From:-
_______________________
_______________________
_______________________
Date:-
To,
The Mamlatdar for Mutation
Computer Section,
Office of the Mamlatdar of Ponda Taluka,
Ponda, Goa.
Sub:- Mutation under section 96 of the Land Revenue Code, 1968.
Sir,
This is to inform that I / We have acquired right in the Property detailed on the basis of
the documents and hence request you to effect mutation in the records of Rights. Viz Form No. I
& XIV as under:-
1. Name/ Names of the person/persons ________________________
in words favour the Mutation is to be effected ________________________
2. Nature of right acquired ________________________
(Whether as Occupant/Co-Occupant/ ________________________
/other rights) ________________________
3. Name of the Village Sy. No./[Link] of the Village:
Wherein right is acquired Sy. No: ____________ Sub Div No: ________
Area: ____________ Sq. mtrs.
4. Whether the name is to include in
Occupant / tenant/Other right Column
In form No. I & XIV __________________________
5. Name to be deleted if any __________________________
6. If yes, Whether from Occupant / Other right/ __________________________
Tenant Column of Form I & XIV __________________________
7. Nature of Documents:-
Sale Deed/Gift Deed/ Will/Court Order/ __________________________
Succession/ Lease others __________________________
8. Details of Above Document enclosed:-
i) Regn. No. and date __________________________
ii) Office of Regn. With address __________________________
iii) Case No. __________________________
iv) Date of Order __________________________
v) Name and address of the court __________________________
vi) Any other document __________________________
9. Copies of Documents enclosed
(1) Latest copy of Form No. I & XIV of Survey No. ____ from the Village Talathi _____
(2)
(3)
Yours Faithfully
( )