CLEARANCE CERTIFICATE

Date: ___________________

To,

Regional Transport Officer

Regional Transport Authority,

_______________________

Sub: Issue of Clearance Certificate

Sir,

I/We have on this day of ______________________________ sold & delivered my/our vehicle
bearing Registration No. ______________________________ Make __________________________
Model ______________________________ Chassis No. ____________________________________
Engine No. ______________________________ To ________________________________________
S/o, D/o, W/o, C/o, __________________________________________________________________
Residing at ________________________________________________________________________

Please issue a No Objection Certificate/ Clearance certificate in favour of Regional Transport

Authority to enable him/her for Re-registration, Transfer of ownership and pay Road Tax.

Thanking you,

Owner/ Authorized Representative

Name ___________________________
 APPLICATION FOR INSURANCE TRANSFER

Date: ________________

To,

The manager,

________________________

________________________

Ref: Transfer Policy of Vehicle No. ____________________________

Certificate of Insurance No. ______________________________

Dear Sir,

I/ We have sold my/our vehicle to Mr. Ms. _____________________________________ bearing

Vehicle No. ___________________________, insured with you under risk of Act/
Third/Comprehensive Policy No. ________________________________ valid up to ______________

Please transfer the right of said insurance interests in his/her/ their names and oblige.

Please charge the transfer fee and any other difference of premium, if any becomes due, from the
said purchaser.

Thanking you,

Owner/ Authorised Signatory

Name ___________________________

Encl.: Certificate policy

 SALE AFFIDAVIT

I/We _____________________________________________________________________________

S/o, D/o, W/o, C/o __________________________________________________________________

Current Address ____________________________________________________________________

Address in RC ______________________________________________________________________

Do hereby solemnly affirm and declare as under

1. That have on thus day of __________________________ sold and delivered my vehicle

bearing Registration No. __________________________ Make ________________________
Model __________________________ Chassis No__________________________________
Engine No. __________________________ To _____________________________________
2. That I have received the full and final amount and have NO OBJECTION if the vehicle is
transferred to another person.
3. That the said vehicle is my/ our personal property and free from encumbrances.
4. That the liabilities such as arrears of Sales Tax, Government or Traffic Offences if any, prior
to this date will be borne by me / us.
5. That the vehicle is not a stolen property

Depondent

Verification:

I, the above mentioned deponent do hereby solemnly declare and affirm that the affidavit given
above is true and best of my knowledge and belief that nothing is incorrect.

Solemnly affirmed and Signed at ____________________

Depondent

Place:

Date: