Da Forms: Da-1 To Annexure-15 Page 16
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35ANNEXURE-2
TESTAMENTARY SUCCESSION DECLARATION FORM
I/we, (1) ____________________________, S/o._______________________, aged
_______ years, residing at _______________________________________________
(2)
____________________________,
S/o._______________________,
aged
_______ years, residing at _______________________________________________
(3)____________________________,
S/o._______________________,
aged
_______ years, residing at _______________________________________________
(legal heirs of late ____________________________) do hereby declare and state as
follows:-
Sri/Smt.______________________________ who had executed a Will dated
_____________ died on ________________. We hereby declare that as per the Will
the said ___________________________ has bequeathed his/her bank deposits/gold
pledged with the Bank/articles kept in safe deposit lockers/safe custody in favour of
Sri/Smt._____________________________. We further confirm that the Will dated
____________ is the last Will executed by the deceased and that no other Will or
Codicil or any other documents has been executed by the deceased account
holder/depositor
in
the
matter
of
his
assets
in
the
form
of
Bank
Deposits/accounts/assets lying with the Bank to his/her credit.
We further declare that the above information is true and we know that we may be
liable in damages to the Bank in case it turns out that the information given by us as
stated above is incorrect or false or both. We are further aware that on account of the
Bank relying or depending on the information furnished above, if the Bank is making
any payment/release assets, we are liable to reimburse on demand all amounts so paid
and also all costs, charges, expenses, claims etc, incurred by the Bank.
The liability if any arising on account of our giving this letter shall also be binding on
our legal heirs, executors, administrators and assigns.
Signature
Place:
Date :
16
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