AFFIDAVIT WE, (1) S/o (2) s/o aged hereby solemnly affirm and state as follows: We know Sri/Smt.

For the ast and has not left any will. !is/!er Will dated de"eased. aged years residing at years residing at do years. !e/She died on is the last will left by the

!e/she is s#r$i$ed by the following legal heirs who alone are entitled to "laim the amo#nt. Sl. %o. %ame &elationshi to the de"eased 'ge 1 2 ( ) * +!'+ we are not related in any manner whatsoe$er to the de"eased or any of the abo$e mentioned ersons nor ha$e any "laim or interest of whatsoe$er nat#re in the nat#re of the de"eased. +!'+ the de"eased died as a ba"helor/married/widower/s inster/widow and the mother of the de"eased is ali$e rede"eased. +he "laimed assets are his self a",#ired/ an"estral ro erties. +!'+ we are informed and and we belie$e that the de"eased has left "ertain with the -ndian .$erseas /ank /ran"h to whi"h the abo$e mentioned ersons are entitled to "laim. +!'+ we are making this de"laration sin"erely and "ons"ientio#sly belie$ing the same to be tr#e and with f#ll knowledge that it is on the strength of this de"laration that the -ndian .$erseas /ank /ran"h has agreed as o#r re,#est, to deli$er the assets to the abo$e mentioned ersons witho#t insisting on rod#"tion by them of a grant of legal re resentation to the estate of the de"eased from a "om etent "o#rt. 0la"e: 1ate:

1. 2. ('ffirmants)

.n ro er stam a er as a li"able to the state where it is being e2e"#ted. .mit this senten"e if not a li"able 1elete whi"he$er is not a li"able