You are on page 1of 1

TEN

RUPEES
Z
As 3.10
Got
Rs.10
INDIA
Serial N B8112
0 INDIA NON JUDICIAL
Purchased By
T. BABAJOHN
For Stamp S. n
ADVOCATE &NOTARY
KADIRI
*SELF
Sub ogistrar A9429,6206
Ex,Offico Starnp
Vendor
SRO Ananthapur (R.O)
AFFIDAVIT FORGRANT OF FAMILY
MEMBER'S
1,
Residing Saraswatamma,
at D.No.8 , W/o Late
Bushanam Kondama Raju,
CERTIIICATE
aged
Reddy Vari Palli (Village), Amadagur
do hereby solemnly affirm about 87 years, Hindu,
and state as follows: Mandalam, Sri Sathya Sai District.,
That 1amn the deponent herein. My
BAnjineyulu, was died on 22-02-2019 husband namely Bushanam Kondamaraju, S/o Late
bclow, being his wife and children's to leaving, behind him the following persons as
that cxcept the below succeed his estate, Hence Iam making this mentioned
deceascd husband. mentioned persons, no other persons is there to
claimn as legaldeclaration
S.No. heir to my
Name
Saraswatamma
Ram PalleUma Devi
87 Years WifeRelationship
(widow) 6935 01903256
Aadhaar No.
56 Years
Venkatesh 52 Years Daughter (Married)
Son (Married) 2706 9059 7703
Gundrajula Died 4170 9646 9364
Daughter (Married) 6699 4813 4938
Shakutalarmm
Lxcept theabove
ydeccascd husband, entioncd persons, ootherperson is there to claim as legal
What all mentioned above is true and heir of
have no mis-represented any fact in this correctto thé best of my knowlede and belief. I
affidavit.

Selesnly affirms and singed before Deponent


me on this
te 22 11-2023 at Kadiri, Sree
Sathya Sai District T.BABAJOHN, MA,LL0.
NOTARY
KADIRI-STSs91, Brl Satihya Sal Diut A

You might also like