Bequest Suleiman's Family

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THE UNITED REPUBLIC OF TANZANIA

THE REGISTRATION OF DOCUMENTS ACT,

(CAP 117 R.E. 2002)

ASSENT TO BEQUEST OF RIGHT OF OCCUPANCY

Plot No. 173


Block No. “Q”
Location:MWOLEKA
STREET, KAMBARAGE
WARD, SHINYANGA
DISTRICT, SHINYANGA
REGION.

I, ................................. of P.O. BOX 28, Shinyanga, as an Administratrix of


estates of Late SELEMAN ABDI ISLAM, DO HEREBY ASSENT to bequest to
lawfully beneficiaries of the said deceased, SABAHA SELEMAN, ABDU
SELEMAN, MUGENI SELEMAN, NASRA SELEMAN, and NURU SELEMAN the
right of occupancy registered under the above reference.

Dated at Shinyanga this….………………day of…………..


……………………….2022.

SIGNED and DELIVERED at Shinyanga by the said


............................................. who is identified to me by ………………….
………………………………….…the latter being known to me DEPONENT
personally this………… day of……………………., 2022.

Before me:
Signature: …………………………
Name: GLORIA LUCIUS IKANDA
Qualification: COMMISSIONER FOR OATHS
Address: P.O. Box 389
SHINYANGA
THE UNITED REPUBLIC OF TANZANIA

THE REGISTRATION OF DOCUMENTS ACT,

[CAP 117 R.E. 2002]

APPLICATION BY LEGAL PERSONAL REPRESENTATIVE

Plot No. 173


Block No. “Q”
Location:MWOLEKA
STREET, KAMBARAGE
WARD, SHINYANGA
DISTRICT, SHINYANGA
REGION.

I, .......................................................... of P.O. BOX 28, Shinyanga, in my


capacity as Administratrix of estates of Late SELEMAN ABDI ISLAM, DOTH
HEREBY APPLY to be registered under the above referred land and any
other un exhausted improvements thereon as the legal personal
representative of deceased namely SELEMAN ABDI ISLAM.

Dated at Shinyanga this………………..day of …………………………, 2022.

SIGNED and DELIVERED at Shinyanga by the said


............................................. who is identified to me by ………………….
………………………………….…the latter being known to me DEPONENT
personally this………… day of……………………., 2022.

Before me:
Signature: …………………………
Name: GLORIA LUCIUS IKANDA
Qualification: COMMISSIONER FOR OATHS
Address: P.O. Box 389
SHINYANGA
THE UNITED REPUBLIC OF TANZANIA

THE REGISTRATION OF DOCUMENTS ACT,

[CAP 117 R.E. 2002]

INDEMNITY BOND
I, .................................................., an adult female Christian and resident of
Shinyanga of P.O. Box 28, Shinyanga do hereby Solemnly AFFIRM and state
as follows:-

1. That, I am the deponent in this Deed of Declaration and therefore


conversant with the facts I am about to depone.

2. That, I am the administratrix of the estate of the Late SELEMAN ABDI


ISLAM who was the lawful occupier of a piece of land located on PLOT
NO: 173 Block No. “Q” Located at MWOLEKA STREET, KAMBARAGE
WARD, SHINYANGA DISTRICT, SHINYANGA REGION.

3. That, the said property is in the name of Late SELEMAN ABDI ISLAM
who died on 17th day of June, 1992.

4. That, the following are the names of beneficiaries in the said estate
named SABAHA SELEMAN, ABDU SELEMAN, MUGENI SELEMAN, NASRA
SELEMAN,and NURU SELEMAN and I, myself who consented on
changing names and getting right of occupancy of the above
mentioned land.

5. That, I hereby declare that the said piece of land was occupied by the
late SELEMAN ABDI ISLAM who was my husband and now I as a legal
representative (administratrix of his estate) humbly request the
documents presented to the Commissioner For Lands for changing the
name and applying for certificate of right of occupancy be acted upon
as they are made bonafidely by me.
VERIFICATION
I, PILI JUMA, hereby verifying that all what is stated hereinabove in
paragraph 1, 2, 3, 4 and 5 is true to the best of my own knowledge and belief
and I make this solemn DECLARATION conscientiously believing the same
to be true and by virtue of Oaths and Statutory Declarations Act.

Dated at Dar es Salaam this ………………..day of…………….……………2022

SIGNED and DELIVERED at Shinyanga by the said


............................................. who is identified to me by ………………….
………………………………….…the latter being known to me DEPONENT
personally this………… day of……………………., 2022.

Before me:
Signature: …………………………
Name: GLORIA LUCIUS IKANDA
Qualification: COMMISSIONER FOR OATHS
Address: P.O. Box 389
SHINYANGA
CONSENT OF THE HEIRS
We, SABAHA SELEMAN, ABDU SELEMAN, MUGENI SELEMAN, NASRA
SELEMAN, and NURU SELEMAN, the beneficiaries of the Late SELEMAN
ABDI ISLAM who was our father who died on 17 th day of June, 1992, and
that we consent to the request presented by PERUCY RUBEN BUSUMABU
(who is now the as an Administratrix of estates of Late SELEMAN ABDI
ISLAM) to the Commissioner For Lands for changing the name and applying
for certificate of right of occupancy of the plot located at Plot No. 173
Block No. Q, at Mwoleka street at Kambarage ward, in Shinyanga
District at Shinyanga Region submitted for approval. we also understand
that by consenting to this application, we wave all rights toward the house
described above. We further understand that this consent is irrevocable.

Consented at Shinyanga this……………………day of


……………………….2022.

…………………………………….
1st HEIR
…………………………………….
2ND HEIR
…………………………………….
3RD HEIR
…………………………………….
4TH HEIR
…………………………………….
5TH HEIR
…………………………………….
6TH HEIR

SIGNED and DELIVERED by the said SABAHA SELEMAN


who is known to me personally/identified to ………………………………..
Me by …………………………………………. the latter being known 1st DEPONENT
to me personally this………….day of…………………………, 2022.

SIGNED and DELIVERED by the said ABDU SELEMAN


who is known to me personally/identified to ………………………………..
Me by …………………………………………. the latter being known 2ND DEPONENT
to me personally this………….day of…………………………, 2022.

SIGNED and DELIVERED by the said MUGENI SELEMAN


who is known to me personally/identified to ………………………………..
Me by …………………………………………. the latter being known 3RD DEPONENT
to me personally this………….day of…………………………, 2022.

SIGNED and DELIVERED by the said NASRA SELEMAN who


is known to me personally/identified to ………………………………..
Me by …………………………………………. the latter being known 4TH DEPONENT
to me personally this………….day of…………………………, 2022.

SIGNED and DELIVERED by the said NURU SELEMAN


who is known to me personally/identified to ………………………………..
Me by …………………………………………. the latter being known 5TH DEPONENT
to me personally this………….day of…………………………, 2022.

Witness:-
Signature:- …………………………………
Name:- GLORIA LUCIUS IKANDA
Qualification:- ADVOCATE
Address:- P.O. Box 389
SHINYANGA
Commissioner for Oaths

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