Date of issue………….
Sr. No……
A) Development Rights Certificate Utilisation Form
We, the undersigned to hereby request to allow to utilize the build-up area measuring (in words…..sq. mts. In figures…. Sq.mts.) out of the total build-up area available in the Development Rights Certificate No……., dated…………. Folio………… and permit the said built-up area to be utilized by the persons named below-
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Particulars of D.R.C. Holders
Development Rights Certificate No…………….. Folio No………………
Name in full Signature(s)
(1)…………………..
(1)………………………………..
(2)…………………..
(2)………………………………..
(3)…………………..
(3)………………………………..
(4)……………,………
(4)……………………………….
Attestation:
I hereby attest the signature of the D.R.C. Holder's herein mentioned
Signature………………………
Name……………………….
Address Seal………………….
……………………,……………….
Signature of Witness
……………………………
Name and address of Witness
…………………………………….
…………………………………….
……………<<……………………….
…………….Pin ………………..
- (A) Details of property where D.R.C. is proposed to be used i.e., Location and
Building. …………………………………………………………………………………………. (B) Area to be utilized in sq.mts. (in firg.) ………………………………… (in words)………………………………………………. (C) Balance built-up area as per D.R.C. in sq.mts. (in firg.) ………………. (in words)……………………… (D) Balance area in the D.R.C. after utilisation (in firg.) ……………….. (in words)…………………………………………………
D=C-B
B) Particulars of Person(s) Utilizing D.R.C.
Name's and address in full Signature(s)
(1)………………….. ……
(1)………………………………..
(2)………………….. ……
(2)………………………………..
(3)………………….. ……
(3)………………………………..
(4)……………………….
(4)……………………………….
Dated this…………day of……………two thousand ……..place…….
Signature of magistrate/Public Notary with Seal
…………………………
…………………………
Date:
For Office Use Folio No. Checked by …………. Signature tallied by…….. Entered in the register of Specimen Signature of ………………………… Transfer No…………. person's utilizing D.R.C. ………………………. Approval date and No.
………………………….
…………………….
…………………………
Development Rights Certificates to be returned To (Fill in the name and address to which the certificates are required to be returned)
Name and address ……………………………
…………………………………………………….
Fees for utilization paid Rs.
Vide Receipt No. ……………..
Date ……………………
Signature …………………………