⚠️ Legal Requirement — Maharashtra: This form must be submitted by the landlord to the local Police Station within 24 hours of the tenant taking possession. Failure to submit may result in a fine and/or legal action against the landlord under Maharashtra police regulations.
How to submit: 1. Fill all fields with tenant's actual details.   2. Attach: copy of rent agreement + copy of tenant's Aadhaar + tenant's passport-size photo.   3. Submit to the local police station / chowki of the area where the property is located.   4. Alternatively, submit online via the Maharashtra Police tenant verification portal (where available).   5. Keep the stamped / acknowledged copy for your records.
Tenant's
Passport
Size Photo

(Affix here)
Police Intimation Letter
Tenant / Licensee Verification — Maharashtra
(As required under Maharashtra Police regulations and Section 188 IPC)

Date:                     

To,

The Senior Inspector / In-Charge,

                                               Police Station,

                                              , Maharashtra.

Subject: Intimation of New Tenant / Licensee at Residential Premises —                                               

Respected Sir / Madam,

I, the undersigned, hereby submit this intimation informing your office that I have given my residential premises on Leave and License / Rent to the tenant / licensee named below, with effect from                     . The details are as follows:

A. LANDLORD DETAILS
Full Name                                              
Address (Permanent)                                              
Mobile Number                        
Aadhaar No.                        
B. PROPERTY ADDRESS (Where Tenant Will Reside)
Flat / Unit No., Floor, Wing                                              
Building / Society Name                                              
Road / Street / Area                                              
City, Pincode                                              
C. TENANT / LICENSEE DETAILS
Full Name                                              
Father's / Husband's Name                                              
Date of Birth                        
Occupation / Employer                                              
Aadhaar No.                        
Voter ID / PAN / Passport                                              
Mobile Number                        
Permanent / Native Address                                              
District / State of Origin                                              
No. of Family Members / Co-occupants           persons — Names:                         
Vehicle Details (if any)Type:                    No.:                     
D. AGREEMENT DETAILS
Date of Agreement                        
Possession Date (Move-in)                        
Agreement Duration           months (from                          to                         )
Monthly Rent (License Fee)Rs.                         

DECLARATION BY LANDLORD:

I hereby declare that all the information furnished above is true, complete, and correct to the best of my knowledge and belief. I understand that furnishing false information is an offence. I request your office to kindly take note of the above and carry out verification / conduct any enquiry as deemed necessary.

Landlord's Signature
Name:                         
Date:                 
Mobile:                         
Tenant's Signature
(Counter-signature confirming details)
Name:                         
Date:                 

ENCLOSURES:

For Police Station Use Only
Received by (Name / Designation) 
Date & Time of Receipt 
Reference / Diary No. 
Verification Status☐ Clear    ☐ Under Verification    ☐ Suspicious — Report Filed
Remarks  
Station Stamp & Signature

— End of Police Intimation Letter —

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