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IN THE COURT OF HON’BLE CIVIL JUDGE JUNIER DIVISION
AMGAON.
MJ.C.NO. /2024

Applicants - 1.Smt.Shantabai Wd/o Balaram Nagpure,

A/a 65 Yrs, Occd. Household , R/o Amgaon-khurd,

Tah.Salekasa,Distt.Gondia.

2. Mr.Vivek S/o Balaram Nagpuere, A/a 30 Yrs,

Occ. Business, R/o Amgaon-khurd,

Tah.Salekasa,Distt.Gondia.

Versus —

Non-applicant - Nill .

APPLICATION FOR GRANT OF LEGAL HAIRS

- CERTIFICATE TO THE APPLICANTS UNDER- VIII OF
BOMBAY REGULATION ACT.

The applicants most humbly beg to submit as under:-

O1. The applicants are do reside and carried of their respective

avocation as mention in cause title of this application.
02. That the late Balaram S/o Parasram Nagpure was
residing with applicants at Village Amgaon-khurd of N.P.
|
cy
1|Page

1 / 16 Scanned with CamScanner

 Salekasa, Tah. Salekasa, that on unfortunate day of 12.06.2022
he was died.
03. That, the leaving behind him following legal hairs, which
mention in table are his class | legal hairs.
| No. Name Relation
Denes

I. SHANTABAI WD/O BALARAM NAGPURE | WIFE

2 | RAMESHWARI W/O URAJ POHANKAR | DAUGHTER
3 | GEETA W/0 SACHIN THAKRE DAUGHTER
“5 4. | USHA W/O SUBHASH UKEY DAUGHETR
A 5. _ | VIVEK S/O BALARAM NAGPURE SON

04. That, in table of para no.3 all persons are class | legal hears
of the late Balaram S/o Parasram Nagpure and there are no
any other class one legal hairs /representative of deceased.
05. That, the applicants are require the legal hare certificate of
deceased for taking some govt. scheme of widow and preparing
educational documents and for getting benefits of govt. scheme
for widow and for other purpose.
06. That, this court has no has no impediment to grant legal hairs
; certificate to the petitioner /applicant.
07. That, the petitioner has paid requisite court fees on the
petition for grant of legal hairs certificate.
08. That the petition of petitioner is based on the legal right
of
inheritance and petitioner has file documents as per
list and crave
permission to file more document as and when
require by this
hon’ble court.

2|Page
a
2 / 16 Scanned with CamScanner
 09. Those, the petitioner have not filed any other petition except
this petition on same cause of action for the same
relief before
this or any other court,
10. Prayer - It is therefore prayed that the Hon’ble court be
S b pleased to grant legal hairs certificate to the applicants as
& mention in table of para no.3. on the ground of successors/ hairs
J >} of the late Balaram S/o Parasram Nagpure in the interest of
. justice.

Amgaon
Date-21.02.2024 Petitioners.
v gd

Verification.
7
Verified that the contents are mention in para no.1 to 10 are
true and read over to us in vernacular and we admitted the same to
be true and correct to the best of our knowledge and belief and
hence ,I signed at Amgaon on dt.21.02.2024.

Petitioners.

Soleman Affirmetion.
yp
1 Mr.Vivek S/o Balaram Nagpure ,A/a - 30 Yrs, Occ.

Business,R/o Amgaon-khurd ,Tah. Salekasa, Distt. Gondia, take

in
oath and made solemn affirmation that, the contents are mention
para no.1 to 10 are true and read over to me in vernacular and |
3|Page Zz

Se
eetatl
3 / 16 Scanned with CamScanner
 admitted the same to be true and correct the best of my knowledge
and belief and hence,] signed at Amgaon on dt.21.02.2024,
LZ
i
L_

Deponent.

| know deponents,
She signs before me.

Ady.Parashnath.P.
Ther

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 Pee a a,
Ce ¢ Ou atin Ihe r i
PT.Mut engha n ia { ‘
” Way)
'
ane 7 aih { uuol A i
(‘
t S: EXIBITE
ee Ps “TE UPEES iS
{
bee de
|i
:

WAKALATNAMA
INTHE COURT OFHON'BLE
OJ ON -RG he css 9 Ad began. ;
U
| MJc [NO. >
Plaintiff/Appotiant-C) Sha /2024
tabat Noe YY. @ Vikek Bertram Nee pos
Petitioner, Applic 9 QO
ant/Complain ant .

-VERSUS.
Deft/Respat.-
\\ Ae

OpptJAccused -

| Amount of
clalm In sult etc.

UWe

| © Ghafoor wo Raleam Negourt @) Mr Vilwele Qo 2 dolorem Nap.

Be fenpce —lewwh Tae Sei eleony Dr} Coodion «Cha 19
P.P. THER
S.P.SHIHORE
B.A., LL.B.
B.GQ.LLB.
ROLL NO.MAHI 5706] 2009

ENROLLED ON: 16] 10! 2009

To appear and act for me'as

my counsel in the said matter.

Witness my hand this\_.2 .2024

Witness
Sign of Client.
Accepted
. a

} Sign of lawyer's
rs

ae oa
nar
| Filedincourton __. ——.2024
ee

OFFICE: -
ee
IN FRONT OF R.H. SALEKASA (City),
—~——
PIN CODE - 441916, DIST.GONDIA (MS),
—
CELL NO. 09273189288,08999196055.

} EMAIL - therparashanath @ gmall .com

We are the not the member of advocate

welfare fund, hence welfare fund stamp
- B.& P. THER not affixed.
LEGAL CONSULTANTS
-
Ss

a
5 / 16 Scanned with CamScanner
 | Exhibit no.

REGISTERD-ADDRESS.

BEFORE THE HONBLE J.M.F.C. & CIVIL JUDGE JUNIER DIVISION AMGAON.
M.J.C.NO. {2024

-. Shen} Har Naa ors +4

PETITIONERS
-VS-

RESPONDENTS - NILL
local limit of the COURT within
As address for service filed under this rule shall be within
party ordinarily reside.
which the SUIT / execution Is filed or within which the

Father’s/ husband's Residenti | Tahsil | Post

Name
al and offic
name.
address distri |e.
ct

Tronlebal Wile Ralawery

Naaget Races bS yes .

ViVele So Belarcren Hep

Both Rle Araoen “hem
doy. Aabhekota , gee "
Gerdd a OF)

ect to rule 24 order7 ,

shal l be call ed as regi ster ed address & it shall be subj
This address complaint and
in all proceeding in the
ion 42 of this order, hold good
read with sect
of final decision for all
appe al for a furt her peri od of six year from the date
execution and ess, | under take to furnish
the
e incl udin g ther eof exec ution . If any change in addr
purpos
accordingly.
same & will inform
| 7 Sign of the client.
WD awd\ as. Cs
La
x
“SS Cc
by name -
client
As pert-“ instruction of my
1,
aforesaid Information.
is hereby furnishing the
-status —- APPLICANT
CONSEL OF APPLICANT _
Yo)
Date - % \9} fh

ve
CONSULTANTS.
THER LEGAL

6 / 16 Scanned with CamScanner

 DACUMENTS-LIST
BEFORE THE HON’BLE COURT OF ).1).F.C. A} began
U
PLAINTIFF/ APPELANT - Chevinloa
i Naqpert +4
DEFENDENTS/RESPONDENT- Wil. -
M.J.C.NO. = -/2024
APPLICANT FILE FALLOWING DACUMENTS IN PROCEEDING/RECORD OF THIS
HOB,LE COURT. /

NO. NAME OF DACUMENTS NATURE OF DATE OF

| DACUMENTS DACUMENTS

| 1 Yuth CoC) oni 16-06. 2899

| Ise 784
|

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ANGAON - _— =e"
pt. 1] Ol .2024 ADV.P.P. THER CLIENT

B.P.THER LEGAL CONSELTUNTS. ‘ih

SALEKASA (CITY).

7 / 16 Scanned with CamScanner

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NAGAR PANCITAYAT SALEKASA, DISTRICT GONDIA

Arq waT-7z
DEATH CERTIFICATE
an
Saw) ehSTOTe,
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=—— = -——
tee TAS
1969 Ta RA avi wh wee aeH ante 1 chet fare, a ie Por .
(ISSUED UNDER SECTION 12/17 OF THE REGISTRATION OF BIRTHS adopt Beam avis sore tree a sr
& DEATHS ACT, 1969 AND RULE 8/13 OF THE MAHARASHTRA REGISTRA
BIRTHS & DEATHS RULES 2000.) TION OF |

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THIS IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM ,
NAGAR PANCHAYAT SALEKASA, DISTRICT GONDIA OF TAHSILIBLOCK SALEKASA THE ORIGINAL RECORD OF DEATH WHICH IS THE REGISTER FOR
INDIA OF DISTRICT GONDIYA OF STATE/UNION TERRITORY MAHARASHTRA, |

j
77S “7a / NAME OF DECEAS
: TAT
EDA WAT ANTI / BALARAM PARASRAM |

(AGPURE Far) SFX. YT) MALE

STL FTH / AADHAAR NO.:
| NOONE 18
| =-a STATE / DATE OF DEATH: Hea foam / PLACE OF DEATH:
12-06-2022
TWELFTH-JUNE-TWO THOUSAND TWENTY TWO AMGAON KHURD . SALEKASA, SALEKASA. GONDIYA MAHARASHTRA
_ . 441916, / HITT We |
7 Sa 7a
WE, ART Gc FITZ, 441916 |
aa / AGE OF DECEASED:
69 YEARS
Udi» vat arfedt ara / NAME OF HUSBAND
/ WIFE: |

BMT HATH / HUSBAND/WIFE AADHAAR NO. :

38 YS ATA / NAME OF MOTHER: afsara qt Ala / NAME OF FATHER:
TAGTs WTA ATT / KANKUBA! PARASRAM NAGPURE THAITE WTI? / PARASRAM NAGPURE
|
wut FATT / MOTHER'S AADHAAR NO,: }
STuT TAT / FATHER'S AADHAAR NO. :
274 cae! AePTACTE] TAT / ADDRESS OF THE DECEASED AT THE TIME OF
Waa Sara FTTH WAT / PERMANENT ADDRESS OF DECEASED |
DEATH : :
AMGAON KHURD ,
| SALEKASA. SALEKASA. GONDIYA, MAHARASHTRA: 441916 AMGAON KHURD. SALEKASA. SALEKASA. GONDIYA. MAHARASHTRA
| aaa az
441916
| Wee ara | aren
| FPTTE- 441916 -
WAIT TITRA | MAT, FENTZ Org 16 |
| =T2UT ATH / REGISTRATION NO: aaa FRA | DATE OF REGISTRATI |
D-2023: 27-13027-000069 25-05-2023
“TT | REMARKS (JF ANY):
DEATH RECORD REG.NO.17 DATE 16/06/2022

yarrga fear Sern | DATE OF ISSUE: TTT ore ereaT FI QGRWING AUTHOR
20-02-2024

PESTER
u

MRE Saar
Ml 1 seaTe

NAGAR PANGHIAWNUABH
RIRER (QERICT GONDLA
UPDATED ON
20-02-2024 06:09:53

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 |
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somoeny MHITETY WTeITETAT PATA
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nit | Fomate

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 EXB.
NO.

PROCESS
BEFORE THE HON’BLE COURT OF J.M
E-C- KALAMGAON
PLAINTIFF/ COMPLAINANAT - Qnhemdaloci Noyyge
e-+'
DEFENDENTS/NON-APPLICANT-
W\\_
urse\CREcAPP../M.3.C.NO. /2024
ORDER DATE- FIXED DATE -_____
SESE

T, APPLICANT FILE THIS PROCESS AS PER ORDER OF THIS HOB,LE COURT.

TO WHOME ISSUE PROCESS ADRESS | DISCRIPTION OF OTHER

PROCESS NOTES/REMARK
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Date ->\"5*642 2924 : ADV.P.P.THER CLIENT

THER LEGAL CONSELTUNTS.

SALEKASA (CITY). 16

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