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Affidavit for General Power of Attorney after Death

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
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