28RA 626720

COURT OF THE LD. EXECUTIVE MAGISTRATE (157. CLASS),

TEHATTA,
INTHE NADIA.
AFFIDAVIT.
faith : Hindu, by
# Mohan Mondal, S/o Late Mahadeb Mondal, aged about 49 years, by
P.O. Shikarpur, P.S.
Occupation : Cultivation, resident of Vill. Shikarpur Kuthirpara, affirm and declare
Dist. Nadia, PIN - 741158, West Bengal, do hereby solemnly
flurutia,
as follows :- is my Son.
That, Pritam Mondal (since deceased), S/o Mohan Mondal 19.07.2021
8) That, my aforesaid Son i.e. Pritam Mondal died at on at the
aforesaid mentioned residential address. .

heirs and
3) That, my aforesaid son died leaving behind the following legal
SUCCESSOrs :-
i Relation Age

-
Sl.No. Name
Mohan Mondal Father 49 yrs.
01.
ioo Prabhati Mondal Mother 40 yrs.
02. of Pritam
That, in one Motor Cycle, being Regn. No. WB52AF0270 in the name
4) in favour
Mondal and after demise of my Son | want to transfer the said vehicles
§
of me.
That, this Affidavit is required for proving the legal heirs and also
for changing
5)
y
’
the name of the vehicles in favour of the legal heir.
That the above statements are true to the
best of my knowledge and belief.
q

8. Signature of the Deponent.

Identified by me -
§
Advocate.
§