Printed from www.taxmann.com FORM NO. 37-I [See rule 48L] Statement of agreement for transfer of immovable property to be furnished to the appropriate authority under section 269UC of the Income-tax Act, 1961 Agreement made this ______________________ day of ______________ in the year _______ between _________________ [name(s) and address(es) of the transferor(s)] hereinafter called the transferor(s) of the one Part and________________________________________________________[name(s) and address(es) of the transferee(s)] hereinafter called the transferee(s) of the other Part. It is hereby agreed by and between the parties as follows : 1. The transferor(s) and the transferee(s) agree to transfer the immovable property located at __________________ and described in the Schedule hereunder written by way of ___________________ [indicate the mode of transfer, e.g., sale, exchange, lease, etc.] 2. The total apparent consideration for the transfer of the immovable property is _______________ [in words] ( ____________________________ ) [in figures] 3. _______________________________________________________ [write here other terms of the agreement for transfer] 4. The particulars of the transferor(s), transferee(s), and other details about the transaction are furnished in the annexure to this agreement The Schedule above referred to : _______________________________________________________________________ _________________________________________________________________________________________________ [Detailed description of the immovable property proposed to be transferred Verification In witness of the above agreement for sale, the parties hereto solemnly declare that what is stated above and in the annexure (including the document(s) accompanying such annexure), to the extent it relates to the respective party, is correct and complete to the best of their knowledge and belief. Each party further declares that he is competent to sign this agreement and verify its content. Transferor(s) Transferee(s) 1. __________________________________________ 1. _____________________________________________ Father's/Husband's name Father's/Husband's name 2. ____________________________________ 2. _____________________________________________ Father's/Husband's name Father's/Husband's name 3. ____________________________________ 3. _____________________________________________ Father's/Husband's name Father's/Husband's name 4. ____________________________________ 4. _____________________________________________ Father's/Husband's name Father's/Husband's name ANNEXURE Particulars of the agreement for transfer of immovable property 1. Particulars of the transferor(s): (i) Name(s) (ii) Father's/Husband's name (iii) Present address(es) (a) Plot No. (b) Lane/Street (c) Locality (d) City/Town with PIN Code (e) District (f) State (g) Telephone No. (iv) Permanent address(es) (a) Plot No. Printed from www.taxmann.com (b) Lane/Street (c) Locality (d) City/Town with PIN Code (e) District (f) State (g) Telephone No. (v) Permanent Account No. (vi) Ward/Circle/Special Range and place where assessed to income-tax 2. Particulars of the transferee(s): (i) Name(s) (ii) Father's/Husband's name (iii) Present address(es) (a) Plot No. (b) Lane/Street (c) Locality (d) City/Town with PIN Code (e) District (f) State (g) Telephone No. (iv) Permanent address(es) (a) Plot No. (b) Lane/Street (c) Locality (d) City/Town with PIN Code (e) District (f) State (g) Telephone No. (v) Permanent Account No. (vi) Ward/Circle/Special Range and place where assessed to income-tax 3. Particulars of the property sought to be transferred: (i) (a) Area of vacant land (b) Area of land occupied by any superstructure (c) Total land area (ii) Floor-wise plinth areas (iii) Plant and machinery (iv) Furniture and fixtures attached (v) Other assets (vi) Area of car parking space (vii) Area of terrace, if any (viii) Permissible Floor Area Ratio/Floor Space Index Enclose copies of building plan, layout plan and site plan. 4. Nature of interest or right proposed to be transferred. Please indicate whether the property consists of: Printed from www.taxmann.com (i) ownership, or (ii) membership of co-operative society, or association of persons, or a company (Please indicate the number of shares and their value), or (iii) lease, or