Form 3

FORM-3
Form of report to the prescribed authority after completion of the building/extension of a house

Date…………
To,
___________________________
___________________________
___________________________
Sir,
(1) Permission was granted to me in Order No. …………………… Dated …………...for
the building of a house at an estimated cost of ………………... on land with following details:
(i) Survey No.:
(ii) Village:
(iii) District:
(iv) State:
(2) The house has since been completed.
(3) The actual cost of construction is Rs.________________ and was financed as under: -
Amount (Rs.)
(i) Own Savings :
(ii) Loans /Advances with full details:
(4) Reasons for variation in cost: ……………………………………
Note:
Variations in cost of construction, between the figures given above and figures
while taking prior sanction, is explained below:
I hereby undertake to state that the above particulars given by me are true and correct.
Yours faithfully,
____________________