Land Form No.

35

THE UNITED REPUBLIC OF TANZANIA

THE LAND ACT, No. 4 OF 1999
(CAP. 113 R.E. 2022)
TRANSFER OF A RIGHT OF OCCUPANCY
(Under Section 62)
Title No: 136798
L. O. No: 518858
Plot No: 1052
Block: ‘F’

In consideration of the sum of Natural Love and Affection as Husband and Wife, I
BEATUS COSMAS SASI of P. O. Box 7715 Dar es Salaam (Herein referred as the
‘Transferor’) HEREBY TRANSFER to JACKLINE NICETAS SHIRIMA of P. O. Box
30061, Kibaha - Pwani (Herein referred as the ‘Transferee’) in respect of the Right of
Occupancy registered under the above reference:

SIGNED and DELIVERED at Dar

es salaam by the said BEATUS TRANSFEROR
COSMAS SASI introduced to me
by JACKLINE NICETAS
SHIRIMA the latter being
known to me personally on
this day of 2023
(Witness)
Signature:

Qualification:

Postal Address:

SIGNED and DELIVERED at Dar

es salaam by the said JACKLINE TRANSFEREE
NICETAS SHIRIMA who is known
to me personally on this day of
2023

(Witness)
Signature:

Qualification:

Postal Address:
 Land Form No. 35

Land Office use:

1. Stamp duty TShs. paid vide ERV No.

issued on

2. Consent Fee Tshs paid vide ERV No.

issued on

Where applicable
In exercise of the powers vested in me under section 37 of the Land Act 1999,
I commissioner for lands/authorized officer
HEREBY APPROVE this disposition.

Commissioner for Lands/ Authorized Officer

Date: