In the Court of Ld.1st Class Metropolitan Magistrate at ………….

Affidavit
I, Sri xyz………, S/O- Lt. abc………, aged about 00 years, by faith Hindu, by
occupation business, residing at
………………………………………………………………….. Pin: 000000, do hereby
solemnly affirm and declare as follows:

1. That I am an Indian citizen by birth.

2. That my father’s name is Late …………...

3. That my father abc………… died intestate on 00.00.0000 leaving

behind him the following persons as his legal heirs and
representatives only:
Sr Name Address Age Relationship
No
1. A……….. ………………………………………………… 00 Wife

2. B……….. ……………………………………………. 00 Son

3. C…………… ………………………………………… 00 Daughter

4. D……….. ……………………………………….. 00 Daughter

4. That apart from the above said persons there are no other persons
exist as legal heirs and representatives of the said deceased namely Lt
abc………. after his demises.

5. I am the competent person to swear this affidavit hereto.

6. That the above statements are true to my knowledge and best of my

belief.

Identified by me

Advocate Deponent