Meeseva Revenue Form of Application for Land Conversion

Meeseva Revenue Form of Application for Land Conversion

Form of Application for Land Conversion
To
The Competent Authority and
Revenue Divisional Officer
_______________________Division,
_______________________ District.
Sir,
Sub: Land Conversion Act
_________________________Village___________________
________Mandal____________________District__________
Sy .No.______________________ extent of Ac._________ Cts Conversion of Agricultural
land to Non Agricultural purpose – Requested – Regarding.

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I,_______________________ S/o, W/o ________________
____resident of ________Door. No., submit
that I am the Pattadar of Agricultural lands in S .
No.________________ of ___________________village of
___________________ Mandal , ____________________
District to an extent of Ac. _____________ Cts. I would
like to convert Agricultural land specified in the
schedule into Non Agricultural purpose.
I request that the competent Authority to
accord necessary permission for the conversion of
the said Agricultural land to Non Agricultural purp
ose in terms of section 4 of the Andhra Pradesh
Agricultural Land (Conversion for Non Agricultural
purposes) Act, 2006 (A.P .Act No.3 of 2006). I
enclose herewith a copy of Challan bearing No. ____
_________dated___________ for Rs.__________
(Rupees ______________________________only) paid to
the Government Treasury of ____________________
@ 5% basic value of the land in Greater Hyderabad Mu
nicipal corporation Areas and @ 9% Basic Value of
the Land in other Land towards conversion fee.
I hereby declare that the lands mentioned
above are neither covered by any litigation / court
cases / encroachment nor this land are assigned la
nds/ ULS Surplus land /Agricultural Ceiling
Surplus land / Tank Bed lands.

Yours faithfully,
Signature of the Applicant
Procedure: (following to be enclosed)
1 ) Application in prescribed format*
2) Register documents/copies of Pattadhar
Pass books/Title Deeds*
3) Basic Value certificate from Sub Registrar*
4) Ration Card/ Aadhaar No./EPIC card#