AFFIDAVIT
(To be sworn by person in whose favour the conversion is sought on non-judicial
stamp paper duly executed before an Executive Magistrate)
I, …………………………………….. S/o, D/o, W/o Shri ……………………………
of (address) ……………………………………………………………………………….
………………………………………………………………………………………………
do hereby solemnly affirm and declare as under:
1. That I am the lessee of Drawing Plot No. ……………. Of Drawing No.
…. of area …………………………… corresponding to Revenue Plot
No. …………… of area ………………………. Relating to
…………………………… year of settlement.
2. That the prescribed use of the aforesaid property as per the lease
executed is only residential.
3. That there is no unauthorized construction in the aforesaid property.
OR
That there is unauthorized construction in the aforesaid property as
described below:
…………………………………………………………………………………
…………………………………………………………………………………
4. That the leased property is being used only for residential purpose. OR
That a portion measuring ……………………… of the covered area of
the referred property is being used for ………………………………
……….……………………………………………………………. Purposes.
Rest of the property is being used only for residential purpose.
5. That up-to-date ground rent has been paid in “respect of the above
leased” property.
6. That the contents of the accompanying application for conversion of
leasehold rights into free hold rights in respect of the above leased
property are true and correct and the documents annexed thereto are
genuine.
DEPONENT
VERIFICATION
Verified at …………………………………….. this …………………………..
Day of ……….. 2000 that the contents of the above affidavit are correct to my
knowledge and belief. Nothing contained herein is untrue and nothing material is
concealed therefrom.
DEPONENT
