2.

3.

4.

per annum and will be allowed for each completed mouth calculated from the 1st of the month following the date of issue until the let of the month in which the certificate accepted:

Provided that interest will not be allowed Certificate for more than thirty six months.

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This Certificate if not applied in payment of Tax may be lodged at the office of the Commissioner of Inland Revenue for repayment. In such case no interest will be paid and repayment of the principal only will be made.

Neither this Certificate nor the obligation created hereby in trans- ferable and the Commissioner of Inland Revenue will not, except as ordered by a Court of competent jurisdiction, be bound to re cognize any transfer, charge, deposit, trust or equity affecting the ownership of this Certificate or the moneya represented hereby.

The Certificate Holder, or his legal personal representatives, will be regarded as axclusively entitled to the benefit of this Certificate and the obligation created bereby.

The Commissioner may refuse any certificate tendered in payment of tax or he may refuse repayment to the holder of the principal value thereof if in his opinion the signature on such certificate does not correspond with that in the application.

11. FOR USE WHEN THE CERTIFICATE IS NOT TENDERED

IN PAYMENT OF TAX.

1,

named in this Certificate request that the sum of dollars being the whole of the principal sum be repaid to me.

Signature

being the holder

Akala k

FOR OFFICIAL USE ONLY.

Signature of holder checked by

Date of ELLO

Date Redegmod Number of Intervening

Months

Amount of Laturel

મામા ના

Commissioner of Inland Revenue.

INLAND REVENUE DEPARTMENT,

Nate: Please study the fretraction on the revoma and All In the necessary particular

BEFORE surrendering this Gerillanta for payment of tax or reliaburistent.

PT.O.

INSTRUCTIONS.

Delete Paragraph 1 or II according to circumstances, complete the remaining paragraph and SIGN the form in the space provided below.

I. FOR USE WHEN THE CERTIFICATE IS TENDERED IN

PAYMENT OF *

TAX

I,

being the holder

Gross Principal & Interest $

Applied D/N

Refunded

oamed in this Certificate, request that the principal sum (or so much thereof as is required), together with any interest payable be applied in or towards payment of *

Tax which

is payable by me as shown on the accompanying documents of demand; and the balance (if any) to be refunded to ma.

Shrof.

Accountant.

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