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Mutation and e Pattadhar PassBook Form 6 (1) in English PDF

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Form 6(A)

Intimation by any person regarding Acquisition of Rights

(See Rule 18& Section 4(1) of the Act)


To ..................

The Recording Authority/Tahsildar,

.................. Mandal .................... District.

I, Sri/(Smt/Kum.)........................ Son of/[ daughter of/wife of]............................ resident of


village.........in mandal............................intimate to you the acquisition of the following property
in the village of ............. in ....................Mandal...........................in..................... District by
succession, survivorship, inheritance, partition, purchase, mortgage, gift, lease or otherwise,
as owner, pattadar, mortgagee, occupant or tenant of the land. Details are furnished below:

District: Mandal: Village:

No S.No and Sub-Division Extent of Land Details of Acquisition

Date : Signature of Intimator

Applicant Details
Applicant Details :

Applicant Name *: ............................ AADHAR CARD NUMBER : .............................

Father/Husband Name *:.................... Gender *: MALE FEMALE

Date of Birth *(DD/MM/YYYY) :......................... Phone Number :...........................................

Communication Address ........................................... Locality/Land Mark:.........................................

Village...........................Mandal.....................................District........................ State..........................

Pin code..................

(Note: If the Applicant is residing in other Address and delivery of the passbook for the New (present
Address) Kindly mention the Present Address in the below given Box)with Pincode)

][

Delivery Details :

Delivery Type * : Non Local Post


Document Details :

District *:....................................... Mandal* :.................................

Division*:....................................... Village*:.....................................

Mutation Type * : Purchase Succession Will Gift

Caste *: SC ST BC-A OC BC-E

BC-B BC-C OC(DW) EBC(LISTED) EBC(OTHERS)

If Mutation Type is Purchase:

Seller Seller Seller Survey Khata Extent Village Doc Document


Name Father Address No Number of Area Date(dd/mm/yy) No
Name (acres)

If Mutation Type is Succession:

Successor Name of Relation Survey Khata Village Total Extent of Sub Document
Name the with No Number Extent(acres) Area(acres) Registrar no(if any)
Deceased Deceased office

If Mutation Type is Will:

Testator Father Testator Survey Khata Extent Document Document Village


Name Name Address No Number of Area NO Date
(Acres) (dd/mm/yyyy)

If Mutation Type is Gift:

Donor Donor Survey Khata Extent of Document Document Village


Name Address Number number Area Number Date
(acres) (dd/mm/yyyy)

Documents List:

1. Application Form *
2. Registered Document Copies*
3. Old Pattadar Passbook/Title deed/(Seller PPB/TD)*
4. Tax Receipts if any
5. Recent Passport Size Photo((Upload Only jpg/jpeg format)*
6. Signature (Upload only jpg/jpeg format)*

Applicants Signature

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