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ACT
Schedule A
(Section 22)
Model Form
Before the Rent
Tribunal...............................................
Original Petition
No......................................................
1. Name, Father's name, Age and Address of the Petitioner -
----------------
V/s
2. Name, Father's name- Age and
Address of the Respondent
---------------------
3. Complete Address and
description of the premises
--------------------
4. Monthly/yearly rent of the premises
------------------------
5. Valuation of petition (for eviction/
arrears) -------------------------
6. Court fees paid (for eviction/ arrears)
----------------------
7. Limitation
---------------------
8. Provisions of Act invoked
---------------------
9. Material facts
( i )--------------
( ii )--------------
( iii)--------------
10. Grounds of petition (a)
--------------
(b)----------------
(c)--------------
11. Affidavits relied upon (PW-l) ----------------
(PW-2) -------------
(PW-3) -------------
12. Documents relied upon (Ex-1) ----------------
(Ex-2)-----------------
(Ex-3)-----------------
13. Interim relief, if any, prayed for
-----------------------
14. Final relief prayed for
-----------------------------
15. Verification
-------------------------------
SCHEDULE-B
(Section22)
Model Form
Before the Appellate Rent Tribunal
…………………………..
Appeal No ……………………………
1. Name, Father's name, Age and
Address of the Appellant
-------------------------
V/S
2. Name, Father's name, Age and Address of the Respondent
---------------------------
3. Complete Address and description of the premises let out
--------------------------
4. Monthly /Yearly rent of the premises ---------------
5. Valuation of Appeal (for eviction / arrears)………………
6. Court fees paid (for eviction/ arrears) -------------------
7. Limitation -----------------------
8. provisions of Act invoked ---------------------
9.Material Facts
(i)…………
(ii)………………
(iii)………………
10. Grounds of Appeal
(a)……………….
(b)………………
(c)……………….
ll.Interim relief, if any, prayed for
--------------------
12. Final relief prayed for -------------------------
13.Verification -------------------------
SCHEDULE"C"
(Section 22)
THE RENT TRIBUNAL/APPELLATE RENT TRIBUNAL
AT…………………………………….
RECOVERY CERTIFICATE
Original Petition/Appeal No.............. 200
.........................Petitioner/ Appellant.
V/S
.................................. Respondent.
This petition/appeal came up on............................ for final disposal in the
presence of................................... counsel for the Petitioner/ appellant
and.......................................counsel for the Respondent.
It is ordered that the Petitioner/Appellant is entitled to possession of the rented
premises and/or arrears of rent,etc. interest and costs/revision of rent, as under:-
- Possession of rented premises situated at ...........................
....................................................................……………….
after…………….. day of
……………200……………
2. Arrears of rent from to Rs
3. Interest on arrears of rent
from…………………..to………
@……………. % per annum.
4. Cost Rs…………………..
5. Rate of interest from date of recovery certificate till realisation @
……………………..% per annum.
6. Revision of Rent from Rs……………. to
Rs………….. w.e.f…………….
7. Any other relief----------------------------
8. Complete address and description of the premises Given under my hand and seal of
Tribunal on………………………….day of
200……………………………
Presiding Officer
Rent Tribunal/Appellate
Rent Tribunal
seal
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