93 Documents Submitted (Yes/No) Found (Yes/No) (To be filled by receiving staff) 12. Family Income certificate issued by the local authority Part-II: Details of the deceased/incapacitated dealer/ partner(s) 13. Photocopy of death certificate of the deceased dealer 14. Legal heirs certificate of the deceased dealer/partner issued by local elected representative 15. Medically unfit certificate of the incapacitated dealer/ partner issued by a Govt. Hospital in case of transfer of licence due to incapacitation Part-II (sic.): Details of the dealership/partnership firm 16. Previous partnership deed 17. Reconstituted partnership deed 18. Existing dealership licence Part-III: Affidavit and others 19. Affidavit in Annexure-I by the newly inducted partner(s) 20. Affidavit in the Form of No-Objection of all legal heirs other than the newly inducted partner(s)(not if he/she is spouse of the deceased Dealer/partner) in Annexure-II when previous Dealer is deceased 21. Nomination of the applicant by the incapacitated Dealer/partner 22. Income Tax Return for last 3 FYs, if applicable Date: Place: Signature of Proprietor/Signatory Authority Date: Signature of the Receiving Staff Name: Designation: ......................................................................Perforation............................................................. Acknowledgement Received application from Mr/Mrs/Ms.................................... of ....................................for induction/substitution of partner(s) /conversion from partnership to individual/ individual to partnership Date: Signature of the Receiving Staff Name: Designation: