FORM NO. 'Z' DECLARATION I ______________________________________________________of _______________________________________________________ do hereby on soleman affirmation declare as under :- That by deed of conveyance dated _____________________ has/have sold all his/their movable and immoveable properties to ____________________ and the sold ___________________________ have also agreed that all the benefits together with liabilities past and future in respect of the supply of electrical energy and hire of ___________________________________________________________ ______________________ to him/them from the Maharashtra State Electricity Board should be transferred to the _____________________ __________________________________________________________ ________________________ and ______________________________ __________________________ have agreed to take all the benefits together with past and future liabilities in respect of the said supply of Electrical energy and hire of _________________________________ ________________________ by the said Board and pay for the same and abide by the terms and conditions of the said Board prevailing from time to time I hereby undertake and agree to take supply from the Board on the terms and conditions here in mentioned and future undertake to held M.S. Electricity Board or its agents harmless and indemnified against all claims in respect of this change in the above referred service connection and hereby agree to Pay up all the arrears and to discharge all the liability of the outgoing consumer. Solemny declared : at___________________ on this _______________________ day of _________________________ Signed behalf of Signed on behalf of (i.e. Transferee) (i.e. Transferer) Witness: Witness: 1) 1) 2) 2) The above declaration to be signed before a Majistrate