APPLICATION FOR MUTATION OF NAME To The Block Land & Land Reforms Officer, Barrackpore - I/II North 24 Parganas Sir, I / We like to get my name / our names ranted in the record of rights in respect of the land purchase / inherited by me / us, the particulars of which are furnished below : 1. a) Name of the Purchaser/ Successor : ..................................................................................... b) Father's Name : ..................................................................................... c) Full Address : ..................................................................................... 2. Schedule of Land a) District : ..................................................................................... b) Police Station : ..................................................................................... c) Mouga : ................................... d/ J. L. No. ................................. d) R.S. Khatian No. : ..................................................................................... Plot No..................................Area : ................................ e) L.R. Khatian No. : ..................................................................................... Plot No.................................Area : ................................ 3. Purpose for which : ..................................................................................... Mutation is required 4. Registered Deed No. : ..................................................................................... Date : ..................................................................................... 5. Whether a case of inheritance : Yes / No. 6. Whether the Land is in : Yes / No. possession of the applicant I do hereby declare that the above Statement in true to conscience Yours faithfully, Date : (Signature of the Applicant) Enclosed : 1) Photocopy of the Registered Due and/or Link Deeds. 2) Photocopy of the receipts of up-to-date Land Revenue. 3) Photocopy of the receipts of the Municipal/ Panchyat Tax. 4) Succession Certificate from the Appropriate authority. 5) Affidavit in Original. 6) Certificate from the Financial Institution. N.B : Delete which is not applicable. Downloaded from www.barrackpore.gov.in, the official website of Barrackpore Sub-Division
