DEED OF SALE

This DEED OF SALE is made at Panaji, Goa, on this __th

day of the month of JULY of the year Two Thousand and Twenty
two (__/07/2022)
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BETWEEN

(1) Mrs. SMITA DILIPKUMAR DALVI, also known as SMITA

alias SMEETA DILIP DALVI OR SMEETA RAMCHANDRA
POROB NAVELKAR, daughter of late Ramchandra Suryaji
Porob Navelkar, married, age 59 years, service, { PAN
ADPPD9068H } { Aadhaar No. 2848 3776 9044 } Indian National,
and her husband

(2) Mr. DEELIPKUMAR PRABHAKAR DALVI, also known as

DILIPKUMAR OR DILIP PRABHAKAR DALVI OR DILIP DALVI,
son of Shri Prabhakar Dalvi, age 63 years, service, { PAN
ADFPD2435C } { Aadhaar No. 9219 6206 2191} Indian National,
both residing at Flat No..F2, Building 14-A, Navelkar Estate,
Bainguinim 403 402, Tiswadi, Goa; hereinafter JOINTLY called
as “ THE VENDORS ” which expression shall, unless repugnant
to the context or meaning thereof shall mean and include their
respective heirs, legal representatives, administrators and
assigns of the FIRST PART.

AND

(1A) Mr. DEELIP RAMCHANDRA POROB NAVELKAR, also known

as DILIP RAMCHANDRA PRABHU NAVELKAR, son of late
Ramchandra Suryaji Porob Navelkar, age 63 years,
businessman, { PAN ABUPN6977C } { Aadhaar No. 6113 6520
7492 } Indian National, residing at House No. 81, Near Police
Out Post, Fondvem, Ribandar, Goa; AND HIS WIFE;

(1B) Mrs. NUTAN DEELIP POROB NAVELKAR, daughter of late

Rajendra Vasant Tipnis, age 64 years, retired professor, { PAN
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ABPPN5649A } { Aadhaar No. 5496 6361 6270 } Indian National,
residing at Flat No.1401, Sunbeam, Swastik Park Co-operative
Housing Society, Nahur West, Bombay 400 078;

(2A) Mrs. VANITA PRADEEP POROB NAVELKAR, also known as

VANITA NAVELKAR, daughter of late Krishna Kamat, widow of
late Pradeep Ramchandra Porob Navelkar, age 52
years, housewife, { PAN AKIPN7729F } { Aadhaar No. 8343 9535
4844 } Indian National, AND HER DAUGHTER

(2B) MISS. SIDDHI PRADEEP POROB NAVELKAR, also

known as SIDHI PRADIP PRABHU NAVELKAR or SIDDHI
NAVELKAR, daughter of late Pradeep Ramchandra Porob
Navelkar, age 21 years, student, { PAN AKIPN7665G } { Aadhaar
No. 3822 6592 3146 } Indian National, residing C/o. Gaja
Khandolkar, Near Ganapati Temple, Haldankar wada, Khandola,
Marcel, Goa 403 107, hereinafter JOINTLY called as “ THE
CONFIRMING PARTIES / OWNERS OF THE ENTIRE LAND”
which expression shall, unless repugnant to the context or
meaning thereof shall mean and include their respective heirs,
legal representatives, administrators and assigns of the SECOND
PART.

Confirming Party No.1A & 1B is represented herein by Smt.

Smita @ Smeeta Dilip Dalvi also known as Smeeta Ramchandra
Porob Navelkar by virtue of Power of Attorney dated 19-06-2021
duly executed before Notary Sayed Abbas at Panaji, Goa bearing
Registration No.2217/2021

Confirming Party No.2A and 2B are represented herein by Smt.

Smita @ Smeeta Dilip Dalvi by virtue of Power of Attorney dated
21st December 2020 executed before Notary Sayed Abbas bearing
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Registration No. 0213/2021 dated 12-01-2021.

AND

1. Mr. PEDRO LUIS AGNELO DE ALMEIDA, son of Minguel

Vincente Almeida, age 61 years, married, retired, { PAN
ADSPP9564F} { Aadhaar No. 4003 2938 9246 } (Mbl No.
9922541114) Indian National, AND HIS WIFE

2. Mrs. ROBERTINA CANDOLINA DE ALMEIDA, daughter of

Assuncao Roque Menino Barreto, age 61 years, married,
housewife, { PAN BZHPD2696G } { Aadhaar No. 5977 6227
5649 } (Mbl No.9822192712) Indian National, both
residents of House No.176, FF1 Vinrose Enclave, Tonca,
Near Miramar Beach, Caranzalem, Tiswadi, Goa 403 002
hereinafter called “THE PURCHASERS”, which expression
shall unless repugnant to the context or meaning
thereof, include their heirs, legal representatives,
successors, executors, administrators and assigns) of the
THIRD PART.

The above Confirming Parties i.e. Owners of the Entire land are
represented in this transaction by their aforesaid duly
constituted Attorney by virtue of the above mentioned
instrument. The said Power of Attorneys are all subsisting and
valid till to date and the certified copies of which are filed herein
as the duly constituted Attorney is authorized to execute this
Deed on their behalf.

WHEREAS, the VENDORS are the sole and exclusive owners in

possession and well and sufficiently entitled to the Plot No. 116
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admeasuring 300 square metres of the larger property

known as “MOLLANS” surveyed under Survey No. 24/1,
situated at Bainguinim, Tiswadi, Goa, Sub - District of
Ilhas, North Goa District, State of Goa, which plot is fully
described in Schedule I & Schedule II hereunder written and
hereinafter called “the said plot” which is delineated in red colour
line, in the Plan annexed hereto.

AND WHEREAS the larger Property, known as “MOLLANS”,

admeasuring 1,98,788 square metres or thereabouts forming
a distinct and separate entity, bearing as a whole
registration No.167 of Book B-3, old, of the Land Registration
Office, Panaji, and corresponding Matriz No. 152, bearing
new Survey Nos. 23/1 and 24/1 respectively originally belonged
to the predecessors-in-title of the Owners of the Land herein
namely Ramchandra Suriagi Porob Navelkar alias Ramchandra
Surya Porob Navelkar and his wife Smt. Indirabai Ramchandra
Porob Navelkar alias Indira Ramchandra Navelkar.

AND WHEREAS, the said late Ramchandra Suriagi Porob

Navelkar died on 13th of August, 1989 at Panaji, Goa leaving
behind his wife Indirabai Ramchandra Porob Navelekar as his
moiety holder and their children/legal heirs as his sole and
exclusive universal heirs to his estate,. in terms of the Deed of
Succession and Qualification of Heirs executed on 7th of
September, 1993 drawn at page 25 overleaf onwards of the
Book No. 295 of the Notarial Office at Bicholim.

AND WHEREAS, by Agreement for Development and Sale

dated 20th December, 1997, the said Smt. Indirabai Ramchandra
Porob Navelkar as the moiety holder along with the abovenamed
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OWNERS OF LAND/ Confirming Parties and Pradeep

Ramchandra Porob Navelkar & Miss Geeta Ramchandra Porob
Navelkar (both now since deceased) jointly as the parties of
the First Part and the DEVELOPERS as the Parties of the
Second Part, the Owners of the Land agreed to allow and permit
the Developers to carry out the development in all that distinct
portion of the entire property bearing survey No.24/1 of
Bainguinim Village, hereinafter called “the Said Property” and
in consideration thereto and in terms there under, the
Vendors/Owners of entire land therein agreed to transfer to
the Developers or their nominees or assignees the ownership
of the specified developed plots towards cost of the development,
more particularly shown in the plan annexed to the said
Agreement and described in detail in Schedule 'B' as written in
the said Agreement.

AND WHEREAS, the said Smt. Indirabai Ramchandra Porob

Navelkar died on 18th January 1998 leaving behind the Vendors/
Owners of the Land/Confirming Parties herein as their sole
and universal heirs and considering that her son named Mr.
Mahesh Ramchandra Porob Navelkar, had relinquished all his
right, share and title to the estate of his father late Ramchandra
Suriagi Porob Navelkar by virtue of the Deed of Repudiation
executed on 20.10.1989 and recorded in the book maintained
by the Court of the Civil Judge Senior Division, Panaji and
subsequently relinquished the title, share and interest to the
estate of late Indirabai Ramchandra Porob Navelkar by virtue
of the said Deed of Repudiation which is registered on
15.6.1998 in the said Court as per law, as though he has not
been the heir at any point of time on account of the Deeds of
Repudiation detailed hereinabove.
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AND WHEREAS, the other heir, Smt. Smita alias Smeeta

Dalvi, daughter of late Ramchandra Suriagi Porob Navelkar
and her husband Shri Dilip Prabhakar Dalvi had relinquished
all their right, title and interest to the estate of late Indirabai
Ramchandra Porob Navelkar by virtue of the Deed of
Relinquishment executed on 23rd March 1998 and recorded
in the book maintained by the Court of the Civil Judge Senior
Division, Panaji, but they hold right, title and interest to the
estate of their father/father-in-law late Ramchandra Suriagi
Porob Navelkar.

AND WHEREAS Pradeep Ramchandra Porob Navelkar

instituted inventory proceedings under No.15/98/A to partition
the estate left behind by his deceased father, said Ramchandra
Suriagi Porob Navelkar, and his deceased mother Smt.
Indirabai Ramchandra Porob Navelkar in the Court of the
Civil Judge Senior Division at Panaji,Goa.
AND WHEREAS in terms of the chart of allotment drawn in
the said inventory proceedings No.15/98/A confirmed by
virtue of the Order dated 20th April, 1999 of the Hon'ble
Court, the respective shares of the Confirming Parties/Owners
of land hereto as heirs of the deceased to the said entire
property were determined and which chart of allotment has
attained finality in law.

AND WHEREAS the said Pradeep Ramchandra Porob Navelkar

was married to Mrs. Vanita Pradeep Porob Navelkar on
21.4.1999 and the latter as the moiety holder on account of
the marriage is thus one of the Confirming Party herein.

AND WHEREAS by an Addendum executed on 25th March

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1999 to the Original Agreement for Development-Cum–Sale

dated 20.12.1997, the parties thereto modified and/or amended
certain terms and conditions of the said Agreement dated
20.12.1997;

AND WHEREAS, Vendor’s sibling late Pradeep Ramchandra

Porob Navelkar expired on 12th March 2004 and upon his
demise, inventory proceedings were instituted by his wife,
Smt. Vanita Pradeep Porob Navelkar, bearing No. 19/2004/B
in the Court and by virtue of Chart of Allotment & the Order
passed therein, all the plots forming part of the estate of late
Pradeep Ramchandra Porob Navelkar were partitioned between
his wife and daughter.

AND WHEREAS the Developers being entitled to divide and

develop the said property bearing Survey No. 24/1 of
Bainguinim Village accordingly obtained the requisite
permission required for the sub-division and development of
the said property, vide Provisional Approval No.
VP/SOG/581/15/1996-97 dated 28.02.1997 from the Village
Panchayat of Old Goa..

WHEREAS the Developers/ Vendors herein have obtained

Conversion Certificate of the said plot into non-agricultural land
by virtue of order Ref.No.CNV/TIS/17/98 dated 22nd
September,1998 issued by the Dy.Collector, North Goa Panaji.

AND WHEREAS pursuant thereto, the Developers carried

out and completed the development of the said property into
sub-plots by making approach roads, internal tarred roads,
gutters and drainages in terms of the above permission.
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AND WHEREAS the Village Panchayat of Old Goa have

already granted the final approval for the plans, vide
order Ref. No. VP/SOG/148/15/1999-2000 dated 18th
June, 1999.

AND WHEREAS the entire project consisting of all that sub-

divided plots of the said property together with
infrastructure and the amenities like internal roads, etc. is
named “HILL TOWN”.

AND WHEREAS, as per the mutual understanding between

the Owners of the Entire Land and the Developers it was agreed
that after the development, the Developers shall be entitled to
residential plots and commercial plot/s as stipulated in the said
Agreement .

AND WHEREAS, accordingly, the Confirming Parties/ Owners

of the Entire land alongwith Pradeep Ramchandra Porob
Navelkar & Geeta Ramchandra Porob Navelkar, had given
possession of all the plots to the Developers which the
Developers are entitled to, as per the said Agreement dated
20.12.1997 and the Addendum dated 25.3.1999.

AND WHEREAS the ENTIRE DEVELOPMENT WORKS have been

duly completed long ago in all respects and in full satisfaction of
all the terms of the afore stated Agreements by the DEVELOPER
M/s. INDIRA REALTORS.

AND WHEREAS subsequently thereafter Miss Geeta

Ramachandra Prabhu Navelkar also known as Guita
Ramachondra Porobo Navelcar died on 29th January, 2018 in
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status of spinster/ unmarried. By virtue of Inventory Proceedings

bearing No. 83/2019/C initiated in the Court of Civil Judge,
Junior Division at Panaji, Goa her estate was equally divided
amongst her sole and universal heirs to the extent of 1/3rd
undivided share each of Item No.1 and the Plots listed as Per
Item No.2 allotted to each of the 3 (three) legal heirs in terms of
the Final Chart of Allotment drawn at Exhibit 19 which stands
confirmed in terms of the Final Order, Decree and Order dated
26th September, 2019 passed in the said Inventory proceedings.

AND WHEREAS by Agreement For Family Settlement executed

on 6th September, 1999 the VENDORS OF THE FIRST PART
together with the Owners of the Land in the above said
Agreement, were entitled to the sub divided plots of the land of
the said property bearing Survey No.24/1 of Bainguinim Village
held in common decided to mutually divide by metes and bounds
the said Plots and allotted the same to the individual parties in
the manner and as per the Schedules contained in the said
Agreement For Family Settlement to put an end to any possible
family disputes in future and in the interest of goodwill in the
family relationships.

AND WHEREAS in terms of the Agreement For Family

Settlement, the VENDORS HEREIN are entitled to all that sub-
divided plots forming part or position of the said Property bearing
Survey No. 24/1 of Bainguinim Village, more particularly
described in SCHEDULE- E of the said Family Settlement on
account of their share as heirs which plots are allotted to the
VENDORS as its sole and absolute owners.

AND WHEREAS pursuant thereto, the VENDORS HEREIN above

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are entitled to all that PLOT No.116 admeasuring 300 square

metres which is more particularly described in the SCHEDULE II
hereunder written and shown on the PLAN annexed hereto
marked & delineated thereon by a red boundary line, hereinafter
called “ the Said Plot”.

AND WHEREAS, the VENDORS HEREIN thus being entitled to

and in possession of the said PLOT No.116, have agreed to sell
the said Plot to the PURCHASERS with the consent of the other
Co-Owners of the Land who are the Confirming Parties herein,
which the PURCHASERS have agreed to purchase the said Plot
from the VENDORS HEREIN, for a total consideration of Rs:
45,00,000/- (Rupees Forty Five Lakhs only) being its fair and
reasonable market value existing in that locality and as per the
terms and conditions agreed herein between them..

AND WHEREAS the Owners of the Land/ Confirming Parties

No.1 have agreed that the VENDORS HEREIN shall be entitled to
deal with the Said Plot and dispose off the same as its sole and
exclusive owners thereof and to appropriate the entire
consideration without any reference to them/ Owners of the
Land.

AND WHEREAS the said Owners of the Land /CONFIRMING

PARTIES have agreed herein to join themselves in the present
Deed of Sale, at the request of the above named VENDORS
HEREIN in order to transfer whatever rights and interest they
have in the Said Plot only to secure the interests of the
PURCHASER/s HEREIN to the SAID PLOT.
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AND WHEREAS, as per the Final N.O.C., the area of PLOT

No. 116 is 300 square metres which is accepted by the Purchaser
as correct.

AND WHEREAS, it is hereby agreed between the Vendors and the

Purchasers that the said total amount of consideration of
Rs.45,00,000/- (Rupees Forty Five Lakhs only) will be paid by
the Purchaser/s to the VENDORS herein, half amount to be
paid at the time of execution of this Deed and the other half
amount to be paid on the date of appointment before the Sub-
Registrar’s Office.

AND WHEREAS, the Parties now wish to finalize the transaction

and execute the present Deed of Sale in the manner stated here
in below;

NOW THIS DEED OF SALE WITNESSTH AS FOLLOWS:

1. In pursuance of the above agreement and total
consideration/price of the Plot being Rs. 45,00,000/- (Rupees
Forty Five Lakhs), the PURCHASERS have paid today to the
VENDOR No.1 & 2 the sum Rs: 45,00,000/- ( Forty Five Lakhs
only) by 2 (two) separate A/c. Payee Cheques bearing
No._________ dated _________ of Bank____________, ____________
Branch in favour of VENDOR No.1 and Cheque bearing No.
____________ dated _________ of Bank of _______________,
__________ Branch in favour of VENDOR No. 2, SUBJECT TO
REALIZATION OF THE CHEQUES, the receipt of which both the
VENDORS OF THE FIRST PART do hereby admit and
acknowledge and they the Vendors with the consent of the
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CONFIRMING PARTIES / OWNERS OF THE LAND do hereby

sell, transfer, assign and assure unto and to the use of the
Purchasers free from encumbrances, ALL THAT Plot, more
fully described in the Schedule – II hereunder written being
part of the larger property described in Schedule – I hereunder
written, TOGETHER WITH all buildings, trees, fences, hedges,
ditches, ways, waters, watercourses, lights, liberties, privileges,
easements and appurtenances, whatsoever to the said plot
belonging or in any way appertaining or usually held or
occupied therewith or reputed to belong or to be appurtenant
thereto; AND ALL the estate, right, title, interest, claim and
demand whatsoever of the Vendors / Developers into or upon
the same and every part thereof in law and equity TO
ENTER UPON AND TO HAVE, HOLD, OWN and possess the
same unto and to the use of the Purchaser/s, his heirs,
executors, administrators, assigns absolutely and forever
together with title, deeds, writings and other evidence of title.

2. And the VENDORS along with the Confirming Parties/

the Owners of the entire land do hereby covenant with the
Purchasers, their heirs, executors, administrators,
representatives and assigns, that notwithstanding any acts,
deed or things heretofore done, executed or knowingly suffered
to the contrary, the Vendors are now lawfully seized and
possessed of the said property free from any encumbrances,
attachments or defect in title whatsoever and that the Vendors
have full power and absolute authority to sell the said plot in
the manner aforesaid AND the Purchasers shall hereafter
peaceably and quietly hold, possess and enjoy the said plot
without any claim or demand whatsoever from the Vendors,
Developers, Confirming Parties/OWNERS OF LAND or any
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person claiming through or under them. AND further that the

Vendors, Developers and the Confirming Parties their heirs,
executors, administrators or assigns, covenant with the
Purchasers, his/her heirs, executors, administrators and
assigns to save harmless, indemnify and keep indemnified the
Purchasers, his heirs, executors, administrators and assigns
from or against all encumbrances, charges and equities
whatsoever. AND the VENDORS, their heirs, administrators
or assigns further covenant that they shall at the request and
cost of the Purchasers, his/her heirs, executors, administrators
or assigns do or execute or cause to be done or executed all
such lawful acts, deeds and things whatsoever for better and
more perfectly conveying and assuring the said plot and every
part thereof in the manner aforesaid according to the true
intent and meaning of this deed.

3.The PURCHASERS have inspected the aforesaid documents

and all requisite permissions granted to the DEVELOPERS,
VENDORS/ CONFIRMING PARTIES AND also in respect of the
sub-division of plot and development of the said property and
has satisfied himself/herself that the VENDORS & CONFIRMING
PARTIES/OWNERS OF THE LAND have a marketable title to the
said Plot.

4. The Vendors hereby declare that they have full right and
absolute authority to sell this Plot and the said plot/property is
free from all encumbrances, mortgages, charges, easements or
any sort of acquisitions nor is there any Order or Notification
issued under any Ordinance, Rules or Regulations either by the
State or Central Government.
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5. It is expressly agreed herein by and between all the parties

hereto and the Purchasers herein that all open spaces, roads,
drains, reserved areas whatsoever, along with its rights, title etc.
to develop the same on account of excess FAR as per the change
in regulations hereinafter shall exclusively belong to the
DEVELOPERS/OWNERS/CONFIRMING PARTIES.

6. It is also agreed herein by and between the parties & the

Purchasers as follows :
(a) that it is the sole responsibility of the Purchasers to obtain
their Water/Electricity connection from the mains provided by
the DEVELOPERS/VENDORS on the internal roads at his
/purchaser’s costs and expenses.
(b) that upon the execution of this Deed of Conveyance/ Sale
Deed and possession of the Plot handed over to Purchaser, it
shall be the duty of the Purchasers to bear and pay for all the
outgoings in respect of this Plot hereby sold, including payments
of local taxes, water charges, etc. and also such other levies or
charges to be paid to the concerned Panchayat and/or
Government.
(c) Purchasers hereby agree that they will not obstruct or object
to the sale of the adjoining plots out of the larger property or any
work of construction/development thereof and also shall not lay
claim to any rights in or over any part of the said larger property
in the nature of easement or otherwise except the right of way
which is common to all the plot holders.
(d) that the PURCHASERS shall have no right to store or keep
any of his construction materials etc or throw any soil/mud,
boulders, laterite stones, excavated earth, rubbish etc on the
road/internal road, or on the side plots or the adjoining plots
without the written consent of the owners of the land and/or the
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owners of the adjoining plot/s holders.

7. The legal and VACANT physical possession of the said Plot is

handed over by the VENDORS, Owners of Entire
Land/CONFIRMING PARTIES herein in favour of the
PURCHASERS for all legal purposes upon execution hereof.

8.. The CONFIRMING PARTIES/OWNERS OF ENTIRE LAND do

hereby agree and confirm this present transaction of the sale and
further confirm that they have no demand, disputes, title or
claim whatsoever in respect of the said plot hereby sold in favour
of the Purchasers herein by this Deed.

9. The VENDORS hereby give their unconditional consent and

NO OBJECTION to the PURCHASERS to incorporate the name of
the above Purchaser/s in the Survey Records by way of Mutation
in relation to the Plot of land hereby sold on basis of this Deed of
Sale.

10. The VENDORS hereby declare that the SAID PROPERTY or

the PLOT in transaction does not belong to or pertain to the
occupancies of person/s belonging to any Schedule
Caste/Schedule Tribe pursuant to the Notification
RD/LAND/LRC/318/77 dated 21/08/1978.

11. This Deed is engrossed on paper of Stamp Duty paid of Rs:

1,35,000/- corresponding to the market value of the said Plot.
Stamp Duty and registration fee is borne by the Purchaser.
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SCHEDULE -I

All that Property forming part or portion of the property

named “MOLLANS” bearing as whole Registration No. 167
of Book B 3, old, of the Land Registration Office,
Panaji, and corresponding to Matriz No. 152 and bearing
Survey No. 24/1 of Bainguinim, situated at Bainguinim
Village, Sub-District of Ilhas, North Goa District, State of Goa
and which is bounded as follows :-

East : Property bearing Survey No.25/1 of Bainguinim;

West: By Public Road;
North: Property bearing Survey No. 26/2 of Bainguinim; and
South: By Public Road.

S C H E D U L E - II

( DESCRIPTION OF THE SAID PLOT HEREBY SOLD )

All that Plot No.116 admeasuring 300 square metres
forming part and parcel of the property described in the
Schedule – I hereinabove mentioned, shown in the plan
annexed as delineated by a red boundary line and which is
bounded as follows:
North : by 6 metres wide Internal Road
South: by Plot No. 112
East : by Plot No. 117
West:: by Plot No. 115
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IN WITNESS WHEREOF the parties hereto have hereunto set

and subscribed their respective hands to this Deed of Sale on
the day, month and year first hereinabove written.

SIGNED, SEALED AND DELIVERED

BY THE WITHIN-NAMED VENDOR No.1
For Self & as duly Constituted Attorney
For ALL CONFIRMING PARTIES :

________________________________________
Smt. .SMITA alias SMEETA DILIP DALVI or
SMEETA RAMCHANDRA POROB NAVELKAR.
LEFT HAND THUMB/FINGER IMPRESSIONS

RIGHT HAND THUMB/FINGER IMPRESSIONS

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SIGNED, SEALED AND DELIVERED

BY THE WITHIN-NAMED VENDOR No.2

________________________________
SHRI DILIP PRABHAKAR DALVI.

LEFT HAND THUMB/FINGER IMPRESSIONS

RIGHT HAND THUMB/FINGER IMPRESSIONS

SIGNED, SEALED & DELIVERED

BY THE WITHIN-NAMED PURCHASER:

________________________________
Mr. PEDRO LUIS AGNELO DE ALMEIDA
LEFT HAND THUMB/FINGER IMPRESSIONS
 : Page 20 :

RIGHT HAND THUMB/FINGER IMPRESSIONS

SIGNED, SEALED & DELIVERED

BY THE WITHIN-NAMED PURCHASER:

________________________________
Mrs. ROBERTINA CANDOLINA DE ALMEIDA
LEFT HAND THUMB/FINGER IMPRESSIONS

RIGHT HAND THUMB/FINGER IMPRESSIONS

In the PRESENCE OF WITNESSES:

(1) __________________________

(2) __________________________