In the said rules, after Form II the following shall be inserted, namely:- Form – III (See rule 6(1)) 1 Name of the Applicant 2 Name of the Grantee(As per Land Grant order) 3 Address of the Applicant 4 Aadhar No.of the Applicant 5 PAN of the Applicant 6 Source of income of Applicant 7 Grant Land details District/Taluk/Village Sy.No/extent 8 Original grant records- File /Ref No.
9 Grant Register -Ref No./Sl. No.
10 Saguvali Chit No. & Date 11 Grant conditions mentioned in Saguvali chit 12 Under which act and rules the grant was made 13 Whether prohibition period is completed? Yes or No 14 Akarband details (attach akarband) 15 Is the land Phodi/Durasti done ? if yes (attach the relevant order and sketch) 16 Whether the resumption and restoration of granted land as per PTCL act section -5 is done?
(Yes or No) If yes,attach the order copy
1.Order No. and date
2.Which section of the act is violated
3.When will the prohibition period complete.
17 Whether the records are existing in the name of Grantee or his successor? [Recent RTC/Will/partition deed/settlement deed to be provided] 18 Whether the grantee/his successors are in the possession of the land (as per Saguvali chit/ issue register) 19 Applicant’s caste (attach the certificate) 20 Encumbrance certificate from the date of grant till date 21 Reason for transfer:
22 Name and relationship of the successor of the Grantee (family tree should be provided) 23 Buyer’s name and details (attach Sale agreement) 24 Grantee/successor purchase agreement details 25 Notarised Stamp paper signed by all adult family members of the grantee/successor 4 UNDERTAKING I hereby declare that the above information is true to the best of my knowledge. All my family members have agreed to the sale as per the attached affidavit. I have been explained by the competent authority in detail about the Karnataka Scheduled Castes and Scheduled Tribes (Prohibition of Transfer of Certain Lands) Act, 1978, the present market value of the land and the procedure for sale in ........ language which I understand.
Applicant signature Mobile No.
Witness I Name:
Address:
Mobile No.
Witness II Name:
Address:
Mobile No.
The applicant has submitted the application in person to me. I have explained to the applicant about the Karnataka Scheduled Castes and Scheduled Tribes (Prohibition of Transfer of Certain Lands) Act, 1978, procedure for sale and the present market value of the land to the applicant in ............... Language.
Tahsildar ……….. Taluk Date:
Place:
By Order and in the name of the Governor of Karnataka (C. BALARAM) Under Secretary to Government, Revenue Department (Land Grants-1).
ಮುದÎಕರು ²ಾಗೂ ಪÎ�ಾಶಕರು:- ಸಂಕಲ£ಾĩ�ಾĸಗಳ�, ಕ£ಾ�ಟಕ ªಾಜÍಪತÎ, ಸ�ಾ�ĸ �ೇಂದÎ ಮುದÎ�ಾಲಯ, ¦ೆಂಗಳ�ರು R.N.I. No. KARBIL/2001/47147 POSTAL REGN. No. RNP/KA/BGS/2202/2017-19 Licensed to post without prepayment WPP No. 297 2024-06-25T19:46:52+0530 THAMMAIAH