring
‫ݱ‬

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 b) Site dimension in Square feet (Sft) : 1225.00 c) Built up area: (in Sft) : 0.00
e) Excess vacant land if it is
d) Number of floors and plinth area in respect of single more than 3 times the plinth area
owner/occupier of building in sft 0
Plinth area in
No.of floors : 0 sft: 6317.00
f) Use of
Residential Non-Residential Both Others
property
‫ݱ‬
* 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 neighbouring / street / area / locality.
7) a) Built Up area in Sft. (Please mention the year of construction if the buiding is constructed at different
periods.)
Usage Sub category Year of
(Category)(I to w.r.t Category IX Sub Group w.r.t constructi Extent of built up area (in Extent of car parking area
XVII) , X , XII , XVI Category IX , X on sft) (in sft)
Self Self
Tenanted Occupied Tenanted Occupied
XIII - Excess
Vacant and
Vacant Land not
built upon 0 0 0 0 1225 0 0
Total extent of built up area
in sft 0 1225 0 0
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 0
less than 150 sqft : 0
Hoarding erected 0 more/equal to 150 sqft : 0
Please give number of surface parking details
Two Wheelers: 0 Four Wheelers: 0
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 sft Self occupied in sft Total (d+e) in sft
(a) (b) (c) (d) (e) (f)
0 0 0 0 1225 1225

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

*Resident use ** Non-Resident-use

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9) Details of appeal preferred, if any
Property tax originally assessed Property tax on revision Date Of revision
Propert tax Rs. Rs.
Cess Rs. Rs.
Total Tax Rs. Rs.
Name of the authority with whom appeal is pending
Date of the filling 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

PART II ASSESSMENT OF RESIDENTIAL PROPERTIES

10) Assessment for expected returns from Residential Property at prescribed rates:
Self Occupied (RCC/Madras terrace) wholly cement or red-oxide flooring/other flooring sft
i) @ Rs Per sft per month = UAV** x 10 months Rs.
ii) Self Occupied (tiled/sheet) sft @ Rs. Per sft per month = UAV** x 10 months Rs.
Tenanted portion (RCC / Madras terrace) wholly cement or red-oxide flooring /other
iii) flooring sft @ Rs. Per sft per month = UAV** x 10 months Rs.
iv) Tenanted Portion (Tiled/sheet) sft @ Rs. Per sft per month = UAV** x 10 months Rs.
v) Calculate Covered/Stilt Car park area @ 50% of the applicable rates : Rs.
(a) Self Occupied sf t@ Rs. Per sft per month = UAV** x 10 months Rs.
(b) Tenanted portion sft @ Rs. Per sft per month = UAV** x 10 months Rs.
vi) Gross Annual Unit Area Value = (i) + (ii) +(iii)+(iv)+(v)(a)(b) Rs.
LESS: Depreciation % as per Schedule ( if additions are made to the property calculate the
vii) depreciation rate separately as applicable for the year when additions were made) Rs.
viii) (a) Net Taxable Annual Value (TAV) (i.e. vi-vii) Rs.
(b) Property tax @ 20% of viii(a) Rs.
ix) Sub-total Property tax for residential properties: Rs.
* If the flooring is completely of cement or red oxide ,the calculations are at the rates prescribed in Category II.
If the flooring i.e even a small portion is other than cement or red oxide then calculations are at the rates prescribed
category I.
**UAV ³Unit Area Value´per month x10 months= Gross Annual Unit Area Value

PART III ASSESSMENT OF NON RESIDENTIAL PROPERTIES

11) I) Assessment of Non-Residential Properties for Category V, VI, IX (ii,iii,iv), XVII
i) Self Occupied sft @ Rs. per sq.ft per month = UAV X 10 months Rs.
ii) Tenanted portion sft @ Rs. per sq.ft per month = UAV X 10 months Rs.
iii) Calculate Covered/Stilt Car park area @ 50% of the applicable rates : Rs.
iv) (a) Self Occupied sft @ Rs. Per sft per month = UAV** x 10 months Rs.
(b) Tenanted portion sft @ Rs. Per sft per month = UAV** x 10 months Rs.
v) Total of iv (a),(b) Rs.
vi) Gross Annual Unit Area Value = (i) + (ii) +(v) Rs.

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 LESS: Depreciation % as per Schedule I (If additions are made to the property calculate
vii) the depreciation rate separately as applicable for the year when additions were made) Rs.
(a) Net Taxable Annual Value (TAV) (i.e. vi-vii) Rs.
(b) Property tax @ 25% of vii (a) Rs.
Surface parking if charged for: (c) Add lump sum tax for 2 wheelers Rs. 125.00 x Nos. Rs.
(d) Add lump sum tax for other vehicles Rs. 375.00 x Nos. Rs.
(e) Add lump sum tax for Touring/semi-permanent theater Rs. 0.00
(f) Property Tax for Non - Residential use vii (b) + (c) + (d) + (e) Rs.
II) Assessment of Non-Residential Properties for Category VII , VIII, IX (i),X , XI , XII , XVII

i) Total Self Occupied area for non-residential(excluding parking area)= sft

(a) 75 percent of (i) at full rate = ,sft @ Rs. per sft per month = UAV x 10 months Rs.
(b) 25 percent of (i) at half rate= ,sft @ Rs. per sft per month= UAV x 10 month Rs.
ii) Total Tenanted area for non-residential (excluding parking area) = sft
(c) 75 percent of (ii) at full rate = ,sft @ Rs. per sft per month = UAV x 10 months Rs.
(d) 25 percent of (ii) at half rate= ,sft @ Rs. per sft per month= UAV x 10 month Rs.
iii) Calculate Covered/Split Car park area @ 50% of the applicable rates:
(e) Self Occupied sft @ Rs. Per sft per month = UAV** x 10 months Rs.
(f) Tenanted portion sft @ Rs. Per sft per month = UAV** x 10 months Rs.
iv) Total UAV i.e. (a) + (b) + (c) + (d) + (e) + (f) Rs.
Less Deprecciation % as per schedule 1 (If additions are made to the property calculate
v) the deprecciation rate separately as applicable for the year when additions were made) Rs.
vi) Net Taxable Annual Value=(iv-v) Rs.
vii) Property tax at 25 percent of (vi) Rs.
viii) Surface parking if charged for: (a) Add lump sum tax for 2 wheelers Rs. 125.00 x Nos. Rs.
ix) Surface parking if charged for: (b) Add lump sum tax for other vehicles Rs. 375.00 x Nos. Rs.
x) Total property tax for Non-Residential use (vii) (viii) (ix) Rs.

12) Assessment of Excess Vacant Land at prescribed rates.

Total extent of land in excess of 3 times the plinth area of building= sft @ rate of x 10
i) months =TAV Rs.
(a) Property tax @ 20% of TAV for residential use or 25% of TAV the for non-residential
use Rs.

13) Assessment of Vacant Land at prescribed rates.

i) Total site measurement = 1225 sft x rate of 0.3 per month x 10 months =TAV Rs. 3675.00
(a) Property tax @ 20% of TAV for residential use or 25% of TAV the for non-residential us Rs. 735

14) Add Sub-total of property from Residential, Non-Residential, Excess Vacant land ,Vacant land namely

Total Property tax payable Rs. 735

15) Tax on telecommunication tower erected on properties irrespective of location and usage
Telecommunication Rate Per Telecommunication tower No of towers Annual composite tax payable
Tower
Rs. 15,000.00 0 0

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16) Tax on billboards/hoarding including electronic/digital display board erected irrespective usage.
Zonal classification as per advertisement byelaw
Hoarding Zonal Classification Number Rate per Annual composite tax
erected hoarding in Rs. payable in Rs.
(a) In B Zone less than 150 sft 0 0 15000.00 0
(b) In B Zone more than 150 sft 0 0 18750.00 0
(c) In other Zone less than 150 sft 0 0 8750.00 0
(d) In other Zones more than 150
sft 0 0 12500.00 0
(e) Total Rs. 0

Computation of total tax payable

0) Tax on Residential, Non-Residential, Excess vacant land, Vacant land Rs. 735.00

1) Tax On Telecommunication Towers Rs. 0.00

2) (e) Tax on Billboard/hoarding Rs. 0.00

3) Rebate @ 5 percent of ( for early payment if paid in full within the prescribed time Rs. 0.00

4) Net property Tax payable ( ± Rs. 729.12

5) deduct property tax for the current year if paid in advance (enclose copy of receipt) Rs. 0.00

6) net tax payable after deduction (if in excess, amount to be adjused for the next year) Rs. 0.00

7) Add Penalty of Rs.100.00 if return is not filed within prescribed period Rs. 0.00

8) Add interest @ 2% per month on ( if paid after due date for payment Rs. 14.58

9) SWM (Solid Waste Management) Cess Rs. 0.00

10) Net tax payable Rs. 744.00

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, this payment is accepted subject to verification of accounts. If payment instrument is dishonored action as
per Negotiable Instruments Act will 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.

Place : Bengaluru Signature of the Property owner or person liable to pay property tax
Date : 08/07/2018 Name in block letters:

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