FORM LR-XIV Government of Himachal Pradesh APPLICATION FOR PERMISSION FOR PURCHASE OF LAND IN H.P. REQUIRED UNDER SUB-RULE(I) OF RULE 39-A OF THE HIMACHAL PRADESH TENANCY AND LAND REFORMS RULES, 1975. PART -I 1. Name of the Applicant(s) Son/daughter/wife of Resident of village / Mohal Tehsil & District (Please writer name of Post Office and Pin Code No also) 2. Permanent Address (complete in every respect) 3. Present Occupation & Address 4. Purpose for which the land is required 5. Particulars of the Land Applied for: (i) Khata khatauni No(s) (ii) khasra No(s) (with total no. of kites, area & classification of land applied for) (iii) Estate No (Hadbast No) (with complete name) (iv) Name of the Tehsil (v) Name of the District 6. Particulars of the land holder from whom the land is intended to be transferred: (i) Name of the Transferer(s) (ii) son/daughter/wife of (iii) Resident of village/mohal (iv) Name of Tehsil & District (with Pin Code No. & name of the Post Office) 7. Whether the applicant(s) has/have previously applied for grant of permission to get the land transferred, if 'Yes', then give the following particulars:-(a) Date of Previous Application YES/ NO Date: Downloaded from http://himachal.nic.in Page 1 of 1 (b) Whether Permission granted or refused (the No. and date of the order of State Govt. be mentioned YES/ NO Order No. Date: (c) Particulars of land permitted to be transferred previously:(i) Name of the District (ii) Name of the Tehsil (iii) Name of Estate with Hadbast No(s) (iv) Khasra No(s) with area and classification of land 8. Any other information which the applicant(s) deem(s) relevant I/we solemnly affirm and declare: that whatever has been stated above is true to the best of my/our knowledge and belief and the nothing has been concealed and suppressed in this regard. __________________________________________________ Dated: ______________ Signature(s) of the Applicant(s) Name(s) ____________________________ ____________________________ ____________________________ Remarks of the Collector:- Downloaded from http://himachal.nic.in Page 2 of 2 "FORM - LR-XIV" PART - II Government of Himachal Pradesh DOCUMENTS TO BE ENCLOSED WITH THE APPLICATION FOR PERMISSION I. Latest Copy of Jamabandi, tatima Shajra, copy of Ausat-Bae-Ek-Sala II. Certificate of Permanent residence issued by the Tehsildar or the Magistrate of the area concerned. III. Copy of Agreement arrived at by the transferer and the transferee. IV. Affidavit of the transferer stating that he/she after the proposed transfer of land, will not become landless, and if so, he/ she will not claim any benefit/land under any scheme prepared for the benefit of the landless persons in the State. V. Affidavit of the Transferee: 1. Stating that he/she has not earlier acquired any land for the same purpose either in his own name or in the name of his family, with the permission of the State Government, under clause (h) of sub-section (2) of section-118. 2. Stating that the land to be transferred is fit to be used for the purpose for which it is being proposed to be transferred. 3. Undertaking that he/she will use the land, proposed to be transferred for the same purpose for which it is sought to be transferred. VI. No Objection Certificate in the form of affidavit from the co-sharers of the land proposed to be transferred. VII. No Objection Certificate: 1. Where land to be transferred is abutting the State or National Highways, from the Public Works Department. 2. Where the land to be transferred is located in an area where the provisions of Himachal Pradesh Town & Country Planning Act, 1977 are applicable, from the Town and Country Authority concerned, 3. Where the land to be transferred is located in a Municipal area from the Municipality concerned; Provided that where such establishment unit or project requires more land for its expansion, the application shall also be accompanied by the utilization certificate of the land already held by him/her. VIII. In case of officers/employees of the Government and Public undertakings /autonomous bodies, a copy of permission of the employer. IX. In case of commercial establishments, tourism units, industrial and hydel projects, in addition to the documents specified against items I to VII, the following documents shall also be enclosed: 1. Essentiality Certificate from Industrial Deptt. in case of Industrial Unit is to be set up. 2. Essentiality Certificate from Deptt. of MPP & Power of the Govt of H.P., in case of setting up of hydel projects 3. Essentiality Certificate from Tourism Dept. in case of tourism unit is to be set up. 4. Essentiality Certificate from concerned Deputy Commissioner in case land is proposed to be purchased for the purpose of Charitable/Religious/Public Utility. X. In case of Sick Units: Where the Industrial Unit/Hydel Project/Tourism Unit turns sick/non-functional and the land of such unit is proposed further to be transferred to another entrepreneur either directly or through any H.P.S. Financial Institution/ HPS Industrial Corp., the following documents shall be enclosed: 1. Latest copy of Jamabandi and tatima shajra in case sub-division of khasra Number(s). 2. The Agreement arrived at between the two parties, in case the unit is proposed to be transferred directly. Note 1. : Items mentioned at Sr. No. II, VI & VII herein above shall not be applicable in case of transfer of sick Industrial/Tourism or Hydro Electric Project(s). Note 2. : One photocopy of each of the documents may also be enclosed. Downloaded from http://himachal.nic.in Page 1 of 1
