Regulations > Forms > Form B : Certificate to act as Owner or Person in Charge of State Land

Form B

CERTIFICATE TO ACT AS OWNER OR PERSON IN CHARGE OF STATE LAND

CERTIFICATE ISSUED IN TERMS OF SECTION 1(2)(a) OF THE EXTENSION OF SECURITY OF TENURE ACT, 1997

To:

[Fill in name, designation and address of applicant]

I, [fill in name of Director-General or person signing certificate on his or her behalf] the undersigned, acting in my capacity as Director-General/duly designated officer [delete whichever is not applicable] of the Department of Land Affairs, hereby certify, in terms of section 1(2)(a) of the Extension of Security of Tenure Act, 1997 (Act No. 62 of 1997), that [fill in applicant's name], in his/her capacity as __________________________________________ [fill in applicant's designation], is authorised to act as owner/person in charge [delete whichever is not applicable] for all purposes contemplated in that Act, of the land described as:




[Give the full Deeds Office description of the land concerned if any. In the case of a farm, this must include the portion, name and number of the farm, and the name of the district in which the farm is situated.]
This certificate is issued subject to the following conditions:




[Set out the conditions to which the authority to act as owner or person in charge is subject.]

Signed at [name of town or city] on this day of
[Signature and full name of the person signing this certificate]
[Designation]
Contact person
Contact tel. no.
Address:

Extension of Security of Tenure Act, 1997 (Act No. 62 of 1997)