ISEE RULE 61(1)]

NOTICE OF TERMINATION OF AN AGREEMENT OF

HIRE-PURCHASE LEASE/HYPOTHECATION

o be made in auplicate and in tnplicate where the original Registering Authority is different, tne d u p d e

copy with the endorsement of the Registering Authority to be returned to the Financier
opy and the trplicate
nd Registering Authority simultaneously on making the termination entry in the certificate of the registration
nd Form 24).

THE REGISTERING AUTHORITY

(DEORIA)
We hereby declare that the agreement of Hire Purchase/Leasel Hypothecation entered into between us
as been terminated. We therefore request that the note endorsed in the certificate of registration of vehicle
o UP52BM1 009 in respect of the said Agreement between us be cancelled.
y/Our mobile number is 9798566596. The Certificate of Registration together with the fee is enctused

or thumb impression of Registered Owner

ate- Signature

Signature of the Financier with Official Seal and Address

ate-
Strike out whichever is inapplicable.
OFFICE ENDORSEMENT

et No
- Office of the DEORIA, Uttar Pradesh
as requested above is
he cancellation of the entry of the agreement of Hire-Purchase/Lease/Hypothecation
corded in this office Registration Record in Form 24 and Certificate of Registration on- -(date)

Date--- -- Signature of the Register1ny Autnorty

To
ASSURANCE CO.LTD.
The Financier THE NEW INDIA
Uttar Pradesh
The Registering Authority DEORIA,
(To be sent to both the above parties by registered post acknowledgment due)

the Financier are to be obtained

in original application for affix1ng and Attestatior
Specimen signatures of
Forms 23 and 24 In sucth manner that the part of Impres
with the Office seal in
the Registering Authority
attestation shall fall upon each signature
of seal or a stamp and
financier
Specimen signature of the
2

Endosed Documents
Certficate
1
Onginal Registration
vehicle insurance certificate
2 Self Attested copy of valid
nancH
er