Form LRA 33
Form LRA 33
Form LRA 33
49(1))
REPUBLIC OF KENYA
Date of Transfer
Transferor(s) Give full name(s)
ID/Passport/Co
mpany
Registration No.
Transferee(s) Give full name(s
ID/Passport/Co
mpany
Registration No.
Consideration **Amount of: .......................
((Receipt is hereby acknowledged by the
Transferor(s))
Other ....................................
Nature of
Interest to be
transferred
3. The Transfer is also subject to the following additional provisions, (if any).
IN WITNESS the Transferor(s) and the Transferee(s) have signed this Transfer as a deed.
EXECUTION:
Coloured
……………………………………… Photograph
Name and signature of person
certifying
ID /Passport Number……………….
PIN No…………………………......
Signature/Thumb Print……………..
Coloured
Photograph
ID /Passport Number………………
PIN No…………………………..
Signature/Thumb Print
Signature: …………………………………………..