AFFIDAVIT Declaration–cum–undertaking ( to be submitted where the property tax not yet levied by the local body) (To be sgned and submitted by the Owner, Builder/Developer/Construction Firm and Licensed Technical Personnel) (Notarized undertaking to be executed on Rs.100/- N.J. Stamp Paper)
This Declaration cum undertaking is executed on this………………………day of ………………… 20.. at ……………………………………………,(ULB) jointly by the Owner, Builder/Developer/Construction Firm and the Licensed Technical Personnel.
We, Sri …………….., S/o……………………, R/o…………..·(Owner/Owners) and Sri…………………. S/o………………….(LTP – License No. …..) have applied for regularization of Building in the premises situated and its details as given below.
Name of /Owners
the
owner
T.S/NTS/D.No/R.S.No. Door No.(if any) Locality Street Plot area No. of floors in Cellar/ Stilt/ GF/1st /2nd /3rd / 4th existence /……. No. of floors applied for regularization BUA (in each floor wise) Existing / Intended usage of the building (floor wise) Old tax receipt (PT /VLT) details
Completion date of the building The above said construction with the specification mentioned is within the purview of ‘ The Andhra Pradesh Regularization and Penalization of Buildings Constructed unauthorisedly and in deviation to the sanctioned plan Rules,2019 and declared that the above said structure / building construction was completed prior to 31.08.2018. If any misrepresentation of the above fact identified by the authorities we will be held responsible and abide with the actions initiated by the Authorities including demolition / prosecution besides cancellation of the proceedings issued under BPS,2019 / cancellation of License (LTP) without any further notice and we should not claim any compensation to the actions initiated by the authorities. 1. Signature of the owner/s a) b) 2.
LTP
Witness 1. 2. Sworn and signed before me on this ……………… day…..2019 in the presence of above witness.
PUBLIC NOTARY