\ P REVform-02 Wr8co,epenmrz264 C$ — —_— GUNTUR MUNICIPAL CORPORATION APPLICATION FOR ASSESSMENT / RE-ASSESSMenT OF VACANT LAND TAX File No.. (to be generated by CSC) ‘A. Owner Detail ‘Aadhar No, Mobile No. ‘Owner Name Gender Email Address Name Babe, Wo) B. Property Particulars : 1. Category of Private Ownership {1 Sate Gov. 1] CentralGov. [J 2. Apartment? Complex Name 3. Door No. (In case of existing building 4. Assessment No. (In case of existing building) 5. Locality 6. Revenue Zone No. 7, Revenue Ward No. '8. Revenue Block No. 9. Sireet No. 70. Election Ward No. 1. Property Address: 12. Pin Code ‘. Vacant Land Details : 4. Survey No. 2. Pata No. 3. Vacant Land Area (In Sq. Mtr.) 4. Market Value (In Sq. Mtr.) 5. Document Value 6. Effective date 7. Surrounding Boundaries = 4 North - East -| West - south — — = SHR, dp Saswer, ESE GoGo PS Biddwre Dowd HPosssaisuo, oe . o85is SYUENES, BE OLgomc BSEROGOG 2) ‘ e260, ei 2, Baw: (Sy srcoqoas seacoaes Seco aee saeanae POE DRI BPE iio Scanned with CamScannerD, Documents: f Document Type 3, Patta Corticate (esuediby Revenue Dept) 2 Registered wi ded -egisiered wi 4 DECREE by Gr Coot 5. Un-tegistered Documents /Notary Document S.Repstered Document an RO Proceeding No. & Date [emir ony frat tificate) om fv Deed No. & Dale | Pegered ta Reisterecn- ! eistered wil deed) Testor and Witnesses Signed required it Un-registered will deed) DECREE No. & Dale [required for decre by civil court) hi. Namo of Court required for decre by civil court) Nal. Document No. & Date require for Registered Document) 1. Photo of Property / Land 2. Attested copice of Property Documents i. Patta Certificate ii, MRO Proceedings ii, Will Deed iv. Decree Document v. Registered Document 3. Two Nom Judicial Samp Papers of Rs. 10 each 4. Copy of Deth Certificate! Sucession Cerificate / Legal Hair Certificate 5. Any other document ti ‘Applicant Undertaking = I hereby declare that all the information mentioned above is true to my knowledge. In case of any discrepancies ifarrises | will be held responsible. Hence, itis requestesd to assess my property Applicant Office Use Only Ihave verified the application and the enclosures and the application qualifiles for further verification Pura Seva Centre Operator. Scanned with CamScanner