[Form 1]

(See rule 3)

(Strike out whichever is not applicable)

1 Office of the Registrar/Sub-Registrar/Joint Sub- ---------------------------

Registrar -----

2 Name and address of the vender ---------------------------

-----

3 Name and address of the vendee ---------------------------

-----

4 Situation of property (whether urban or rural) ---------------------------

-----

5 Name of the nearest road to property, its width and ---------------------------

approximate distance in metres/kilometers. -----

6 Distance of property from Railway Station, Bus ---------------------------

Stand, Public Office, Hospital, Factories and -----
Educational Institutions. Give distance in
Metres/Kilometres of any one, which is nearest to
property

7 Nature of Economic, Industrial, Developmental ---------------------------

activity, in the sub-territory, in which property is -----
situated

8 Any other special features having bearing on the ---------------------------

valuation -----

9 Details of agreement executed for the property ---------------------------

under transfer, if any -----

10 Amount of consideration of property under transfer, ---------------------------

shown in the deed -----

11 Appropriate market value of the property ---------------------------

-----

(1) In case of agricultural land, -

(a) Khasra Number/Khewat/Khatauni Number of latest Jamabandi, area and

location;

(b) Kind of land (Chahi, Barani, Banjar);

(c) If under cultivation, whether sown once or more in a year;

(d) Minimum market price fixed by the Collector.

(2) In case of non-agricultural land, -

(a) Khasra Number/Khewat/Khatauni Number of latest Jamabandi/Plot No., area

and location of land;

(b) Purpose for which the land is being used presently;

(c) Minimum market price fixed by the Collector;

(3) In case of Gardens, -

(a) Khasra No./Khewat/Khatauni No. of latest Jamabandi, area and location of

land;

(b) Number of trees, kind, size and age;

(c) The amount of average income per year., derived during the last three years;

(d) Minimum market price fixed by the Collector;

(4) In case of Buildings, -

(a) Name/Number of building, total area, constructed area and open area;

(b) Whether the building is used as Industrial/Commercial/Residential premises;

(c) Number of storeys and area of each storey;

(d) Whether the construction is of mud or cement, concrete of R.C.C. and year of
construction;

(e) Type of construction, concrete, pacca bricks or other material;

(f) Annual rent, if given on rent;

(g) Amount of Annual House Tax, if assessed;

(h) Nature of Economic, Industrial, Developmental activity being run in the

building;

(i) Minimum market price fixed by the Collector;

Signatures of Vendee Signatures of Vender

Date Date

I/We do hereby solemnly affirm and declare that the information given above is
true to my information and belief.

Signatures of Vendee Signatures of Vender"

Date Date