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Giấy thỏa thuận về việc bồi thường để lập hồ sơ sử dụng đất

Giấy thỏa thuận về việc bồi thường để lập hồ sơ sử dụng đất

  • PDF.

CỘNG HÒA XÃ HỘI CHỦ NGHĨA VIỆT NAM

Độc lập – Tự do – Hạnh phúc

GIẤY THỎA THUẬN
Về việc bồi thường để lập hồ sơ sử dụng đất

- Tôi tên là:..................................................... sinh năm:..............................................

CMND số:................................. do...........................cấp ngày......tháng......năm......

Địa chỉ thường trú:........................................................................................................

- Tôi có lập hồ sơ xin sử dụng đất để xây dựng trên phần đất:

* Diện tích:............................... m2

* Thuộc thửa:............................ Tờ bản đồ số............... bộ địa chính:..........................

- Ranh giới, diện tích khu đất được xác định theo “Bản đồ hiện trạng vị trí tỷ lệ 1/500 do đơn vị đo đạc lập là:.............................................................................................................................................

- Nguyên phần đất do người đang quản lý, sử dụng có tên là:

* Ông (Bà):..................................................... sinh năm:..............................................

CMND số:................................. do...........................cấp ngày......tháng......năm......

Địa chỉ thường trú:........................................................................................................

Chúng tôi thỏa thuận thống nhất để Ông (Bà):..............................................................

lập hồ sơ xin sử dụng ........... m2 đất nêu trên. Khi có quyết định giao đất (hoặc cho thuê đất) của cơ quan có thông qua cho Ông (Bà):...............

Chúng tôi sẽ tự chịu trách nhiệm thỏa thuận và giao nhận tiền bồi thường bằng giấy xác nhận hoàn tất việc bồi thường giữa hai bên.

     BÊN LẬP HỒ SƠ SỬ DỤNG ĐẤT                                       BÊN CÓ ĐẤT

                 (ký và ghi rõ họ tên)                                               (ký và ghi rõ họ tên)

 

Xác nhận của Ủy ban nhân dân phường (xã, thị trấn) nơi có đất

(xác nhận chữ ký)

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