Department: Revenue

ASSESSMENT OF STAMP DUTY AND REGISTRATION FEES

()
(Marked Fields are mandatory)
(*চিহ্নযু ক্ত তথ্যব োৰ োধ্যতোমূ লক)
Applicant’s Details (আবেদনকাৰীৰ বেৱৰণ)
*Applicant’s Name (আব দনকোৰীৰ নোম) ………………………………………..
*Applicant Gender ( ) Male Female
*Mobile Number (ম োইল নম্বৰ ) ………………………………………..
FatherName/MotherName
/HusbandName
( / / ) ………………………………………..
Mail Id ( ) ………………………………………..
Pan Number ( ) ………………………………………..
Aadhar card Number ( ) ………………………………………..
Address Details ( )
*State (ৰোজ্য) ………………………….
*District(চজ্লো) ………………………….
*Sub-Division (মহকুমো) …………………………..
*Circle Office(ৰোজ্হ িক্র) ………………………….
*Village/Town(গোওঁ/টোউন) …………………………..
*Police Station(থ্োনো) …………………………..
*Post Office(ডোকঘৰ) …………………………..
*Mouza (চিন নং) …………………………..
Ward ( ) …………………………..
GP (গোওঁ িঞ্চোয়ত) …………………………..
Other Details ( )
Name of Seller/Donor/Leasee ( / / ) …………………………..
Name of Intending Buyer/Donor ( / ) …………………………..
sold land village/ward ( / ) …………………………..
sold land mouza ( ) …………………………..
sold land patta ( ) …………………………..
sold land dagno ( ) …………………………..
sold land Area ( ) …………………………..
sold land land class ( ) …………………………..
Purpose of sale /Transfer of land ( / ) …………………………..

Signature of the applicant

(আব দনকোৰীৰ িোক্ষৰ)
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Department: Revenue
ASSESSMENT OF STAMP DUTY AND REGISTRATION FEES
()
(Marked Fields are mandatory)
(*চিহ্নযু ক্ত তথ্যব োৰ োধ্যতোমূ লক)

whether the particulars furnished by the applicants are correct as per the records
( ?) …………………………..
whether the land is under tenants occupation …………………………..
whether co-patt consent received …………………………..
Rate per bigha ( ) …………………………..
Total value of land proposed to be sold …………………………..

Supporting Documents (সংলগ্ন নচথ্)

1. Assessment patta of land.
2. *Permission for Transfer of Property by way of Mortgage/ Lease/ Gift/Sale/etc NOC on
transfer of land form registration
3. Any Other Document.

Signature of the applicant

(আব দনকোৰীৰ িোক্ষৰ)
……………~………………

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