Application Form For Inspection/obtaining Copy Of "A" Rent Rolls Record (For Property Owner)

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Annex A
To : District Lands Officer, ___________________________ (“District Lands Officer”)
Application Form for Inspection/Obtaining
copy of “A” Rent Rolls Record (For Property Owner)
I, (English)______________________ / (Chinese) ______________________
of ____________________ Village, holder of *[Hong Kong Identity Card / Passport No.
________________] apply for *[inspection/obtaining a copy] of the relevant “A” Rent Rolls
record in respect of the following property/properties under my name:
D.D. No.
Lot No.
Village/address
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I understand that the information contained in the “A” Rent Rolls is kept by
the District Lands Officers for the purpose of collection of Government rent of landed
properties. The “A” Rent Rolls are not public records and the particulars contained in them
are intended only for internal use of the District Lands Officers and staff of the Lands
Department. The Government makes no representation or warranty as to the accuracy and
correctness of the contents of the “A” Rent Rolls.
I confirm that the information to be disclosed to me will be for my own
personal reference only. I acknowledge that I shall be responsible to check the relevant
documents and up to date information by conducting a land search at the Land Registry or
any other method and, if consider necessary, consult my own advisers for independent advice
as to the accuracy or correctness of the contents of the “A” Rent Rolls.
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