That by a deed of conveyance dtd:___________ has/have sold all his/their movable and immovable properties to and the said_______________ 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  prevailing from time to time I hereby undetake and agreetotake supply from  the Board on the terms and conditions herein mentioned and further undertake to hold M.S.E.B. or its agents harmless and indemnified against all claims in resct 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.
 

Solemnly declared.
at__________________ on this________________  day

of____________________ 19____

Signed on behalf of                      Signed on behalf of

_______________                        ________________

_______________                        ________________
(i.e., Transferer)                           (i.e. Transferee)

Witness:                                      Witness:

1)                                      2)                                           
1)_____________       2)_____________                

N.B.:- The above declaration is to be signed before a magistrate..