FORM I

[See Rule 3]
Statement of particulars of property and its market value under Rule 3 of the
Karnataka Stamp (Prevention of Undervaluation of Instruments) Rules, 1977
Sub-Registrar's Office

No. of Doct. and year

Address of Claimant:

Particulars of land held by

the claimant
1)
2)
3)
4)
5)

Ref:
Place where
Property is
situated

Dry

Wet

Bagyat

Average annual yield

Amount
Rs.ps.

Area of land in Hectares

Type of land
Revenue Assessment
Structures, if any
Any other factors.

6) Particulars of Sq.ft. House / Site

Sq.Ft. Measurement

Sq.ft. qty. per amount

Sq. Rate Rs.
Ps.

1) Area of the Site

2) Type of Building
3) Plinth Area
4) Type of Wall
5) Type of Roof
6) Total Rate applicable
7) Cost of Structures
8) Special Features:
a) Garage
b) Electric Installation at 5 percent
c) Sanitary 3% Water supply 5 percent
d) Well
9) Total Cost of Structures
Including Special Features

Qty.

10) Year of Construction (

Per.
Sq.

Rate
Yd.

Depreciation

Amount
Rs.
Ps.

11) Net Valuation of Structures

12) Market Value of Property as above
13) Market value as set-forth in the Document
14) Different in value ( Percentage ) Commission

Ref. No.
Order of the Deputy Commissioner
Date:

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