(See Rule 13) Form of receipt

Taluka Village Survey description of the field Area Name of the field, if any Name of the tenant Rent payable Rent actually recovered Total rent recovered during the year 1 2 3 4 5 6 7 8 9. For the current year..... For the arrears ..... Received today the rent specified in Col. 8 from Shri ..... Signature of landlord or his authorised agent. Signature or thumb mark of tenant or his authorised agent. FORM X (See Rule 34) Notice. Whereas an entry has been made in the register of mutation of the village ………………..… Taluka……………..…..regarding the acquisition of rights in land as specified below from the said village:— [Table for Serial number, Nature of rights, Name of field/Survey]. And whereas, it appears to me that you are interested in the said mutation entry; Now, therefore, you are hereby given notice of the said mutation entry and you are called upon to submit to me either orally or in writing within fifteen days from the day of receipt of the notice, your objection, if any, to the said mutation entry. Please note if no objection is received by me within said period of fifteen days it shall be presumed that you agree to the mutation entry. Place: Talathi of …………… Date: