AFFIDAVIT
I,
______________ S/o W/o D/o
______________ Owner of the land in Survey No. ____ in
_______________________Village, Mandal, __________________________District,
____ hereby agree for the acquisition of my land by the Collector (Land Acquisition)/Special Deputy Collector
(Land Acquisition) for the purpose of formation of O.R.R.
I/We
am/are agreeable to the payment of compensation at the rate of
__________________ Per Acre which was offered by the Collector/Land Acquisition
Officer/Negotiations Committee/The District Legal Services Authority, ____
Dist. (As per G.O.Ms. No. ____ Dt. _________ issued by the Infrastructure &
Investment Dept., Govt. of ____) I/We am/are also agreeable for the payment of
compensation for the trees, structures/Open & Bore Wells etc., in the land
proposed for acquisition which are valued at Rs. ______________ (Rupees
__________________ Only) by the Land Acquisition Officer by /the Negotiations
Committee in consultation with Technical Officers I/We am/are agreeable to accept Rs. ____________
(Rupees ____________ Only) being the total compensation payable towards my/our
share as per the package deal arrived at through settlement by Negotiations
Committee.
I/We hereby declare that
I/We will not claim for payment of higher compensation in any Court of law or
in any other forum and I shall abide by the consent award made by the Land
Acquisition Collector under Section 11 (2) read with second proviso under
section 31 (2) of Land Acquisition Act.
Apart
from the package deal I/We agree to abide by other terms and conditions as per
the agreement deed entered into by me/us with land Acquisition Officer (duly
attested by the Chairman of the District Level Negotiations Committee).
WITNESSES:-
1. SIGNATURE
2.
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