[See Rule 55 (1)]
NOTICE OF TRANSFER OF OWNERSHIP OF A MOTOR VEHICLE
To
The Registering Authority,
__________________________
I / We
| Resident of | PERMANENT | TEMPORARY |
| Door No. |  |
|
| Village/town/city | |
|
| Mandal | |
|
| Dist. | |
|
| Pincode | |
|
have on the day __________of the year_____________ sold and delivered my / our vehicle No______________
make_________________________ Chassis No.______________________ Engine No.___________________
to Sri / Smt.
Son/Wife/Daughter of
| Resident of | PERMANENT | TEMPORARY |
| Door No. | |
|
| Village/town/city | |
|
| Mandal | |
|
| Dist. | |
|
| Pincode | |
|
under an Agreement of Hire-purchase/Lease/Hypothication with _______________________________________________
The Registration certificate & Insurance certificate have been handed over to him / her / them.To the best of my/our knowledge & belief the vehicle is not superdari & free from all encumbrances and information furnished is true. I/We undertake to hold my/our self responsible for any inaccuracy or suppression of information.
| Date__________________________ | ________________________ Signature or thumb impression of Transferor. |
(Copy to the Registering Authority in whose jurisdiction the transferor reside.
_____________________________________________
_____________________________________________
_____________________________________________
Note: To be sent to both the Registering Authority by Regd. Post - Acknowledgement due
Ref. No.____________________________ Date._________________________ Office of the _________________________________The ownership of
the vehicle has been transferred to the Name of _______________________________________________________
with the note of above said agreement with effect from ________________________________(date)
| Date ___________________ | ____________________________ Signature of the Registering Authority with office seal. |