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opera INoiarized Aridavit for afer of land from applicanl’ member of the family univparenis’ grandparents (bot Jpsternat & maternal) of the applicant and third party ~ All the joint owners of the land (excopt the| lzpplicant) have to submit this affdavit individually including the member of the family unitparents 8| lorandparonts (both paternal & maternal) ofthe applicant. (TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OF REQUIRED VALUE) I SoniDaughtoriwife of lage years ros do hereby solemnly afm and say as unde frat shan at is andy ony Caledon Ga ena Na a taegate) There a "Lind tr down ast rojeaione ce | Oren cue! vanes otnosin | $2805! | caso ata fe poretand] oH cwmrbvomtae | SAO! | ern. |e] Set Base 5 poe ‘Mutation — and Showroom Bae reaitin a | ran tant Names ofthe Joint | Sle D264 Tras nos Gatta [tre lot fiend] See Pe ‘owner(s VJoint Lessee: Git Deed! | Woisuney No. | ( metres | Demarcated Plan Basar ie me) isn | aa await 2 far Sst Tar ilo ar LEG DaIORRD oF CTEPCTHRC™ a teat) any “aan he. eowiveert append ows paper dated 3 [That in cabe Felshe is selected for LPG Disiibuirship, I confi that | do nt Rave any objection Tore onstruction ofthe LPG godown andlor showroom (as required by OMC) a the above mentioned location, as per the demarcation on the site plan enclosed, duly signed by all the co-owners. | Fereby vey that what has boon ssied above fe and corect fo the Beat 6 my Knowledge, and nothing has Bee] Jconcealed ther fom. sis conten that Ihave rol ofred ts pase of and Yo any ater person fr the above pupese [Scorn aired and decared before me [ris day of (ro) [year [Signature and Seal of ‘Signature IMagistrate/Judge/Notary Public Name of Deponent

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