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703
Ward Mtaa Rate Block Object No Building No
PROPERTY LOCATION
Street + Location: Plot No: Survey Block: Existing Property Ref No:
Map Ref
1
1 Individual 2 Legal Entity Full Company Name First Name:
OWNER
Middle Name:
LESSEE
Last Name:
BENEFICIARY
Phone 1: Phone 2: Phone 1: Phone 2:
OWNER INFORMATION
First Name: Name as above Street + Location: Middle Name: Last Name:
TIN
Phone 1: Phone 2:
Plot No:
P.O. Box/Town:
Region:
District:
Ward:
Mtaa:
Email Address:
LAND CHARACTERISTICS
Tenure: 1 Leasehold 2 Res/Occupier 3 Res/Licensee 4 Untitled Land Use: 1 Residential 2 Commercial 3 Comm/Residential 4 Industrial 5 Institutional 6 Other
No of Stories
% Complete
R 3 Apartment
Building Type/Use: Residential 3 Clinic/Hospital Detached 1 House 4 Maisonette Semi 2 Detached 5 Villa
7 Storage Tank
8 Other
4 Worship
5 Government
6 Other
Other
DETAILS OF CONSTRUCTION
Roof Type: 1 2 3 4 5 6 7 Concrete Iron Sheet Tiles/Cement Harvey Tiles Asbestos Grass/Palm Mangalore Exterior Wall Type: 1 R/Conc Frame Exterior Wall Finish: 1 Fair Finish 2 Tyrolean 3 Tiles 4 Glazed Windows:
Construction Year
Doors: 1 Wood Battens 2 Wood Flush 3 Steel Shutters 4 Steel Sheets 5 Aluminium 6 Other 1 Wood/ ABB 2 Wood Casement 3 Steel Frame
Reconstruction Year
Floor Finish: 1 Marble/Granite 2 Tiles 3 In situ Terazzo 4 Cement Screed 5 Wood/Parquet 6 Compact Earth Ceiling Finish Type: 1 Plastered/Concrete 2 Softboard/Hardboard 3 Wood tongue & grooved
7 Timber 8 Other
7 Other
7 Other
7 Other
Other
Floor Number
Good Quality: Bath Tubs Wash Hand Basins Built-in Wardrobes Western Toilet/ Eastern WC Kitchen Cupboards None
No of Rooms
Amenities
4 Other
6 None
5 None
GENERAL CONDITION
1 Excellent 1-5
ROAD ACCESS
1 Tarmac
SITE WORKS
Fence Type: 1 Chain Link 2 Cement Blocks Compound: 1 Interlocking Blocks 1 Garage 2 Concrete/Slabs 3 Tarmac No 2 4 Lawn/Gardens 5 Other 6 None 1 Garage No 3 No 1
OUTBUILDINGS
None None 2 Servants Qtrs 3 Workshop 4 Store 5 Other
No 4
SKETCH PLAN(S)
DIGITAL IMAGE
Building Photograph Reference:
Floor Area Reduction Reducing Factor Completion Factor Reduced Floor Area (m2) Floor and Section
CERTIFICATION
Inspected by Checked by
Property
Approved by Add Site Work % Company Name.. Company Stamp Less Depreciation at %