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INDIA NON JUDICIAL

Government of Karnataka
R-;
e-Stamp

Certificate No. IN-KA3551264162101V


Certificate lssused Date 16-Jun-2023 04:02 PM ~

Account Reference NONACC (Fl)/ kagcsl01/ BANGALORE/ ~R


Unique Doc. Reference SUBIN-KAKAGCSL506687808595V
Purchased by MAHESH SHIVASHANKAR HARUGOP / ),,:.9;'\ 1 ~
Description of Document Article 4 Affidavit I ·· ~ ·· ·•'··
Property Description
Consideration Price (Rs.) :::IDAVIT t~\_ '." v''i,,,_,q_ .;.:
First Party
Second Party
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0

~sH SHIVASHANKAR HARUGOPP~ 1 ~Y


.
CITY CORPORATION BELAGAVI
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Stamp Duty Paid By MAHES~ SHIVASHANKAR HARUGOPPA "'"'
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Stamp Duty Amount (Rs.)
20.00 .,.
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1'

(Twenty,.Only)
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Rs 20 CC

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Please Write or type below this line

Al?Ff DITVIT
Herein I Shri. Mahesh Shivashankar Harugoppa, Age: Major
0cc: Private' Job/Software Engineer, R/o. Plot No. 37, RS No. 193/2 Kangrali-
Khurd, Belagavi, Tai & Dist: Belagavi, today at Belagavi, do hereby state on
solemn afl:irmation make this aflidavit is as under:

~~ . / .\
Statutory Alert :
1_The authenticity
of thi s Stamp ce, tif1cat• should be v0 ,, f10d , 1 '1nd1aes 1a111µ con,' 01 us111g • ·St amp Mobile App of Stock Holrnng
Any discre pan cy 111 th e detail, on thi s cen,f1ca te and as available 011 the l',ebs,te I Mobile App renders it invalid
th e Jegmmacy 1s 011 users of the certi ficate
2_The onus of checking
In case ofany discrepancy please inform the Compete nt Authom v
3
perl y bea rin g Pl ot No. 37, RS No .
That I the ow ner of th e Rcs idc111 i,11 Pro situated
measuring 2400 Sq. rt.,
193 /2,
Dist. : lk lagav i.
at Kangrali -Khurd , Bclagnvi, Tai &
ld ing over Lh c sai d plot of land.
1. That I am propose to con stru ct a bui the
ing r lans for the co nstruct ion of
2. Tha t I have sub mit ted th e bu ild
c sancf ion vie.J c my lett er.
building ove r thl' sn id pl ot or ln11d fo r lh r
f<,r co nstr udi o ns of a bui ld ing ove
3. That l hnvc s11hm itt cd the plr111s
nllcr ci tccJ ahovc.
the said plot of land for sa11 ction rn y 111
t l do not hold the vuc anl land or any olh cr land with bui lding with
4. Tha
dwe ll ing uni t the rein in any · of th e Urban land agg lomeration s
a
covered und er the said Act,
t in the eve nt of the afo resa id plot of land being dec lare d as
5. Tha
by the Com petent Au tho rity under the Urban land (Ceiling
exc ess n of the
Reg ulat ion ) Act , 197 6, I shall abide by the decisio
and
competent Authority under that Act , in
wilJ construct the house strictly
6. That I hereby agree that, I
plan by •· the Commissioner City
accordance with the approved
changes alterations, additions to the
Corporation Belagavi and if any
n authorities to be against the plan
building is found -by the corporatio
get it ·removed. the same at my
sanctioned, then I ,vill immediately
of prior notice for the same from
mvn cost, without even the receipt
on. I will also undertake not to
the Corporation in case of violati of unauthorised
request for regulation or . - compounding
such permission would be given by
constructions, I am ·aware that no
the Corporation.
of the easement right bound and
I will' also abide by the provisions
Court proceedings.
will not involve the Corporation in the

DEPONENT

$ L j_ '
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L·· ,, : ~. 8 . (Spl.,
0VO C,.t.·n : .~ i\l OTAR"

3 0 JUN 2023

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