DESCRIPTION
- Name of the Applicant
- Address & Telephone No. (if any )
Details of property
- Name of the Village
- Name of the Street
- Old Survey No/Sub.Div.No, New survey No./ Sub divn. No. , Block No. , Ward No., T.S.No.
- Old Door No., New Door No, Plot No. , Flat No./ Flat Name
- (a) Extent of the site, Total Extent, Conveyed Extent, Undivided Share
(b) Built up area - Boundaries ( North )
( South )
( East )
( West )
7.Name of the declared owner and Father name
8. Period of search – No of years Period from To
In case of certified copy furnish the following particulars also
9. Name of the executant
10. Name of the claimant
11. Doc. No. Year Book & Vol. No. Page No.
Note 1:-As against column survey No. the Resurvey No. (R.S.No.) or the ground Survey No. (G.R.No.) shall be entered. Block and ward refers only Survey Block and Ward. In the case of properties affected in partition Deed details from Column 3 to 8 to be given separately. In the case of Town surveyed properties the corresponding previous O.S. No./G.R. No. shall also be furnished in the relevant column.
Note II: In the case of Copies of wills and Authorities to adopt, copies can be issued by only to the executant or in the case of death executant, to any person against the proof of the death of the executant.
Note III:-In the case of documents filed in Book IV such of powers of Attorney etc., the copies can be issued only to the person executing or claiming through the documents.
Date:
Signature:
Here the applicant may furnish the previously registered Doc.No. and the year .
ANNEXURE 1-4
MARKET VALUE OF PROPERTIES, BUILDING PARTICULARS OF BUILDINGS TO BE FURNISHED
Please denote by a tick ( ) mark the relevant item involved in the following :—
- Description of building
a) Construction of the structure Cement or line mortar ——–
Partly cement or lime ——–
Partly mud mortar ——–
b) Depth of foundation 3 – 4 feet Above 4 feet
c) Thickness of walls in ground floor
9” 1’ 1’.6”
d) Whether teak wood used throughout
Yes No
e) Flooring Mosaic Ordinary Marble
II. Age of the building
III. Extent of the site
Cost of the land Rs.
IV. Built up area ( each type of construction involved in each other )
NOTE :- Areas open to sky such as court-yards, etc. should be deducted from built up area, if any.
Floor | Madras terrace roof | RCC roof | Mangalore tile roof over flat tiles | Mangalore tile roof palin | Mangalore tile roof over ceiling tiles | Pantile roof over flat tiles | Pantile roof plain | A.C.C. sheet roof |
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 |
in ground floor | ||||||||
In first floor | ||||||||
In second floor | ||||||||
In third floor |
V. Area of separate car gate and of construction involved, if any.
VI. (a) Length compound wall, if any :
(b) Length of barded wire or link fence :
VII. Is there a separate latrine or chain septic tank
VIII. Well, if any, with diameter and depth
IX. Electrical installations
(a) No. of points :
(b) No. of fans :
(c) No. of electric motor pump sets
X. Annual rental value Rs. P.
XI. The executant’s estimate of the market value of the
Building and land Rs. P.
PLACE ————-
DATE ————
Signature of the executant—————–