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AFFIDAVIT

I,BALLA SEETHA W/o Late APPARAO, Hindu, Aged 50 Years, Resident


of Srinagar Colony do here by solemnly affiram and state on oath as
follows

I Submit that my husband BALLA APPARAO died on 06-07-2011 at


my residence, due to illiteracy and lack of knowledge, I did not
inform the death of my husband to the concerned authorities for
recording the same.

Therefore I request your kind authority to note the death of my


husband BALLA APPARAO as on 06-07-2011 and to issue death
certificate to me.

The contents stated above are true and correct to the best of my
knowledge, belief and information.

Solemnly affirmed and signed before me on this 18 th day of February, 2020


at Vizianagaram
DEPONENT

Solemnly affirmed and signed before me on this 18 th day of February, 2020


at Vizianagaram

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