地址:
表格里
Address :
Fore A
I.
No.
the
floor owner of
, hereby accept
the Director of Public Works' offer of compensation in the rum of
in full and final settlement of
all claim which I may have againet the Hong Kong CoveTiment, whether under the Mass Transit Railway (Land Howumption and Related Provisions) Ordinance, Cap. 276 or otherviss, in any way whatsoever aassected with or arising out of the remuptim of the above property.
In accepting this offer of compensation and in consideratio of the said sun, I agree to waive all and any rights to and claime for and that I will not clain my compensation to which I might otherwise have been entitled under the Mass Transit Bailway Resumption and Related Provisima) Ordinance or otherwise and this vaiver may be pleaded in bar, to any proceedings brought by for, or in sy behalf, before the Landa Tribunal.
本人
之業主,现接纳工榜司所提供之補償金港幣
110 ($
)。由於本人可能根 據香港法例第二十六章集體運輸鐵路(收回土地 及有關規定)條例或固當局收回上述物業而根據 其他法例,要求香港政府補償,是以工鸨司轉提 供上述款項,作為最終之圓滿解決辦法。
茲因政府提供是項補償,而本人亦予以接納, 故特同意放棄根據集體運輸鐵路(收回土地及有關 規定修例或其他法例而可能有權提出之一切補償要 承,且嗣後亦不提出該等要求。此外,在本人或 本人之代表何土地審裁處所提出之任何訴訟案件中, 本鸾楷富亦得由當局提出作抗辯之用。
簽署人:
見證人:
(
日期:
一九
算
月 日
31gned
(
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3/2.M0.
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