ORIGINAL FOR SOCIETY RECORD

FORM NO.14
FORM OF NOMINATION
[Under the Bye-law No.32]
TO BE FURNISHED IN TRIPLICATE
[APPLICABLE FOR SINGLE/MORE NOMINEES THAN ONE FOR NOMINOR NOMINEES]
To
The Hon. Secretary/Chairman,
______________________________________________________________________________________
_______________________________________________________________________________________
______________________________________________________________________________________
Respected Sir/Madam,
1] I/We ____________________________________________________________________________
am/are member of _____________________________________________________________________
having its address______________________________________________________________________
_______________________________________________________________________________________
2] I/We hold the share certificate No._______dated ________________ for five/Ten paid up shares of
Rupees Fifty Each, bearing numbers from _______ to_______ [both inclusive] issued by the said society to
me/us.
3]I/We also hold Flat/Shop/Gala No.________on __________Floor, admeasuring to ________sq. Ft.
carpet/Built-Up area in_________________________________________________________________
_______________________________________________________________________________________
4] As provided under rule 25 of the Maharashtra Co-Operative Societies Rules, 1961. I/We hereby
nominate the persons whose particulars are as given below :
_______________________________________________________________________________________
Sr.No. Name of Nominees Permanent address Relationship share of date of birth Of Nominees
with the each if nominee is
Nominator Nominee % a minor
1 2 3 4 5 6
______________________________________________________________________________________
[1]
[2]
[3]
[4] __________________________________________________________________________________
5] as provided under section 30 of the Maharashtra Co-operative societies act 1960 and the Bye-laws of
the society, I/We state that on my death, the shares mentioned above and my interest in the said
FLAT/SHOP/GALA the details of which are given above, should be transferred to shri/smt.
_____________________________________________________________________ the named nominee,
on her/his/their complying with the provisions of the bye-laws of the society regarding requirements of
admission to membership and on furnishing an indemnity bond, along with application for membership,
indemnifying the society, against any claims made to the said shares and my interest in the said
FLAT/SHOP/GALA by order nominee*nominees.
 2
6] As the nominee at Sr. No. _______is minor I/We hereby appoint Shri/Smt.________________
_________________________as the guardian*legal representative of the minor to represent the minor-
nominee in matters connected with the nomination.

Place :
Date :
_______________ ________________________
signature of the Nominator member/s.
_____________________________________________________________________
Witnesses :
Name and Addresses of witnesses
1] _________________________________ [1] Signature of witness
___________________________________
___________________________________
2] _________________________________ [2]signature of witness
___________________________________
___________________________________
Place :
Date :
____________________________________________________________________
The Nomination was placed in the meeting of the managing committee of the society held
on___________________________________for being recorded in its minutes.
The Nomination has been recorded in the nomination register at Sr.No._________dated_____________

Secretary/Chairman
______________co-operative Housing society Limited

Received the duplicate copy of the nomination

Nominees is major or minor affix latest Photo copy

For society ready reference record subject to realization of society meeting time to time
 DUPLICATE AFTER TRANSFER OF SHARES MEMBER COPY
FORM NO.14
FORM OF NOMINATION
[Under the Bye-law No.32]
TO BE FURNISHED IN TRIPLICATE
[APPLICABLE FOR SINGLE/MORE NOMINEES THAN ONE FOR NOMINOR NOMINEES]
To
The Hon. Secretary/Chairman,
______________________________________________________________________________________
_______________________________________________________________________________________
______________________________________________________________________________________
Respected Sir/Madam,
1] I/We ____________________________________________________________________________
am/are member of _____________________________________________________________________
having its address______________________________________________________________________
_______________________________________________________________________________________
2] I/We hold the share certificate No._______dated ________________ for five/Ten paid up shares of
Rupees Fifty Each, bearing numbers from _______ to_______ [both inclusive] issued by the said society to
me/us.
3]I/We also hold Flat/Shop/Gala No.________on __________Floor, admeasuring to ________sq. Ft.
carpet/Built-Up area in_________________________________________________________________
_______________________________________________________________________________________
4] As provided under rule 25 of the Maharashtra Co-Operative Societies Rules, 1961. I/We hereby
nominate the persons whose particulars are as given below :
_______________________________________________________________________________________
Sr.No. Name of Nominees Permanent address Relationship share of date of birth Of Nominees
with the each if nominee is
Nominator Nominee % a minor
1 2 3 4 5 6
______________________________________________________________________________________
[1]
[2]
[3]
[4] __________________________________________________________________________________
5] as provided under section 30 of the Maharashtra Co-operative societies act 1960 and the Bye-laws of
the society, I/We state that on my death, the shares mentioned above and my interest in the said
FLAT/SHOP/GALA the details of which are given above, should be transferred to shri/smt.
_____________________________________________________________________ the named nominee,
on her/his/their complying with the provisions of the bye-laws of the society regarding requirements of
admission to membership and on furnishing an indemnity bond, along with application for membership,
indemnifying the society, against any claims made to the said shares and my interest in the said
FLAT/SHOP/GALA by order nominee*nominees.
 2
6] As the nominee at Sr. No. _______is minor I/We hereby appoint Shri/Smt.________________
_________________________as the guardian*legal representative of the minor to represent the minor-
nominee in matters connected with the nomination.

Place :
Date :
_______________ ________________________
signature of the Nominator member/s.
_____________________________________________________________________
Witnesses :
Name and Addresses of witnesses
1] _________________________________ [1] Signature of witness
___________________________________
___________________________________
2] _________________________________ [2]signature of witness
___________________________________
___________________________________
Place :
Date :
____________________________________________________________________
The Nomination was placed in the meeting of the managing committee of the society held
on___________________________________for being recorded in its minutes.
The Nomination has been recorded in the nomination register at Sr.No._________dated_____________

Secretary/Chairman
______________co-operative Housing society Limited

Received the duplicate copy of the nomination

Nominees is major or minor affix latest Photo copy

For society ready reference record subject to realization of society meeting time to time
 TRIPLICATE COPY OF ACKNOWLEDGEMENT FROM SOCIETY TO MEMBERS COPY
FORM NO.14
FORM OF NOMINATION
[Under the Bye-law No.32]
TO BE FURNISHED IN TRIPLICATE
[APPLICABLE FOR SINGLE/MORE NOMINEES THAN ONE FOR NOMINOR NOMINEES]
To
The Hon. Secretary/Chairman,
______________________________________________________________________________________
_______________________________________________________________________________________
______________________________________________________________________________________
Respected Sir/Madam,
1] I/We ____________________________________________________________________________
am/are member of _____________________________________________________________________
having its address______________________________________________________________________
_______________________________________________________________________________________
2] I/We hold the share certificate No._______dated ________________ for five/Ten paid up shares of
Rupees Fifty Each, bearing numbers from _______ to_______ [both inclusive] issued by the said society to
me/us.
3]I/We also hold Flat/Shop/Gala No.________on __________Floor, admeasuring to ________sq. Ft.
carpet/Built-Up area in_________________________________________________________________
_______________________________________________________________________________________
4] As provided under rule 25 of the Maharashtra Co-Operative Societies Rules, 1961. I/We hereby
nominate the persons whose particulars are as given below :
_______________________________________________________________________________________
Sr.No. Name of Nominees Permanent address Relationship share of date of birth Of Nominees
with the each if nominee is
Nominator Nominee % a minor
1 2 3 4 5 6
______________________________________________________________________________________
[1]
[2]
[3]
[4] __________________________________________________________________________________
5] as provided under section 30 of the Maharashtra Co-operative societies act 1960 and the Bye-laws of
the society, I/We state that on my death, the shares mentioned above and my interest in the said
FLAT/SHOP/GALA the details of which are given above, should be transferred to shri/smt.
_____________________________________________________________________ the named nominee,
on her/his/their complying with the provisions of the bye-laws of the society regarding requirements of
admission to membership and on furnishing an indemnity bond, along with application for membership,
indemnifying the society, against any claims made to the said shares and my interest in the said
FLAT/SHOP/GALA by order nominee*nominees.
 2
6] As the nominee at Sr. No. _______is minor I/We hereby appoint Shri/Smt.________________
_________________________as the guardian*legal representative of the minor to represent the minor-
nominee in matters connected with the nomination.

Place :
Date :
_______________ ________________________
signature of the Nominator member/s.
_____________________________________________________________________
Witnesses :
Name and Addresses of witnesses
1] _________________________________ [1] Signature of witness
___________________________________
___________________________________
2] _________________________________ [2]signature of witness
___________________________________
___________________________________
Place :
Date :
____________________________________________________________________
The Nomination was placed in the meeting of the managing committee of the society held
on___________________________________for being recorded in its minutes.
The Nomination has been recorded in the nomination register at Sr.No._________dated_____________

Secretary/Chairman
______________co-operative Housing society Limited

Received the duplicate copy of the nomination

Nominees is major or minor affix latest Photo copy

For society ready reference record subject to realization of society meeting time to time
To,
The Hon. secretary/Chairman
__________________________________________________________________________
___________________________________________________________________________

Dear sirs,

I/We ________________________________________________________________________
Hereby submit following society formalities in respect of FLAT/SHOP/GALA NO.______ on the
_______Floor, admeasuring to__________ Sq. Ft. Built-Up area in
____________________________________________________________________________
__________________________________________________ society vide agreement for sale
dated _____________ between myself/ourselves ____________________________
who is/are registered share holder of your society.
1,form no.20-1 [consent of transfer]
2.form no.20-II [consent of transferee]
3.form no.21 [Application for transfer]
4.form no.23 [Application for membership]
5. form no.4 [On Stamp Paper of Rs.100/-]
6.form no.25 [On stamp paper of Rs.100/-]
7.form no.26 [On stamp paper of Rs.100/-]
8.copy of agreement for sale __________________ with registration receipt Xerox copy
9.original share certificate
10.Transfer paper
11.Nomination form
12.Transfer fee receipt Xerox copy
Pursuant to this agreement and required transfer formalities submitted by me/us. I/We further
request you to transfer the share certificate in my/our favour and obliged.
Kindly acknowledge the same.
Yours truly,

___________________________ __________________ _______________

TRANSFEREES TRANSFEROR
PURCHASERS SELLER
 100/-

FORM NO.4
FOR FLAT/SHOP/GALA OWNER’S SOCIETY ONLY
A form of undertaking to be furnished by the prospective member to use the FLAT for the purpose for
which it is purchased.
[Under the bye-law No.19 {IV}
I/We _______________________________________________________________ residing at
___________________________________________________________________________________
_____________________________________________________ intending members of the
_______________________________________________________________________ Registered No.
___________________________________________ Dated ____________having address at
_____________________________________________________________________ hereby given the
undertaking that I/We will use the purchased by me’ us proposed to be acquired by me’ us, on
cessation of membership of the earlier member under the bye-laws of the society, for the purpose
mentioned in the letter, which will be issued under bye-law no.78[a] of the bye-laws of the society
proposed ‘registered.
I/We further give the undertaking that no change of user will be made by me’ us without the previous
permission, in writing of the committee of the society.

_______________________________
PLACE: VASAI TRANSFEREES
DATE: --------- PURCHASERS

*Strike out whichever is not applicable

 100/-

FORM NO.25
COMMON
[Under the bye-law No.40[d][ix]]
A form of declaration for not holding immovable property in any Urban Agglomeration,
specified under the Urban Land [Ceiling and Regulation] Act, 1976, exceeding 500 sq.metres.
[To be given by the Transferor]
Shri’ Shrimati __________________________________________________________
intending member of the holding FLAT/SHOP/GALA NO.___________ on the ____________
Floor, admeasuring to _________ Sq. Ft. Built-Up area in _____________________________
____________________________________________________________________________,
___________________________________________________________ to transfer it to shri’
smt. ____________________________________________________________________
Members of the society hereby declare that I./We do not hold any vacant land or land with a
building thereon, anywhere, in any urban agglomeration mentioned in the Urban Land [ceiling
and Regulation] Act, 1976,the area of which exceeds 500 sq. mtrs.
SIGNATURE OF TRANSFEROR MEMBER

____________________________________
TRANSFEROR
SELLER
PLACE: VASAI
DATE: ------------
 100/-

FORM NO.26
COMMON
[Under the bye-law no.19[vii],20[iv]and40[d][ix]]
The form of declaration for not holding immovable property in any Urban Agglomeration,
specified under the Urban Land [ceiling and Regulation]Act,1976,Exceeding 500 sq mtres.

[To be given by the Transferee/person seeking direct admission to membership]

I’ We ____________________________________________________________________
intending member of the _______________________________________________________
___________________________________________________________________________
proposing to hold FLAT/SHOP/GALA NO.____________ on the _______________ Floor,
admeasuring to ________ Sq. Ft. Built-Up area in the building of the society constructed or to
be constructed hereby declare that I’ We do not hold any vacant or land with building thereon
any where in any Urban agglomeration, mentioned under the Urban Land [ceiling and
Regulation] Act,1976 the area of which exceeds 500 sq. mtrs.
Signature of the Transferee’s/prospective members

______________________ _________________
PLACE; VASAI TRANSFEREES
DATE; PURCHASERS
 Common
FORM NO.20[1]

[Under the bye-law No.38{a}]

The form of Notice of Intention of a member to transfer his shares and interest in the capital/property of
the society.
To,
THE SECRETARY/CHAIRMAN
_______________________________________ CO-OPERATIVE HOUSING SOCIETY LIMITED.,
____________________________________________________________________________
____________________________________________________________________________

Dear Sir,

I’ We _______________________________________________________________________
members of the ______________________________________________________ and
holding five/Ten fully paid up shares of Rupees fifty each, bearing distinctive numbers from
______ to ______, SHARE CERTIFICATE NO.___________ in the building of the society,
numbered * known as and when registered hereby give you notice as required under rule 24
of the Maharashtra Co-operative Society’s Rule,1961,as hereunder :

I*We shri* smt.*m/s _____________________________________________________________

intend to transfer my*our rights, title and interest in the FLAT in the building of the society and my*our
interest in the capital of the society to shri* smt.*m/s ___________________________________
_______________________________ for consideration of Rs.____________________/-

The consent of the transferee is given overleaf.

Yours faithfully,

______________________
SELLERS
Place: VASAI
Date :---------------
Encl:[1] consent letter from the transferee.
 COMMON
FORM NO.20[2]
[under the bye-law No.38[a]]
The form of letter of consent of the proposed transferee for the transfer of the shares and
interest of the member[transferor] to him [transferee].

To,
The Secretary./Chairman,
________________________________________________ HOUSING SOCIETY LIMITED.,
________________________________________________________________________

Dear Sir

______________________________________________________ members of the

____________________________________________________________________________
________ to transfer his*her*their shares and interest in the capital/property of the society
to me*us/I*We hereby give my*our* consent for the proposed transfer of shares and interest
of _________________________________________________________________________
in the capital/property of the society to me*us required under Rules 24[I][b]of the
Maharashtra Co-Operative Societies Rules, 1961.

My*our name and address is as under :

____________________________________________________________________________

____________________________________________________________________________

__________________ _____________________
TRANSFEREES
PURCHASERS
Place : VASAI
Date : -----------------
 FORM NO.21
COMMON
[Under the Bye-law No.38[e] [I]
To,
The Secretary/Chairman
“__________________________________________________________________________
___________________________________________________________________________

Dear Sir.
1. I/We _________________________________________________________ MEMBER OF
___________________________________________________________________________,”
having address at ______________________________________________________________
__________________________and holding the share certificate No._______ for five/Ten fully
paid up shares of Rupees Fifty Each, bearing distinctive numbers from ______ to
________[both inclusive] and holding the FLAT/SHOP/GALA NO._______ on the
_____________ Floor, admeasuring to ____________ Sq. Ft. Built-Up area, in the building of
the said society, numbered*known as _________________________________________
________________________________________________________., registered.
2. I/We had given you notice of my/our intension to transfer the said shares and my interest in
the capital/property of the society on________ as required under Rule 24[I][b] of the
Maharashtra Co-Operative Societies rules 1961, along with the consent of the proposed
transferees ____________________________________________________________________
3. I/We enclose herewith the application in the prescribed form for membership of the said
society, by the said proposed transferee.
4. I/we remit herewith the transfer fee of Rs.500/-[Rupees Five Hundred only] We/I also remit
here with the amount of the premium of Rs._______{Rupees_______________________Only}
as provided under bye/law No.38[e][ix]of the bye-laws of the society.
5. I/We state that the said shares and the interest in the capital/property of the said society
have been held by me for a period of not less than a year.
6. I/We further state that the liabilities due to the said society by me, as on the date of this
application, have been fully paid by me/us. I/We also undertake to pay the liabilities, which may
become due till the transfer application is approved by the society.
7. I/We hereby undertake to discharge any liabilities to the said society, which related to the
period of my/our membership with the said society and have become payable by me/us after
cessation of membership due to any demand made by the local authority, government or by any
other authority or any account, after cessation of my/our membership.
8. I/We propose to transfer the said shares and my/our interest in the capital/property of the
said society on the following grounds:
[I]_________________________________________
[ii]_________TO SALE OF FLAT/SHOP/GALA _________________
[iii]________________________________________

9.I/We furnish herewith the declaration, in the prescribed form, on Hundred Rupees stamp
paper, about non holding of any vacant land or land with a building, in any urban
agglomeration, specified under the urban land [ceiling and regulation] act, 1976, the area of
which exceeds 500 sq. mtrs.
10 I/We also furnish herewith the undertaking in the prescribed form, on Hundred rupees
stamp paper about the registration of the transfer, as required under section 269 AB of the
income tax act.
11.I/We request you to approve the proposed transfer and inform me accordingly.
Yours faithfully,

_______________________________
SELLERS
Place : VASAI
Date: -----------

* This undertaking is not necessary if consideration for transfer is Rs.75,00,000/- or less.

 FORM NO.23

COMMON
[under the bye-law No.38[e][ii]
Form of application for membership of the society by the proposed Transferee/s.
[being an individual]
To,
The Secretary/Chairman
_____________________________________________________________________________
_____________________________________________________________________________
Dear Sir,
1. I/We _____________________________________________________________________
intend to become a member of the _____________________________________________,
having address at ______________________________________________________________
2. I /We had given my/our consent to the proposed transfer of the said shares and the interest
of the said transferor in the capital/property of the said society to me/us on------
3. I/We now make this application for membership of the said society and for transfer of the
said shares and the interest of the said transferor in the capital/property of the said society to
my name.
4. The particulars for the purpose of consideration of my application for membership of the
_____________ _________________________________________________________.,
Age : YRS.
Occupation : BUSINESS/SERVICE/HOUSE WIFE
Monthly income :
RES.ADDRESS : ______________________________________________
___________________________________________________________________________
herewith the entrance fee of Rs.100/- [Rupees One Hundred Only]
5. I/We declare that there in so plot FLAT/SHOP/GALA house owned by me us any of the
members of my/our family the person dependent on me, in the area of operation of the
Society. OR
6. I/We give below the particulars of the plot FLAT house owned by me us any of the members
of my family the person dependent on me, in the area of operation of the society.
___________________________________________________________________________
S.NO. Name of the Particular of Location Reason
person FLAT owned by of FLAT/house for to have FLAT
me/member of plot. In this society
My family.

1 2 3 4 5

--------------- N.A.--------------------
_______________________________________________________________________________________________________
7.I/We furnish herewith the declaration in the prescribed form, on One Hundred rupees stamp
paper, about non holding of any vacant land or land with a building, in any urban
agglomeration, specified under the urban land [ceiling and regulation] act, 1976, the area
which exceeds 500 sq. mtrs.
8.I/We also furnish herewith the undertaking in the prescribed form on One hundred
rupees/forty rupees stamp paper, about registration of the transfer under section 269 AB of
the Income-Tax Act and the rules made there under.
9.I/We undertake to use the FLAT, proposed to be transferred to me/us for the purpose,
mentioned in the letter that will be issued to me/Us by the said society, under by-law No.78[a]
of the bye-laws of the said society and that no change of the user of the said FLAT will be
made by me without the prior approval of the society in writing, the undertaking to that
effect in the prescribed form is enclosed herewith.
10. I/We undertake to discharge all the liabilities to the society, which may become due from
the date of my/Our admission to the membership of the society. As I/We have no
independent source of income, I/We enclose herewith the undertaking in the prescribed form
the person on whom I am dependent to the effect that They will discharge all liabilities to the
society on my/Our behalf including charges of the society.
11. I/We also enclose herewith the undertaking in the prescribed form the plot*FLAT*house
owned by me/Us* ANY OF THE MAMBERS OF MY/OUR FAMILY*THE PERSON DEPENDENT ON
ME/US, THE DETAILS OF WHICH ARE GIVEN IN THE APPLICATION ABOUT THE DISPOSAL OF
THE SAID PLOT*FLAT*FLAT*HOUSE.
12. I/We have got through the bye-laws of the said society and undertake to abide by the
same and any modifications that the registering authority may make in them.
13. I/We request you to please admit me/Us as a member of the said society and transfer the
shares and the interest of the transferors in the capital/property of the said society to my/our
name.
Yours faithfully,

_________________________ ________________________
TRANSFEREES
PURCHASERS
DATE:
VASAI
Note: The expression ‘’a member of a family’’ means and includes as defined under bye-law
No.3[xxv].
*This undertaking is not necessary if consideration for transfer is Rs.75,00,000/- or less.
 TRANSFER FORM
This instrument made this day of -------------------- Between _______________________
______________________ registered member and share holder of the _________________
___________________________________________________________., SITUATED AT
_____________ A N D _______________________________________________________________
______________________________________________________________________having residing
_______________________________________________________ witnesses that in
consideration of the total sum of Rs.______________/- paid By
________________________________________________ to me on ------------------ I/We do hereby
transfer to the said FLAT/SHOP/GALA NO.______ on the __________ Floor, admeasuring to
___________ Sq. Ft. Built-Up area with fully paid up share of Rupees fifty each bearing Number
_______ to _______ entered in the share certificate number _______ standing in my/Our name on
this day in the book of the ___________ _________________________________.,” registered
my/Our following interest in the property of the society, viz.
FLAT/SHOP/GALA NO.___________ on the ____________ Floor, admeasuring to _______ Sq.
Ft. Built-Up area of the said society which was allotted to me/our as tenant member of the society
with all fittings and fixtures. All the amount standing to my/our credit on this day in the books of the
society towards deposit, loan, stock, bonds, sinking fund, dividend and other amounts to which I/We
am/are legitimately entitled in respect of my/our being the member of the said society. Further, I/We
the said _____________________________________________ do hereby declare that no one else
except myself/ourselves has any claim or title to or charge upon the said FLAT/SHOP/GALA
NO._________ on the ____________ Floor, admeasuring to __________ Sq. Ft. Built-Up area and that
I/We hold myself/ourselves fully responsible for the same.
And I/We ___________________________________________ accept to hold the said shares,
amounts in credit and the FLAT/SHOP/GALA NO._________ on the ___________ Floor, admeasuring to
__________ Sq. Ft. Built-Up area allotted by the society to
_______________________________________ along with all fittings and fixtures in the present
conditions subject to the rights existing at present and the liabilities to be discharged in further as per
bye-laws of the society.
All the dues of the society in respect of the said FLAT and the membership have been fully paid on this
day the--------------------
In witness whereof we have hereunto set our hands
Name of Transferor
_____________________________________________
Signature
______________________________________________________
Name of Transferees Signature
 TRANSFER SET

OF

FLAT/SHOP/GALA NO._________
ON ______________ FLOOR

IN

________________________________________________.,
_______________________________________
___________________________

BETWEEN

_____________________________________________
VENDOR/TRANSFEROR

A N D

_________________________________________________________________
PURCHASERS/TRANSFEREES
 APPENDIX 13
(Under the bye-law no.27(a))
The Form of Notice of Resignation from membership of the Society by a member.

To
The Secretary,
-------------------------------------------
---------------------------------------------
----------------------------------------------
Sir,

I/We Shri/ Shrimati/Messrs ........................................................................ am/are the flat

owners/member(s) of the ..................................................... Co-operative Housing Society Ltd.,
having address at ...............................................................................
holding ........................................... Shares of Rupees fifty each, amounting to
Rs. .....................and the Flat No. .................... in the building of the Society numbered/known
as .......................................

I/We desire to withdraw from the Society and therefore give you a notice of three months of
my/our intention to resign from membership of the Society, as required under the Bye-law no.
27(a) of the byelaws of the Society. I/We hereby state that I/we am/ are prepared to discharge
in full the amount of liability to the Society as per records of the Society before my/our
resignation is considered by the Managing Committee of the Society.
OR
I/We authorise the Society to recover the charges of the Society, due to the society as per
my/our account(calculation) from the value of my / our flat. On acceptance of my/our
resignation, I/we will surrender the share certificate No........................ for shares numbering
from ..................... to............................ (both inclusive) for Rs ......................... to the Society
and the vacant possession of the Flat.

I/we request you please pay me/us the value of the shares referred to above and the value of
my/ our interest in the Flat, due to me us remained after deducting the amount payable to the
Society and outstanding against me/us.

Yours faithfully,

___________________
(Signature of Member)

Place:

Date :