FORM V APPLICATION FORM FOR CHANGE OF OWNERSHIP AS A CONSEQUENCE OF DEATH OF OWNER OF PLOTS/SITE/HOUSE PLOT/HOUSE/SITE NO_____________________ SECTOR/PHASE ______________ SIZE ___________RESIDENTIAL ___________________ COMMERCIAL_________ INDUSTRIAL/INSTITUTIONAL ____________________ (Tick mark whichever is applicable) 1. NAME OF DECEASED 2. DATE OF DEATH 3. NAME OF LEGAL HEIRS IN WHOSE FAVOUR THE ALLOTMENT/OWNERSHIP IS TO BE TRANSFERRED 4. NAME OF APPLICANT(S) & RELATIONSHIP WITH DECEASED 5. NAME OF FATHER/HUSBAND (of applicant) 6. PERMANENT ADDRESS (of applicant) (Telephone No.) 7. NAME OF GPA/SUB GPA/SPECIAL POWER OF (if applicant is GPA/sub GPA/SPA 8. CORRESPONDENCE ADDRESS (of applicant) (Telephone No.) ______________________ 9. ALLOTMENT LETTER NO. DATED 10. TRANSFER ON THE BASIS OF : A) WILL (Registered/Unregistered) B) LEGAL HEIR CERTIFICATE C) COURT ORDER (Tickmark which ever is applicable) DATED: SIGNATURE OF APPLICANT(S) Certified that all information furnished in this form is true to the best of my/our knowledge. SIGNATURE OF APPLICANT(S) The text and format of this form can be changed any time with the change in policy matters. (For Transfer of ownership in consequence of Death) (Specimen of Affidavit from Purchaser/Transferee on Non-judicial stamp paper of Rs. 15/- along with passport size photograph duly attested by Executive Magistrate of Magistrate 1st Class in case of violations of building byelaws) INDEMNITY BOND This indemnity bond is executed at _______ on this ______ day of ______(Month) ______ (year) by ___________ S/o _______________________ R/o ___________ aged _________________ years, in favour of the Estate Officer, PUDA. 1. Whereas Sh./Smt. ______________________ s/o, d/o, w/o ___________________ allottee/owner of plot/site/house no. _______________ Phase/Sector ________ in Urban Estate _________ expired on _________________ . 2. That before his/her death, Sh./Smt. ___________________ executed a Registered/ Unregistered will at __________ (place) on _________________ in favour of Sh./ Smt._____________________ s/o, d/o, w/o of Sh./Smt. ____________________ in respect of the said plot/site/house. 3. Whereas I/we __________________________ s/o, d/o, w/o __________________ R/o_____________________________________ hold the General Power of Attorney/Sub Attorney No. ____________ dated _______ registered in the place of Sub___________ Registrar ________for the said plot/house/site on behalf of Sh. _______________ S/o D/o W/o ___________________ R/o ____________ which he/she has neither revoked nor cancelled (if applicable). 4. Whereas Sh./Smt. _______________________S/o D/o W/o _______________ R/o ______________________________who executed the General Power of Attorney is still alive (if applicable). 5. Whereas Sh./Smt. _________________________ S/o D/o W/o _____________ has applied to the Estate Officer, PUDA ________________ for the transfer of said plot/site/house on the basis of the Will in his/her favour. 6. And whereas the Estate Officer, PUDA ____________________ has asked me to furnish an Indemnity Bond for the transfer of said Plot/House/Site. 7. Therefore, I ____________________________ S/o D/o W/o _____________ R/o ____________________________________ have agreed to stand surety and keep indemnified the Estate Officer for and against all the losses/damages/claims action and proceedings taken against the Estate Officer, PUDA _______________ at any later stage on account of transfer of Ownership of said plot/house/site in my name/in the name of Sh/Smt __________________________ S/o D/o W/o ______________________ which ever applicable) on the basis of this will and the Estate Officer, PUDA _______________ or any of his officers/officials shall be entitled to make good all such damages/claims/losses from me/him and from my/his legal heirs, assigns and successors or from the above said property, which is now being transferred in my/his name and in that event I/he shall have no objection to any action of Estate Officer, PUDA _______________ including cancellation/resumption of this property. In witness where of I put my signatures on this bond on the day, month and year first above mentioned in the presence of the witness. EXECUTANT: WITNESS: 1._____________________ 2. _____________________ (Specimen of Affidavit from legal heirs on Non judicial stamp paper of Rs. 15/- along with passport size photographs duly attested by Executive Magistrate or Magistrate Ist Class) AFFIDAVIT I/We _______________________________ S/o D/o W/o Sh____________________ resident of _____________________________________do hereby solemnly affirm and declare as under: 1. That I/We ______________________ am/are legal heirs of Sh./Smt. ___________________ S/o D/o W/o __________________________ who was owner of Plot/Site/House No. ____________ Sector/Phase _________________ Measuring __________ sq. yards allotted/transferred to him by Estate Officer, Urban Estate______________________________ 2. That I/we further declare that Sh./Smt. ________________ has expired on ______. 3. That I/we accept the allotment of Plot/Site/House No. _____________Sector/Phase ________ Urban Estate _________________ measuring ___________ sq. yards. 4. That I/we further undertake to make payment of all the outstanding dues or such amount as may be due or become liable against the plot at any later stage including payment of additional price as and when demanded by the Estate Officer. 5. That I/we accept the terms and conditions relating to the allotment of plot and shall abide by the provisions of Punjab Regional and Town Planning and Development Act 1995 and the rules/regulations applicable there in and amended from time to time. 6. That I/we undertake that in the event of any dispute in respect of the Will and the subsequent change of the disposition contained in the will by orders of any court or in any other manner we will have/make no claims whatsoever against or enter into litigation with Estate Officer, Urban Estate, PUDA. DEPONENT(S) Place: Date: VERIFICATION: I/We verify and declare that the above statement is true and correct to the best of my/our Knowledge and nothing has been concealed therein. DEPONENT(S) (Specimen of Affidavit from Purchaser/transferee on Non judicial stamp paper of Rs. 15/- along with passport size photographs duly attested by Executive Magistrate or Magistrate Ist Class in case of violations of building byelaws) AFFIDAVIT I/We _______________________________ S/o D/o W/o Sh ______________________ aged _____________ years ________________ R/o __________________________do hereby solemnly affirm and declare as under: 1. That after the property is transferred in my/our name, I/we or my/our legal heirs, assigns & successors shall abide by the provisions of the Punjab Regional & Town Planning & Dev. Act, 1995 and the rules, byelaws framed there under or amended from time to time and the conditions of the allotment. 2. That I/we shall be liable to pay the required compounding fee in regard to all the compoundable violations and will demolish/alter the non-compoundable violations, which are existing in the building to bring it in accordance with the approved building plan. DEPONENT(S) Place: Date: VERIFICATION: Verified that the above said statement is true and correct to the best of my/our knowledge and belief and nothing has been concealed therein. DEPONENT(S) LIST OF DOCUMENTS TO BE SUBMITTED BY THE APPLICANT 1. Death certificate in original. 2. Legal heirs certificate issued by competent authority/attested copy of the will (Registered/ Unregistered)/attested copy of court orders (whichever is applicable) 3. Affidavit, in attached prescribed form from the transferee(s) (Pg. 3) 4. Affidavit, in prescribed form from the transferee(s) regarding building byelaws violations (if applicable) (Pg. 4) 5. Photocopy of Conveyance deed (if applicable) 6. Sanction of Sewerage Connection (in case of constructed plot) 7. Third Party Indemnity Bond in the attached prescribed form (in case of transfer by will ) (Pg.2) FOR OFFICE USE Application of Shri/Smt. ___________________ for change of ownership (death case) of Plot /Site/House No. _______________ Sector/Phase ____________ has been checked and documents at Sr.Nos. ______________ have been received. (Signature) Assistant (S.W.S.) Date : ACKNOWLEDGEMENT SLIP Application received for change of ownership (death case) GPA/Sub GPA/SPA (if applicable) of Sh./Smt. ______________________ in respect of Plot/Site/House No. _________________ Sector/Phase __________ on __________ File No. ___________ and a sum of Rs. ___________ vide receipt No. ____________ has been received. The applicant may contact the Estate Office on _________ to collect the document, otherwise the document will be despatched by post on ______________ Signature of Diary clerk
