Form Transfer Rights Voluntary Sale - Kinya

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Edition May 2018

FORM 4
INYANDIKO ISABA IHEREREKANYA RY’UBURENGANZIRA KU BUTAKA
RISHINGIYE KU BUGURE
Umwirondoro
Njyewe/Twebwe: .....…………………………………………………………………………………………………………………...........
Irangamimerere: …………………………….…………………………………………………………………..........................................
Indangamuntu/Pasiporo: …………………..………………………………………………………………………………………..........
Aderesi: Akarere ka…………………….…. Umurenge wa ……………………………Akagari ka ……………………............
Umudugudu wa ………………...............Telefoni : …………………………………... E-mail: ……………………………….........

Cyangwa
Isosiyete/ONG/Ishyirahamwe ry’umwuga/Idini/Koperative/Ibindi…………………………………………….........
Njyewe (Uhagarariye mu buryo bwemewe n'amategeko):………………………………….............................................
Indangamuntu/Pasiporo: ……......………………………………………………………………………………………………………..
Aderesi: Akarere ka…………………….…. Umurenge wa ……………………………Akagari ka ……………………............
Umudugudu wa ………………................Telefoni: ………………………………….. E-mail: ……………………………………...

Ndasaba gukora ihererekanya ry’uburenganzira k’ubutaka rishingiye ku bugure

Amakuru ku kibanza/Isambu
Nimero y'ikibanza/isambu (UPI): …………………………....................................
Umujyi wa Kigali/Intara: ………………………………………..................
Akarere: …………………………………………………...
Umurenge: …………………………………….……………..
Akagari: …………………………………….……………..
Umugabane ugurishwa: ...................%

Ibisobanuro k'ubusabe………………………………………………………………………………………….....................................
……………………………………………………………………………………………………………………………….....................................
……………………………………………………………………………………………………………………………….....................................

Ibisabwa
Kopi y’ibiranga uwaguze/abaguze
Amasezerano y’ihererekanya ry’uburenganzira ku butaka yakorewe imbere ya noteri mu
by’ubutaka ariho imikono y’impande zombi
Ibyangombwa by’ubutaka bwagurishijwe1
Inyandiko y’ubumvikane yakorewe imbere ya Noteri igaragaza imigabane buri muntu afite mu
gihe mu bagomba kwandikwa ku butaka harimo abanyamahanga bafatanyije ubutaka
n’Abanyarwanda cyangwa iyo ari isosiyete y’ubucuruzi, umuryango cyangwa ishyirahamwe
bifite ubuzima gatozi abanyamahanga bafitemo imigabane

…………………………….. …………………………………………………………………………
Itariki y'ubusabe Umukono w'usaba (w'abasaba)

Byakiriwe kandi bisuzumwa na: ………………………………...................................................................................................

Icyo ashinzwe:……………………………………………………………………………………………………………………………..................................

Itariki: ………………………………………………………
Kashe
Umukono: …………………………………………………

1
Bitewe n’imitungire y’ubutaka, ibyangombwa by’ubutaka bishobora kuba kimwe muri ibi bikurikira:
 Amasezerano y’ubukode burambye, icyemezo cy’iyandikisha ry’ubukode bw’igihe kirekire n’ igishushanyo cyerekana ingano y’ubutaka
 Icyemezo cy’inkondabutaka
 Icyemezo cy’Iyandikisha ry’Impapurompamo ngenankomyi,
 Icyemezo cy’iyandikisha ry’ibice by’isangiramutungo ku nyubako

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