AFFIDAVIT
I, _____ wife of late _____ R/o _____, do hereby solemnly affirm and declare as under:-
1. That Late _____ is my husband who expired on dated _____ (Death certificate enclosed).
2. That he had the following account with _____Bank, _____ vide _____
3. That he left behind the following legal heirs :-
(1) _____ (2) _____ all sons/daughters of late _____ son of _____ & (3) _____ Wife of late _____ All resident of _____,
4. That the deceased have no children of my aforesaid expect the mentioned above
DEPONENT
VERIFICATION:-
Verified that the contents of the above said affidavit are true and correct to the best of my knowledge and belief and nothing has been concealed therein.
Verified at _____ on this _____
DEPONENT