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Legal Heir Affidavit Samples

The document contains multiple affidavits affirming the legal heirs of deceased individuals, including Pramila N. Anchan, Sangeeta Jaya Shetty, and Rajiya B., each detailing their relationships to the deceased and providing supporting documents such as death certificates. Additionally, there is an indemnity executed by T. Radha Pai regarding a deposit left by the late T. Raghuveera Rao, with Radha Bai asserting her status as the sole legal heir. Each affidavit concludes with a declaration of truthfulness by the deponents.

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0% found this document useful (0 votes)
259 views14 pages

Legal Heir Affidavit Samples

The document contains multiple affidavits affirming the legal heirs of deceased individuals, including Pramila N. Anchan, Sangeeta Jaya Shetty, and Rajiya B., each detailing their relationships to the deceased and providing supporting documents such as death certificates. Additionally, there is an indemnity executed by T. Radha Pai regarding a deposit left by the late T. Raghuveera Rao, with Radha Bai asserting her status as the sole legal heir. Each affidavit concludes with a declaration of truthfulness by the deponents.

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Legal Corner
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© © All Rights Reserved
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AFFIDAVIT

I, PRAMILA N. ANCHAN, aged about 29 years, W/o Late


Narayana Sundara Anchan, residing at ‘Anchan Nivas’, Kaup-Polipu
Road, Padu Village, Udupi Taluk and District, do hereby solemnly
affirm and state as follows:
…2,
-2-

1. I am deponent herein. I am fully acquainted with the facts


stated herein below.

2. I say that my husband Narayana Sundar Anchan was died on


12-07-2011.

3. I say that my self and below mentioned my daughter and son


are the legal heirs of aforesaid Late Narayana Sundar Anchan.

[Link]. Name Age Relation

1 Pramila N. Anchan 29 years Wife of deceased

2. Nami 6 years Daughter of deceased

3. Diganth 4 months Son of deceased

4. I say that I have affixed the death certificate my husband along


with this affidavit.

5. I say that facts stated above all are true and correct to the best
of my knowledge, beliefs and information.

Solemnly affirmed me this 7th day of December 2011 the


contents of this affidavit having been admitted by the deponent to be
true and correct she being acquainted with English who appeared to
perfectly understand the same and signed the same in my presence.

Identified by me
DEPONENT

Advocate, Udupi.
AFFIDAVIT

I, SANGEETA JAYA SHETTY, aged about 43 years, W/o


Late Jaya Vasu Shetty, residing at Room No. 104, A Wing, Gango
CHS Ltd., Off Link Road, Yogi Nagar, Borivali West, Mumbai - 91,
do hereby solemnly affirm and state as follows:
…2,
-2-

1. I am deponent herein. I am fully acquainted with the facts


stated herein below.

2. I say that my husband Jaya Vasu Shetty was died on


11-11-2010.

3. I say that my self and below mentioned my daughter and son


are the legal heirs of aforesaid Late Jaya Vasu Shetty.

[Link]. Name Age Relation

1 Sangeeta Jaya Shetty 44 years Wife of deceased


2. Abhishek Shetty 20 years Son of deceased

3. Adithi Shetty 17 years Daughter of deceased

4. I say that I have affixed the death certificate my husband along


with this affidavit.

5. I say that facts stated above all are true and correct to the best
of my knowledge, beliefs and information.

Solemnly affirmed me this 25th day of November 2010 the


contents of this affidavit having been admitted by the deponent to be
true and correct she being acquainted with English who appeared to
perfectly understand the same and signed the same in my presence.

Identified by me
DEPONENT

Advocate, Udupi.
AFFIDAVIT

I, Rajiya B. aged about 53 years, W/o Late Amir Saheb,


residing at 4-48 Vinoba Nagara, Kote Village, Katapady, Udupi
Taluk and District do hereby solemnly affirm and state as follows:
…2,
-2-

1. I am deponent herein. I am fully acquainted with the facts


stated herein below.

2. I say that my husband Amir Saheb was died on 13-12-2009.

3. I say that my self and below mentioned my daughter and son


are the legal heirs of aforesaid Late Amir Saheb.

[Link]. Name Age Relation


1 Rajiya B. 53 years Wife of deceased
2. Reshma Banu 29 years Daughter of deceased
3. Sunaina Banu 27 years Daughter of deceased
4. Sheik Imran Saheb 26 years Son of deceased

4. I say that I have affixed the death certificate my husband along


with this affidavit.

5. I say that I have affixed family Ration Card which is granted


by the State Govt. of Karnataka, India.

6. I say that facts stated above all are true and correct to the best
of my knowledge, beliefs and information.

Solemnly affirmed me this 14th day of May 2010 the contents


of this affidavit having been admitted by the deponent to be true and
correct he being acquainted with English who appeared to perfectly
understand the same and signed the same in my presence.
Identified by me
DEPONENT

Advocate, Udupi.

AFFIDAVIT

I, Rajiya B. aged about 53 years, W/o Late Amir Saheb,


residing at 4-48 Vinoba Nagara, Kote Village, Katapady, Udupi
Taluk and District do hereby solemnly affirm and state as follows:
…2,
-2-

1. I am deponent herein. I am fully acquainted with the facts


stated herein below.

2. I say that my husband Amir Saheb was died on 13-12-2009.

3. I say that my self and below mentioned my daughter and son


are the legal heirs of aforesaid Late Amir Saheb.

[Link]. Name Age Relation


1 Rajiya B. 53 years Wife of deceased
2. Reshma Banu 29 years Daughter of deceased
3. Sunaina Banu 27 years Daughter of deceased
4. Sheik Imran Saheb 26 years Son of deceased

4. I say that I have affixed the death certificate my husband along


with this affidavit.

5. I say that I have affixed family Ration Card which is granted


by the State Govt. of Karnataka, India.

6. I say that facts stated above all are true and correct to the best
of my knowledge, beliefs and information.
Solemnly affirmed me this 14th day of May 2010 the contents
of this affidavit having been admitted by the deponent to be true and
correct he being acquainted with English who appeared to perfectly
understand the same and signed the same in my presence.

Identified by me
DEPONENT

Advocate, Udupi.
To,

First Leasing Company of India Limited,


749, Mount Road,
Madras – 600 002.

This indemnity executed at Madras this 16 th day of September


2009 by :
1. T. Radha Pai

Hereinafter called the claimant of the First Part in favour of First


Leasing Company of India Limited, a company registered under the
Companies Act, 1956, and having its registered office of the second
part, whereas Late T. Raghuveera Rao, a depositor of the company
having a deposit/ investment of Rs. 12,000/- (Rupees Twelve
Thousand only) bearing the following Deposit/Investment Receipt (s)
No.

Receipt No(s) Date Amount


FDR No. 617524 10-05-2008 12,000-00

Died on 10-07-2007 leaving behind the following as legal heirs.


1. T. Radha Bai
…2,
-2-

Whereas the company has agreed to transit the aforesaid deposit


/investment amount of Rs. 12,000/- in the manner requested by the
claimant on the condition that the claimants agree to identify the
company against all losses, damages and expenses that the company
may be put to by reason of the company transmitting the said
deposit/investment of Rs. 12,000/- to T. Radha Bai, now in
consideration of the company transmitting the said deposit/investment
of Rs. 12,000/- to T. Radha Bai the claimant do hereby irrevocably
and unconditionally indemnify the damages and expenses that the
company may be put to by reason of the company transferring the
deposit amount of Rs. 12,000/- in the manner aforesaid.

Witness:

Name _____________________ 1.

Address _____________________ 2.

_____________________ 3.

_____________________

_____________________

Signature _____________________
AFFIDAVIT

I, MRS. T. RADHA BAI, aged about years, Wife of Late


Raghuveer Rao T., residing at No. Plot No. 20, Bhima Nagar, LIC
Colony, Bailoor, Udupi Taluk and District, do hereby solemnly affirm
and state on oath as follows: -

1. I say that I am wife of Raghuveer Rao T., who died on 10-


07-2007 at Dr. T.M.A. Pai Hospital, Udupi leaving behind
me.

2. I say that the legal heirs in respect of the state of late


Raghuveer Rao T., is following:

a) Mrs. Radha Bai (Wife)

3. I say that except the aforesaid person no other persons are the
legal heirs of late Raghuveer Rao T.

4. I say that according to circular the Reserve Bank of India the


deposit amount which is less than 25,000/- can be immediately
sanctioned to the next living legal heir. The copy of the same is
enclosed herewith.
…2,
-2-

5. I say that my husband having the deposit of S.B, bearing No.


FDR 617524 for Rs. 12,000/- which has matured on 10 th May
2008.

6. I say that I request you to close the deposit and send the D.D.
in my favourable made payable at Udupi, as I am legal heir of
Raghuveer Rao T.

7. I declare that the above statement is correct and it conceals


nothing no part of it is false.

I do swear in the name of God that this is my name and


signature and all the contents of this affidavit are true and correct to
the best of my knowledge, information and belief.

Identified by me,

Deponent

Solemnly affirmed and signed before me on this 7 th day of


October 2008 at Udupi.

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