INDIA NON JUDICAL

Government of Karnataka
e-stamp
Certificate no : IN-KA46380043812410Q
Certificate issued date : 23-APR-2018 01.39PM
Account reference : NONACC (F1)/Kacrsflo8/RAJAJINAGAR/KA-BA
Unique doc.reference : SUBIN-KAKACRSFL0838471394396524Q
Purchase by
Description of Document: Article 4 Affidavit
Description : Family Tree
Consideration price (Rs):0
[Zero]
First Party :
Second Party : NA
Stamp duty paid by :
Stamp duty amount (Rs) :

FAMILY TREE AFFIDAVIT

I Mrs-----------------, residing at ----------------------------------------------------, aged about ----- years, do hereby
solemnly affirm and state on oath as follows:-

The details of my family members /legal heirs are as follows:-

Slno Name Age Relations Aadhar card No
hip with
the
Applicant
1
2
3
4

I hear by declare on oath that there are no legal heirs of mine except as shown in this affidavit/ Family
Genealogy. All legal heirs are named in this affidavit and are true and correct to my knowledge
This affidavit is to be required for the purpose of Property TRANSFER.
What I have stated in this above affidavit is true and correct.

Place:
Date :

Witness with address:

1.

2.