Affidavit format for death claim settlement in bank

 

Deceased person name: ____________

Account No.: ______________

Bank name: ________________

 

                I _____________ of late ________________ resident of _______________ tehesil and district ______________do hereby solemnly affirm and declare as under: -

 

1)      The late __________ is my ____________ who expired on ________. (death certificate enclosed

2)      That He/she the following account with ____________ (bank).

3)      That he left behind the following legal heirs- :

a.       __________________

b.      __________________ (if any)

c.       __________________ wife of late ___________

4)      That the deceased had no children of my afore said expect the mention above.

 

 

___________________

Signature (deponent)

 

Verification:

                Verified that the content of my above-said affidavit are true and correct to the best of my knowledge and nothing has been concealed therein.

 

Verified at ____________ on ____________.

 

_______________________

 

Signature (deponent)