Application Form For Inspection/obtaining Copy Of "A" Rent Rolls Record (For Property Owner) Page 2

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I acknowledge and agree that the Government shall have no liability to me or
to any person whomsoever for any loss or damage however arising in connection with or in
consequence of the existence or disclosure of the “A” Rent Rolls or any reliance placed or to
be placed upon the information (including any updating, change, alteration, addition, deletion,
revision or replacement of it) contained in or omitted from the “A” Rent Rolls.
I acknowledge and agree that the Government has the right to update, change,
alter, add, delete, revise and replace any information contained in the “A” Rent Rolls at any
time, whether before or after the date of this application, and in the manner as it considers
appropriate.
Notwithstanding anything contained in this form, the Government is not
obliged to and shall not be required to keep all the information contained in the “A” Rent
Rolls up to date.
I acknowledge that a fee of $190 for obtaining copy of the relevant "A" Rent
Rolls record for each property shall be payable by me.
Signature of owner :
Name in block letters :
Contact telephone No. :
Date :
*
delete if inapplicable
Note : The owner should produce his / her *Hong Kong Identity Card / Passport for
checking by staff of District Lands Office prior to inspection/obtaining copy of the relevant
“A” Rent Rolls.
----------------------------------------------------------------------------------------------------------------
For Official Use Only
The owner’s *HKIC / Passport has been checked by
:
Name in block letters :
Post :
Date :
2

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