Petition for Grant of Succession Certificate

In the Courtof …………………

in the goods of……..(state name, address

and nationality)

In the matter of the grant of a succession

certificate in respect of the debts,

securities of the said deceased

The humble petition of AB (state address

and relationship)

The above-named applicant respectfully begs to state as follows:

1. That the deceased GH of, etc., at etc., hereinafter referred to as the said deceased died
intestate at No………….on the………….day of……………..

2. That prior to and at the time of his death the said deceased has had his fixed place of
residence at No………within the jurisdiction of this court, where he ordinarily lived and resided
and left also some property.

3. That the said deceased was governed by the Hindu Succession Act (or Indian Succession Act)
etc., and the applicant being his legal heir under the said law is entitled to succession
certificate in respect of the debts and securities he re under mentioned.

4. That the said deceased left him surviving at the time of his death, only the following and
no other relatives.
(a) CD son of, etc., of, etc. {b) EF son of, etc., of, etc.
5. That as the said deceased left no will, no application was or could therefore be made in
any court for the grant of probate thereof or of administration of his estate, with a copy
annexed thereto and there is no impediment to the grant of a certificate to the applicant.

6. That the particulars of the debts and securities in respect of which the certificate is prayed
for are set forth in Annexure A.
The applicant prays that the court may be pleased to grant him the succession certificate for
collection of the debts and securities with interest thereon mentioned in Annexure below.

Verification

I,………………….residing at………………….being the…………………………..of the

above-named………….do hereby declare and say that the statements contained in
paragraphs 1 to 6 of the above petition and also the particulars contained in the Annexures 'A'
and 'B' including all figures are true to my knowledge and the rest are my humble submissions
to this Learned Court.
I sign this verification at………………this…………day of…………2000.

Signature
Before me Notary
Prepared in my Office Advocate for the Petitioner