Identity Declaration Form – Ministry of Natural Resources

Identity Declaration Form

Name of Person making declaration; not the landowner*
First Last
Address of declarant apperars here*
Street Address Address Line 2 City District Country
Declarant form of identification*
(the attached Passport, Belize Social-Security card)
Declarant Identification Number*
Declarant Date of Birth
Date Format: DD dash MM dash YYYY

I do solemny and sincerely declare that I was born on the date above
Name of landowner as it appears on record, Land Certificate or Certificate of Lease appears below*
First Last
Address of Landowner*
Street Address Address Line 2 City District Country
Land Owner Date of Birth*
Date Format: DD dash MM dash YYYY

Landowner was born on Date Above
Relationship*
Relationship with landowner; must be indicated
Landowner name as it appears on attached ID; Must be different from the afore-mentioned name
Land Owner Applicable form of ID*
Land Owner Identification Number*