po ADIRI 515501

ANANTAPUR DISY
otSNo 20

by the 320
Rs.20
TWENTY
INDIA RUPEES
13-c-20)2 INDIA NON JUDICIAL
o ,3i YERT ANDHRAPRADESH 89AA 12 .LUPLA HAMAN
LICENCE STAMP VENDOR
Licence No:12-08-01/2023
KADIRI15591, Coll :7O22148143

AFEIDAVIT
I,
PALLAPU JAYARAM S/o Pallapu Narayana, aged aout 36 years,
Seethi Reddy Palli, Main Road, Amadaguru, Amadaguru residing at D.No.3/17,
hereby solemnly affirm and state as follows: Mandalam, Sree Sathyasai District, do
1) Iam the deponent herein. My Father namely Pallapu Narayana S/o
on 13-06-2023 due to illhealth at my home in Seethi Kondappa (late) was died
Reddy Palli; Amadaguru Mandalam, Sree
Sathyasai District. My mother died earlier to the death of my father. The following are the legal heirs
of the deceased father to succeed their estate, Bank Balançes, crop failure, subsidy amounts, an
iransfer of pattadar pass book and title deed, if any and landed properties etc., and below mentioned
are members are the family members of my family. Leaving behind the below family members. My
father were died leaving behind him the following persons as his legal heirs.
S. Name Aadhaar No. Relationship Age remarks
No.
1. PALLAPU JAYARAM 4043 1607 7680 SÓN 36 years Married
2) Except the above said legal heirs none other legal heirs are there to my deceased father i.e., my
father PALLAPU NARAYANA.

DEPONENT,
Solemnly affirmed and signed before me on
22-11-2023 at Kadiri, Sree Sathyasai District.
WATTESTED | B.Ramaswamy
M.A., B.L.,
NOTARY
KADIRLAnantapur Dist. A.P