JR008289
APPLICATION AND AFFIDAVIT IN TERMS OF REGULATION 68(1) OF THE DEEDS REGISTRIES ACT, 47 OF 1937 We, the undersigned
MZAMANI THOMAS MASHAVA
Identity Number
561122 5718 088
Unmarried
the registered owners of:
ERF 16618 POLOKWANE EXTENSION 83 TOWNSHIP,
REGISTRATION DIVISION L.S.,
LIMPOPO PROVINCE
IN EXTENT 391
(THREE HUNDRED AND NINETY ONE) Square metres
HELD BY Deed of Transfer T37544/2009
do hereby declare under oath:-
1.That the said Deed of Transfer has become lost or inadvertently destroyed under circumstances unknown to me and despite diligent search for the Deed of Transfer cannot be found.
2.That the said Deed has not been pledged and is not being detained by anyone as security for debt or otherwise, but has been actually lost and cannot be found though diligent search has been made by me/us therefore, and if the original Deed is found, we will surrender it to the Limpopo Deeds Registry, at Polokwane.
3.I am not aware of the circumstances under which the said Deed of Transfer was lost.
4.I hereby apply to the LIMPOPO DEEDS REGISTRY, at POLOKWANE in terms of the abovementioned regulation, for the issue of a certified copy of the said Deed, and we undertake that if same should come into my possession or custody, I shall deliver or transmit it to the said Registrar.
MZAMANI THOMAS MASHAVA
SIGNED and SWORN/ AFFIRMED to before me at POLOKWANE on this ____ day of _________ 2026, the Deponent having acknowledged that he/she knows and understands the contents of this Affidavit, which is deposed to in accordance with the regulations governing the administration of an oath as more fully set out in Government Notice R 1258 of the 21st July 1972, as amended by Government Notice 1648 dated the 19th of August 1977 and Government Notice 903 dated the 10th July 1998. COMMISSIONER OF
OATHS FULL NAMES:
ADDRESS:
Reference Number: JR008289
