1. Residential houses etc.....
2. Commercial premises, etc.....
3. Farms, etc.....
4. Other land.....
5. Machinery, stock in trade, livestock etc...
6. Movable property.....
7. Bank accounts......
8. Shareholdings......
9. Any other assests.....
SUMMARY
ESTIMATED VALUE
FOR OFFICIAL USE ONLY
10. Any other losses including personal injury
TOTAL
RATE OF EXCHANGE £
SECTION 1
DETAILS OF EXPROPRIATION, LOOTING OR DESTRUCTION OF PROPERTY 1. Please give a brief description of how and when property was taken or destroyed and indication of the persons believed to have been responsible for this.
2. Details of notification of loss and application for compensation to the * * Insert name of country against whose government claim was made.
When and in what form.
authorities.
3. Details of any attempt to challenge the validity of the action causing the loss or damage through the local courts or to obtain compensation through the local courts.
4. Details of any compensation received or offered from any source.
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Private notes are available after approval.