This special power of Attorney is made and executed at __________on this______day of_________in the year___________.

 

WHEREAS I am Mr./Mrs._______________ own the property mentioned in the ‘SCHEDULE OF PROPERTY’ (hereinafter referred to as “the Property”),

AND WHEREAS I am ordinarily living at: _________________________.

AND WHEREAS I am, unable to manage and look after my interest and affairs of the Property;

NOW, THEREFORE, KNOW ALL MEN BY THESE PRESENTS that I,

Mr./Mrs._________________Age: ___ years, Occupation:____________, Address: _____________________, Pan No:______, UID No: ___________, Mob No: ________________, E-Mail Id: _____________,

DO HEREBY APPOINT AND CONSTITUTE ON MY BEHALF MY______ (Mention Relationship),

Mr./Mrs.__________________, age_________years, Occupation:____________, Address: __________, Pan No:______, UID No: ___________, Mob No: ________________, E-Mail Id: _____________ as my true and lawful ATTORNEY in my name and on my behalf to –

1. Sign/execute and present Leave and License Agreement for registration before the appropriate Registrar/Sub-Registrar of Assurance,
2. Enter, view and inspect the Property by giving reasonable notice to Licensee/s,
3. To revoke and / or cancel the Leave and License Agreement, by giving notice in writing of one month to the Licensee/s,
4. Collect License Fees and Deposit from the Licensee/s in accordance with Leave and License Agreement and to do all other acts and things required to be done incidental to the powers hereinbefore contained.

 

IN WITNESS HERE OF the hands of the said parties have been put the day and year first above written.

 

SCHEDULE OF PROPERTY

(Being the correct description of premise Apartment/Flat which is the subject matter of these presents)

All that constructed portion being Residential unit bearing Apartment/Flat No. __, Built-up:_____ Square Feet, situated on the ____ Floor of a Building known as ‘_________’ standing on the plot of land bearing Survey Number: _______,Road:_______, Location:_________, of Village:_____________ , situated within the revenue limits of Tehsil_______ and District_________ and situated within the limits of ____________ Municipal Corporation.

 

 

 

 

 

 

Name, Sign, Thumb Impression and Photograph of Donor/s

 

 

 

 

Name, Sign, Thumb Impression  and Photograph of Donee/s

 

 

 

 

1^st  Witness                                                                           2^nd Witness

Sign:                                                                                        Sign:

Name:                                                                                     Name:

Add:                                                                                         Add: