Form F

NOTICE TO MUNICIPALITY AND DEPARTMENT OF LAND AFFAIRS OF INTENTION TO APPLY FOR EVICTION ORDER

NOTICE IN TERMS OF SECTION 9(2)(d)(i) AND (iii) OF THE EXTENSION OF SECURITY OF TENURE ACT, 1997

[Where service of this notice is effected by hand, an additional copy of the notice must be prepared. Such copy shall be signed and dated by the person receiving it and returned to the person serving the notice as proof of service.]

Please take note that __________________________________ [list period of not less than two months] after you receive this notice I, the undersigned __________________________________ [fill in the name of the person who intends seeking the order for eviction], acting in my capacity as owner/person in charge [delete whichever is not applicable] intend applying for an order to evict _____________________________  [fill in name of occupier) from the land described below.

Land to which this notice relates: ____________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

[Give a full description of the land on which the occupier is residing as it is commonly known, including any residential or grazing land, and any land which is being used for cultivation. Also give the full Deeds Office description (if any) of the land . 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.]

The grounds on which the eviction order will be sought are as follows: ___________________

_________________________________________________________________________________

_________________________________________________________________________________

[Give a summary of all the grounds on which the eviction order will be sought. Additional pages may be attached if necessary.]

I confirm that the said occupier's right of residence has been terminated in accordance with section 8 of the Extension of Security of Tenure Act, 1997 (Act No. 62 of 1997). [Attach copy of the notice of termination.]

Signed at ______________________ on this the _____ day of ____________________ [Fill in the name of the district or closest town or city and today's date.]

______________________________

[Sign here]

______________________________

[Capacity]

______________________________

Name and contact address/tel. no of owner or person in charge of the land

Received by me on this the ______ day of ___________________________ at _____h_____

[Fill in the name of the district or closest town or city, today's date and the time when the notice was received.]

______________________________

[Signature and name of person receiving this notice.]

______________________________

[Designation]