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MINISTRY OF LANDS AND PHYSICAL FLANKING
‘Application for Valuation for Stamp Duiy
The Stamp Duty Act (CAP 480)
(Valuation of Immovable Property Regu.
ions, 2020)
Kincly complete Five (5) copies of this veiuation application
PROPERTY OWNER DETAILS
Property Owner(s) Full Name:
National ID/Passport Number:
Postal Address:
Mobile Number:
Town..
BUYER DETAILS
Buyer(s) Full Name:..
National ID/Passport Number...
Postal Address...
Mobile Number:.......se:1:00
PIN NUMBer ss...
‘| Cede. Yown:
Email Address:...
PROPERTY AGENT/ADVOCATE DETAILS
Name of Agency/Advocate..
Postal Address: ran sidnsino pris ts| ©OUBEsiseer on
Mobile Number:....... . Email Address:
Oficial Stamp of AgencylFirm 5
PROPERTY DETAILS
LRIBlock Number. ne Size cra
Situation. Road, cane LIM.Sheet NO.....esssse attach sketch route map)
Ground Rent... ae WE Foose
‘Status of Land: Developed! =f Undeve loped
Nature of Developments... : ¥ snes
Interest Passing: [_) Freehold “] Leasehold Fee Simple
Percentage of Interest Passing:...... Purchase Price.
Date of Transfer as per Transfer Document:
ELECT A VALUER:
Government Value [es
Appointed/Private Valuer: [1]
Note: Valuation Fees end Disbursement shall be paid to valuers in privaia practice.
.. Daie of Application......
Signature of ownerlProperty AgentiAdvocataFOR OFFICIAL USE ONLY:
GOVERNMENT VALUER
Name:,
P.No.:..
Phone Number...
Email Address:
Signature (Chief Government Valuar)
CERTIFICATE OF VALUE RETURNED:
APPCINTED VALUER
Names... esses
Reg. No.:
Phone Number:..
Email Address ......
Cate
Valuer's Name...
Signature.
Date,
STAMP DUTY ASSESSMENT:
LRJTITLE NO.
Value Approvec:....
Stamp Duty Assessment Rate:
‘Stamp Duty Amount
Valuation Office Serial Number:
sveneviei Dantes
-Date:,
Signed By:...
Dispatched By: