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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
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