(i) Agricultural lands(ii) Buildings(iii) Any other immovable properties (to be specified)Signature of the Revenue Officer Date Designation (with seal of office)Signature of the applicantof 20APPLICATION FORM FOR REGISTRATION OF SOLVENCY CERTIFICATEFORM NO- VI [See Rule 3] in the district of in the State of Orissa(Rupees Case NoRevenue DepartmentGovernment of Orissa/-Rs.Published on National Portal of India (india.gov.in) Miscellaneous CertificateOffice of the This is to certify that Shri/ Smt./ Missson Daughterwife of Shri of Village/Town P.S/ Tahasil is solvent to the extent of Rs/-)only.Approximate value Rs.Immovable Properties 2. This certificate is being granted only for the purpose of