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P Bruhat Bangalore Mahanagara Palike

t Sv / Suvarna Khata
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s / MAzUrPU Cf /
Application for Khata Registration/Transfer/Bifurcation/Amalgamation

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P,
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No.

1976 PlP Pg PzAi 114 jZ zz Pg F PPA

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Uu/ sd/MAzUrPUV w/ _________________________________________________JA / F
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We Smt./Sri ________________________________________________________________ here by give notice of
transfer of property / registration / bifurcation / amalgamation Under Sec 114 of the KMC Act 1976.
1)
2)

Z vz AP Date of Notice
Ug
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FU v
Aiig
j
zR iqVz
In whos Name is the khatha currently registered in BBMP
records.

3)

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U Sv Uu iq PVz
In whos Name is the khatha to be transferred

4)

.C./P.U./Evg Pj AU

Az AaP irg
Dzz AS
Allotment no. in case the property is allotted by
BDA/KHB/other Government authority

5)

PAiv / vfv w
g
Details of sale deed/title of ancestral property

6)

w
zz g v AS
Location of property with No.

7)

q AS v g

(i) BDA / .r.J

(ii) KHB / P.U.A.

Cqg

/ Rg
Cross/Main Road,

(iii) B.D.A approved Layouts /

Wl/Av/qu
Stage/Phase/Extn.
AUg / Bangalore
8)

Please tick the relevant box

9)

Ward No./Name

CfzggU CAZ / Applicants Postal Address

...

.C..Cv qu
(iv) Revenue Pockets/ g qu
(v) Gramathana / Uou
S
10) v v S

Cx Plq
Vacant
State whether the site is vacant
or built
11)

12)

Phone No.

Ml S z
t (Z.CrU
)
Total area of the vacant site (in sq.ft)

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Plq
built

Ml Plqz t
Total built up area (in sq.ft)

Svzgg / D ijzg

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qz

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Purchaser / Transferee Signature

Signature of the Existing Khatadar / Person who

sold the property

--------------------------------------------------------------------------------------------------------------------------------------------------For Office Use only / Pb jAi GAiUPV iv

Cf Pjz AP / Date of receipt of application form

vuU
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r
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AP/Date

wAU/Month

AP/Date

wAU/Month

/Year

..

/Year
...

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As per sec 114 of KMC act 1976 Whenever a transfer of property is effect, the transferor & transferee shall
within 3 months after said transfer is effected intimate the Commissioner, of such transfer in the prescribed from duly
signed by both the transferor & transferee.
However, in respect of allotment of site/house made by the BDA and KHB, or by any other State Government authorities
need not obtain the signature of the transferor in the prescribed application form

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Legal Declaration
I hereby declare that the information furnished in the application are true and correct and to the best of my knowledge, belief and
faith.
I further declare that the property for which I am applying for registration / transfer / bifurcation / amalgamation/modification of
Khata is not a public property.
I understand and have no objection to the revoking of my Khata in case any discrepancy / dispute/false information in any
documentation provided by me or stated in the application form.
As an affirmation of the above statements I affix my signature hereunder.

Cfzgg g
/ Name of the applicant
AP / Date

/ Place

/ Signature

v w AAzs vjUU t PP A q r.r.U SAvg PjVz.

Received through DDs related to taxes of above properties.
1) D vjU w / Property Tax r.r. AS / D.D.No
AP / Date..
g / Rs .
AP / Bank...
2) l Z / Improvement Carges. ...r.r. AS / D.D.No.
AP / Date..
g / Rs .
AP / Bank...
3) Sv Uu /Khata Transfer Charges... r.r. AS / D.D.No.
AP / Date..
g / Rs .
AP / Bank...