(Format No 6)

AFFIDAVIT*

WE,(1)_____________________________________Son of ___________________________
aged_______years residing at________________________________________________________
____________________ 2).__________________________________________________________son
of _______________________________aged________ years, residing at ____________________
_____________________________________do hereby solemnly affirm and state as follows :

We know late Shri/Smt.________________________for the past _________ years. He/She

died on _____________and has not left any will. ** His/Her Will dated ______________is
the last Will left by the deceased.

He/She is survived by the following legal heirs who alone are entitled to claim the
amount.

Sl. Relationshii to the

Name age
No deceased

THAT we are not related in any manner whatsoever to the deceased or any of
the above mentioned persons nor have any claim or interest of whatsoever nature in the
estate of the deceased.

THAT the deceased died as a # bachelor / married / widower / spinster / widow

and the mother of the deceased # is alive / pre-deceased. The claimed assets are his
self-acquired / ancestral properties.
 THAT we are informed and we believe that the deceased has left certain assets
with the Indian Overseas Bank ____________________Branch, to which the above
mentioned persons are entitled to claim

THAT we are making this declaration sincerely and conscientiously believing the
same to be true and with full knowledge that it is on the strength of this declaration that
the Indian Overseas Bank __________________ Branch has agreed at our request, to
deliver the assets to the above mentioned persons without insisting on production by
them of a grant of legal representation to the estate of the deceased from a competent
court.

1.

Date : 2.
Place : (Affirmants)

* On proper stamp paper as applicable to the State where it is being executed.

** Omit this sentence if not applicable.

# Delete whichever is not applicable

.
.