I/ We
Son / Wife / Daughter of
| Address | PERMANENT | TEMPORARY |
| Door No. | ||
| Village/town/city | ||
| Mandal | ||
| Dist. | ||
| Pincode |
Registered Owner of motor vehicle number, have ceased to reside, do not have the place of business at the address recorded in the Certificate of Registration with effect from The present address is given below (evidence to be enclosed).
| Address | PERMANENT | TEMPORARY |
| Door No. | ||
| Village/town/city | ||
| Mandal | ||
| Dist. | ||
| Pincode |
*The vehicle is not held under any agreement of Hire-purchase/Lease/Hypothecation
* The vehicle is held under any agreement of Hire - Purchase / Lease / Hypothecation with
The Certificate of Registration is enclosed. I / We request that the change of Address may be
recorded in the Certificate of Registration and Form 24.
| Date__________________________ | ________________________ Signature or thumb impression of the Registered owner of the vehicle. |
* Strike out whichever is inapplicable.
I / We being a party to an agreement of Hire - Purchase / Lease / Hypothecation in respect of the above said vehicle, hereby:
| Date__________________________ | ________________________ Signature of the Financier. |
Ref. No ________________________________ Office of the ______________________________________
The above change of address has been entered with the note of agreement of Hire - Purchase / Lease
/ Hypothecation in favour of the Financier in the Certificate of Registration and in Form 24.
| Date__________________________ | ________________________ Signature of the Registering Authority. |
To
The Financier _______________________________
___________________________________________
The Registering Authority _____________________
___________________________________________
(To be sent to both the parties by Registered Post Acknowledgement Due)
Specimen Signatures or thumb impressions of the Registered Owner and Financier are to be obtained
for affixing and attestation by the Registering Authority with official seal in Forms 23 and 24 in such manner
that part of impression of the seal or a stamp and attestation shall fall upon each signature:
| Specimen Signatures of the Financier 1.____________________________ 2.____________________________ |
Specimen Signatures of the Registered Owner. 1.____________________________ 2.____________________________ |