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#& FORM RIA(N) a 0 & # $f HZ REQUISITION FOR PARTICULARS OF TENEMENTS RAR 7 Rm Ea 0 ANNETTE} anes stein nr Pavers acer BR No. : 106979305-2597 TE aes Please pa tk (jn ho appropriate boxes), Derese fee. maz serinr « & -SEE/EEF THE omNER/occuPTER “opened aco arr Petar crew onerstiou| to soetiazbe Cliweuecememmaor- SeaeA te ‘hovers of te Retna resto fom need o ae Se ctonges = lee (Cates cer aemacinr - emimmeaeais oa BOR / mA MO , + CRAP EREE 3) ‘Tho parila ofthe Payer nosd 6 be changed a3 folows, ‘aczordane wih be muorraton promod. (Seo Note 3 ove) ERS | The updated intormasion 64 Name 5 EAE TELEPHONE ENQUIRY NUMBER 2182 0111 (24 1h ss — me ae BWM HO eH 1029 SE BD (24-hour General Enquiry Hetlin handled by 1823) AT HAMANN RA ME kw Re ee» LMS . A AR EREDAR D— TOGA DAA ORT BER AL AMES LAP TR : HGH COMBO) SMR CHE CAA ARV) ARO) OLA | HAH Ae He ALOE A MOE + aR RR EOUMER TEMS ae RSS ot ROMA M308: EAE 18 = RINT 3 BR (wo. evd gov.Nk LI BLED ME UETRMRABTRA OOREER TOMATO ARE RM ROMA MES ROAR AO ERR FEM OR ARATE HS MRL, 2 TS RE RR CRAIN) | For the purposes of assessing rateable values of properties, this Deparment issues requiston forms from tie ta time to oblan uptodate renal particulars and oiher related nfeematon. Te owner or the occupier or one of thelr reapecive agents of ths TENEMENT (s) referred to below must complete the fort rrespocti wether tne tenemen{s)is essed or not. H you ae not the aforesald persons, plese provide the Updated information inthe coum at he top ght corm In czacance with Seton 8 o te Rang Organceapfor Sesion 31 of te Goverment ent Assess! and Calton) Ordnance, you are gud io ‘comple tis form rotating tthe sale tenements) an atu By personal serie o by post Yo SI, Cheung Sha Wan Government Ofices, 263 cheung Sha Wan Road, Kowloon within a rm te dei of eve The required information may aso be submited by completing a Ferm eRTA vallble at this Department's website (wwt1va.gov.hk) or by scanning the OR Code shove you have any dificulles in complating and returning the form within the period species, you must apply to his Department in wring within 21 calendar days from the date of issue before we ean conser your appicatios fr an extension cfm Ifyou have’ any questone, You may wel our webste and browes “Comleton of fs Feauistion Pore for Pariculars of Tenements Form RA) under te-Frequenby Asked Questions” AUG: SMR ERM ewe ii Kevinky Siu Bate of sve ‘Commissioner of Rating and Valuation "EW RR ATES WAR (LOE A Across or dosepin of he TENEMENT fo wih his equiston rine z BAZ 42 TONKIN ST KL TONNING MANSION a Ci G/F SHOP C {&(8099% Assessment Number : 264-80465-0900-09 WRE@ASR Account Number : 264-80465-0900-0-26 "29H DECLARATION MARS AR / ROH SRB EARAA SAIC SMR We hereby deciare tha te nrmaton povided in form, 10 the best of my/our knowledge and bel re and compete ae exes/ 2m ‘ Sones ae Na Cine co a mean ap see eh waite LI cine een forces tn. Tt is ae cA [7] eM Area TElbroe No Et tro ccculer [_] egentiromnpr PORE AMRAE RE ALOT R/RNCRRRRE/ EM OMEMAREe - (RARER For roqulstion completed by agent: Ue hereby dodar hat wo have been aubrorised bythe canoioccuir to completa his raqulsiion. (See Not 2 overeat) {Fi 1 OCCUPATION PARTICULARS: 1 Ree eam BRE CORRELA LDR WaRR2EI ‘re TENEMENT'scurenty:| | wrawyit | spun spas asm - ‘Scie ty our Pos asad oonen)_| Please complete lens 218 ezmuy | Pease completo tome?! 15. —) age semen Ta + Party ot Vazant once to complete terest ream Ee ASRRH TSS SHEN BeRE Having a nogotan ofease | No needto complete the rest an a resn fom wil be sent you ate. 2 RWAREO REE Beaman Bae eae, HARES fekewenr : [_]ietidedledSrsons Sidon Cévtoss err rr errr ys ae []aze (es ivy ie Sharenda corny cout | J CBee wotsrop [8c C )ite ‘#8 #9 F tf TENANCY PARTICULARS + howe 1 REE ERERER? Fharanls Reteotor Ce EE coments ansne aamemn Bboy fiMonh RY Sesion onant five wth s A (fc LW a Lela ied No Yes From Lt L Ltt Hfadicrmned Sduomet ur an exis nancy = ee 1 roa 3 see am REAHCA 2 REURERAERER? Ran any pn lo pwd? a Bday fiMonh seer 6 Ae ® =f 8 Hum No Ree From Lo 1 fia AAIMMNO ER Hs ou ieenmoneme en = fee) a 5 & tree onc, prt, o soso anced can} BRIERE / ER PREBALOM 19, aT to Hw kT? {SStaateltend cic tanaora [_] fosre loon wit helandors | ister any promson for sary trina of taney? we Cet Desnae ris nee = eas 7 AEARARTNRMRME Rw? i ran oar scare tbr ach he TENEMENT? Yes, == men’ amination notes can be ervey * tte taniod th onet te a8 * RERERORSOOTARE PL Yes. including . eae mt wate ee me Fi aba) J Ban, on eet er eontes |e - [arco || Be Ly ; fn Foro : fh RE (800 Me A Mt) From L it ee eegeeeee Siten Bone oe eaoper ote) o PRODSRSEGONS (GHSTARRRAhGeD) |S ERMA ANT} ARR (GARR) SGRTROERE BEES re ORS AUR cal eae ecaion | BABE MTT MAES SM BERS EA scuny sack pita nent be say apart BuEAGS og smeranees pelnonn *paaby? "aby = teed ‘oat aemnmy mene - FoR endl kee ds RhCeeamenem 55 Hnot pax by please ave deta —ennwnnwnne_| Rater 00 Read 1 pronase ereun fan) S__ The dle nck cant rent Became payable SE 28 SHRM SB) /O2) Day Month seYeor (Grrboo fo mood f provide the amount) part) Sons eaRcem/as) 1 1 a Renived e catalan a 0 GSRERRROERMIN ER EWHAeTL ORB |o. +a Mamas mite Kinin es asian) s. |g the rent paid according to the tumover of business ? z a Pees Fea sncbma ca ioe yore cameetorie. (_] & 1% an AR (CRG «Mme Hin ORR OT RLS MH AC + REAMMP LLG LHERGORMERE/ RA ARM KER RT ARR MANX 2 RACMHRRHA MTS OKEAMRALEMELHLERAALS AMVADAMERSAHAM ACRNAMTLM LMR REM LERMS MME RL AUR ORR ces eI ERAT CMM). CREA HS) MOLY CHK CORE RM) GON) AVATAR: DLR Te wm BOGE CRM) ars i « © REMAGH: SET SREARAS TROLL RESALE LORMEHTEM LRH - (W) FESR CA RRL CLM) IROL)» is ABER Be ReaD A » FDL mA A RE PE | A 30058 RS MACHT & B15 ME + Se Be orquiros@vd gow 5 ORSON + SUK ac a LO Noves 1. Whee proved th aoe, please kat appepte. spaces cert oi you wish gata etn please ge dls. on separa set nd atch 2. The agent who completes the ruin on hal fhe oumerfoccupir fhe tanamentrefered tn the requiston musthave been so authorised. Such prot ofaunotsaon ‘may have tobe furshed ot lage {For altenion of payers using Aulopay arrangement: you make a change inthe Registro Payer’ name shown on te demand, tho previous Aulopay ‘nvaiate. Payment of aes andor Government rent wil henceforth Rave to Be made by another maths unl and ues @ new Auzopayauorcaen hi 4 Personal Information (0) The nforation povided by you wl be used or he purpose of carying cu the provisions ofthe Rating Ordnans, te Lanoré and Tenant (Consolation Ordnance and the Government Rent (Aesossmont and Colleen) Ordnance and may be owardad lo Le Commision of land Revenue orth assessment and clacton of {Sr mpored under the lana Revenue Oxsrance. ()_Apatteen the purpose sated above, perso infomation wl ate tancfrod teary ober parts, unlss such pars ao authorisd by aw ad oquos th vomaton, (i) Under tna Porseal Data (Privacy) Orénance. you have aight o request acooss ond correction of yout personal dala. Such requets may be mage wing athe ‘depanments Customer Service Ofcar at a, Cheung Sha Wan Government fees, 208 Cheng Sha Wen Road, Kowloon ory mailto enguses@rv. gov 5. Recep ofthis erm wile be ackrewiedged unless special requesoa. Rvp ror1Anis) (04/2022)

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