DECLARATION OF VALUE AND STAMP DUTY PAID
(Under the Indian Stamp Act, 1899 / relevant State Stamp Act)
I/We, [Name of Declarant], son/daughter/wife of [Father's / Husband's Name], residing at [Full Address], being the executant of the instrument described below, do hereby solemnly declare as follows:
1. That an instrument titled [Nature of Instrument e.g. Deed of Conveyance / Lease Deed / Agreement / Power of Attorney] dated [Date of Instrument] has been / is being executed between [Party 1] and [Party 2].
2. That the consideration / market value on which the said instrument is chargeable is Rs. [Amount in Figures] (Rupees [Amount in Words] only).
3. That the stamp duty payable on the said instrument as per the applicable rate of [Rate %] works out to Rs. [Stamp Duty Amount in Figures] (Rupees [Stamp Duty in Words] only).
4. That the said stamp duty has been duly paid vide [Mode of Payment - e-Stamp Certificate No. / Franking / Non-judicial Stamp Paper No. / GRAS Challan No.] dated [Date of Payment] issued/generated at [Place].
5. That the value declared above is the true and correct value of the property/subject-matter of the instrument, and no part of the consideration has been suppressed with a view to evade stamp duty.
6. That I/We am/are aware that any deficiency in stamp duty renders the instrument liable to impounding and penalty under the applicable Stamp Act, and I/We undertake to make good any such deficiency if determined by the competent authority.
VERIFICATION
I/We do hereby verify that the contents of paragraphs 1 to 6 above are true and correct to the best of my/our knowledge and belief, and nothing material has been concealed therefrom.
Verified at [Place] on this [Day] day of [Month], [Year].
_______________________________
[Name of Declarant]
Executant / Declarant
PAN: [PAN]