Affidavit Format Page 2

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Cont….
I/we , being (sole) heir / being one of the heir / heirs are making this solemn declaration
sincerely and conscientiously believing the same to be true and with full knowledge i.e.
on the strength of this declaration that the Dombilvi Nagari Sahakari Bank Ltd.
_________________ Branch, has agreed at my/our request to make payment of the
amount of the deposit(s) to the above mention persons / claimant without insisting for
production by them of a grant of legal representation to the estate of the deceased from
a competent court.
“Sworn” / Solemnly affirmed
At ……………………………………..
On the …… day of…………………..
In the presence of…………………..
1)………………………………….
Signature
2) ………………………………….
Signature
BEFORE ME……………
SEAL--.>
(Delete whichever is not applicable)

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