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State of Tamilnadu - Section
Section 65 in Tamil Nadu Land Reforms (Fixation of Ceiling on Land) Rules, 1962
65. [ Government to grant permission under section 3-B(2). [Added by G. O. Ms. No. 1210, Revenue, doted the 4th August 1987.]
| As on the 15th February 1970 Name and Age | As on the Notified date Name and Age |
| (i) Head of the family | 1 |
| (ii) Wife/husband | 1 |
| (iii) Minor sons | 1 |
| (iv) Unmarried daughters. | 2 |
| (v) Minor grandsons in the male line whosefather and mother are dead. | 1 |
| (vi) Unmarried grand-daughters in the male linewhose father and mother are dead. | 1 |
| Date: | Signature of the person furnishing the return. |
| Serial number | District | Taluk | Village | Survey number | Government or inam | Wet or dry |
| (1) | (2) | (3) | (4) | (5) | (6) | (7) |
| If irrigated by Government Source of irrigation,name of such source and whether by direct flow or by lift | Extent | Assessment | Extent in standard acres | Details of building (Kachcha or pucca) masonrywells (in use or not in use) tube wells in use | Number of trees (fruit bearing or timber or youngones) | Remarks |
| (8) | (9) | (10) | (11) | (12) | (13) | (14) |
| A C. Rs. P. | ||||||
| Date: | Signature of the person furnishing the return. |
| Serial number | District | Taluk | Village | Survey number | Extent | Particulars of encumbrances with the name andaddress of the creditors | Remarks |
| (1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) |
| AC | |||||||
| Serial number | District | Taluk | Village | Survey number | Extent | Particulars of the litigation pending, the casenumber, the name of the Court and the name of the parties | Remarks |
| (1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) |
| AC | |||||||
| Date: | Signature of the personfurnishing the return. |
| Serial number | District | Taluk | Village | Survey number | Extent | Amount of arrears | Particulars of proceedings pending for collection | Particulars of attachment | Particulars of restraint on alienation | Remarks |
| (1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) | (9) | (10) | (11) |
| AC | Rs. P. | |||||||||
| Serial number | District | Taluk | Village | Survey number | Extent | Name and address of the tenant | Date of expiry of tenancy | Rent payable | Whether the tenant himself cultivates, the landleased out and if not, the name of the person cultivating suchland | Remarks |
| (1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) | (9) | (10) | (11) |
| AC | ||||||||||
| Date: | Signature of the personfurnishing the return. |
| Serial number | District | Taluk | Village | Survey number | Extent | Purpose for which the land is now being used andfrom what date | Clause of section 73 under which exemption isclaimed | Remarks |
| (1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) | (9) |
| AC | ||||||||
| S.No | District | Taluk | Village | Survey number | Extent | Purpose for which the land is to be used | If the lands are required for extension orancillary purpose of a plantation in existence of 15th February1970 in any area | Remarks | |
| (1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) | (9) | |
| Whether the land is interspersed among suchplantations | Whether the land is contiguous to any suchplantation | ||||||||
| (a) | (b) | ||||||||
| Date: | Signature of the personfurnishing the return. |
| Serial numbers | District | Taluk | village | Survey number | Extent | How disposed of | To whom disposed of end his address | Date of disposal | Remarks |
| (1) | (2) | (3) | (4) | (5) | (6)A.C | (7) | (8) | (9) | (10) |
| Date: | Signature of the personfurnishing the return. |
| Serial numbers | District | Taluk | village | Survey number | Government or inam | Wet or dry | If irrigated by Government source of irrigationname of such source and whether by direct flow or by life | Extent | Assessment | Extent in standard acres | Remarks |
| (1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) | (9) | (10) | (11) | (12) |
| A.C | Rs.P. | ||||||||||