Any person interested in taking certified extracts or certified copies of the order sheet, correction slip, Continuous Khatian or Tenants' Ledger, shall apply in the concerned Circle Office along with a fee at the rate of Rupees 10/- per page. After the filing of an application along with the requisite fee, the clerk in charge shall prepare the certified copy sought and put it before the head clerk for comparison who shall issue it within 7 working days of filing the applicants under his signature after proper comparison. The applications filed and certified copies issued shall be maintained in a register which should be periodically verified by the concerned Circle Officer.
By order of Governor, Bihar, C. ASHOKVARDHAN, Principal Secretary.
38 �बहार गजट (असाधारण), 14 अगः त 2012 FORM-IA (See Rule 3 Sub Rule (1)) Mutation Petition Form To, The Circle Officer .............................. Circle .............................. Sub Division ............................... District Sir, I/We ............................... son (s)/daughter (s)/wife of .......................................... resident of village...................... Post office...............................Thana..........................Anchal ................................District...............................has acquired interest by virtue of purchase/gift/exchange/partition/non-testamentary succession/testamentary succession/settlement of public land/grant of Bhoodan Land/decree of Competent Court/any other means (mention other means) .............................. (tick the means which is relevant) in land the details of which are given below :- Serial No.
Name of the District Name of the Circle Revenue Village Revenue Thana Number Details of Land Khata No.
Khersa No area of land Boundaries 1 2 3 4 5 6 7 8 9 I/We am/are enclosing herewith the self-attested photocopy of documents .................................... showing acquisition of interest in the above land. I/We have got peaceful physical possession over land and the land is free from title suit.
I/We request you to kindly mutate the above land in my/our name (s) in the relevant revenue records.
List of enclosures :- Yours faithfully Signature of the Petitioner(s) Date-....................................
39 �बहार गजट (असाधारण), 14 अगः त 2012 Form-IB (See Rule 3 Sub Rule (1)) Continuous Khatian Revenue Village .......................... Revenue Thana number .....................
Anchal.................................Police Station ................................Name of the District ...............................State of Bihar.
Serial number of the Khatian Name of the Tenant, Father's name, Caste and Residence Plot Nature of land (Classification) Area Possession, nature of possession etc.
Remarks Plot no.
Boundary Acre Decimal Hectare 1 2 3 4 5 6 7 8 9 Rent excluding Cess The period of possession of the non- occupancy raiyat (2) Procedure for fixation of rent if it increases gradually (3) Special conditions, if any Substance of the order for making changes Order no.
and date, name of the Officer giving order Remarks 10 11 12 13 40 �बहार गजट (असाधारण), 14 अगः त 2012 Form-II (See Rule 3 Sub Rule (1)) Tenants' Ledger Register District .........................Sub Division.............................Anchal ............................Halka......................................Jamabandi No. ...........................(Name of the Jamabandi holder)................................. (Father's/Husband's name)................................ Village...........................Police Station...............................Post Office.............................
Details of Land T o ta l A re a o f La n d Land to be deducted/Added to the Jamabandi on account of order by competent authority R e v e n u e v il la g e / R e v e n u e T h a n a n o .
K h a ta n u m b e r K h e sr a n u m b e r A re a B o u n d a ry K h a ta n u m b e r K h e sr a n u m b e r A re a B o u n d a ry O rd e r n u m b e r/ N a m e a n d D e si g n a ti o n o f th e O ff ic e r F u ll n a m e a n d S ig n a tu re o f th e K a rm a ch a ri w h o h a s d e d u ct e d / a d d e d L a n d f ro m t h e Ja m a b a n d i w it h D a te 1 2 3 4 5 6 7 8 9 10 11 12 Jamabandi number from which the Land has come or Jamabandi number to which the Land will go Total Land in the Jamabandi after changes Annual demand K h a ta n u m b e r K h e sr a n u m b e r A re a B o u n d a ry T o ta l A re a o f La n d Demand of Rent Demand of Cess Rupees Paise Rupees Paise 13 14 15 16 17 18 19 20 21 22 41 �बहार गजट (असाधारण), 14 अगः त 2012 Date of fixation/alter ation of Demand Full name& Signature of the Karmachari who has fixed/altered the Demand Demand of Road Cess Demand of Education Cess Demand of Health Cess Total Demand R u p e e s p a is e R u p e e s p a is e R u p e e s p a is e R u p e e s p a is e 23 24 25 26 27 28 29 33 31 32 Collection against Demand R e n t re ce ip t n u m b e r a n d D a te o f is su e o f re ce ip t Collection of Rent Collection of Cess Arrear Demand of Rent Collection Current Demand of Rent Collection Arrear Demand of Cess Collection R u p e e s P a is e R u p e e s P a is e R u p e e s P a is e R u p e e s P a is e R u p e e s P a is e R u p e e s P a is e 1 2 3 4 5 6 7 8 9 10 11 12 13 Collection of Road Cess Collection Current Demand of Cess Collection Arrear Demand of Road Cess Collection Current Demand of Road Cess Collection Arrear Demand of Education Cess R u p e e s P a is e R u p e e s P a is e R u p e e s P a is e R u p e e s P a is e R u p e e s P a is e R u p e e s P a is e R u p e e s P a is e 14 15 16 17 18 19 20 21 22 23 24 25 26 27 42 �बहार गजट (असाधारण), 14 अगः त 2012 Collection of Education Cess Collection of Health Cess Collection Current Demand of Education Cess Collection Arrear Demand of Health Cess Collection Current Demand of Health Cess Collection R u p e e s P a is e R u p e e s P a is e R u p e e s P a is e R u p e e s P a is e R u p e e s P a is e R u p e e s P a is e R u p e e s P a is e 28 29 30 31 32 33 34 35 36 37 38 39 40 41 Total Demand & Collection Remarks Total Demand Total Collection Rupees Paise Rupees Paise 42 43 46 45 46 43 �बहार गजट (असाधारण), 14 अगः त 2012 Form-III (See Rule 3 Sub Rule (1)) Khesra Register Name of the Revenue village........................... Revenue Thana number.......................
Halka...................... Anchal .................................District…………………..
S er ia l n o .
K h es ra n u m b er J a m a b a n d i n u m b er N a m e o f th e T en a n t, F a th er 's / H u sb a n d 's n a m e, C a st e a n d re si d en ce K h a ta n u m b er A re a o f L a n d B o u n d a ry C la ss if ic a ti o n o f L a n d Area under Crop B h a d a i A g h a n i R a b b i D o u b le C ro p A re a 1 2 3 4 5 6 7 8 9 10 11 12 Area not under crop Rent Changes due to transfer of Land R ea so n s fo r o th er ch a n g es R em a rk s Cultivable Non Cultivable Status O rd er n u m b er /D a te N a m e a n d D es ig n a ti o n o f th e O ff ic er m a k in g t h e o rd er N a m e a n d t h e S ig n a tu re o f th e K a rm a ch a ri m a k in g ch a n g es 13 14 15 16 17 18 19 20 21 44 �बहार गजट (असाधारण), 14 अगः त 2012 Form-IV (See Rule 3 Sub rule (3)) Acknowledgement for Receipt of Mutation Petition Form Circle Office .........................../Camp for receiving mutation petition at ...................(Place) on ....................... (date) Received a petition from Sri / Smt. /Kumari. ...........................Son / Wife / Daughter of ................................resident of village........................Thana...........................Post Office...............…...............
............................ Anchal.............................................Sub-Division.................................District..........................
for mutation of land. The details of the petition are given below :- P et it io n n u m b er D a te o f re ce ip t o f p et it io n C a se n u m b er a lo n g w it h y ea r N a m e o f th e p et it io n er ( s) Details of Land for the mutation of which petition has been filed Name and Designation of the Officer/ Employee who has received the petition N a m e o f th e C ir cl e R ev en u e v il la g e/ R ev en u e T h a n a n u m b er K h a ta n u m b er K h es ra n u m b er A re a o f L a n d B o u n d a ry 1 2 3 4 5 6 7 8 9 10 11 List of enclosures :- Signature of the Circle Officer
1. Date:-............................
2.
3.
4.
45 �बहार गजट (असाधारण), 14 अगः त 2012 FORM-V (See Rule 3 Sub rule (4)) Mutation Petition Register Date of Final order by Circle Officer Substance of final order Date of dispatch to the record room and challan number Date of receipt by the record keeper Name of the Circle Officer Signature of the Circle Officer and date 12 13 14 15 16 17 S r.
n o .
C a se N u m b er / y ea r N a m e o f P et it io n er / In fo rm a n t Details of Land D a te o f re ce ip t o f m u ta ti o n p et it io n / in fo rm a ti o n D a te o f re ce ip t o f o rd er f o r en q u ir y b y K a rm a ch a ri a