ANNEXURE II

AFFIDAVIT
TO,
The Post Master
Gopalganj Sagar
We (1) Smt. Anisa Bee aged 58 Years widow of Zahir Ahmad Khan (2) Shahim
Begam Khan aged 31 Years D/o Late Zahir Ahmad Khan (3) Shireen Begam Khan aged 28
years D/o Late Zahir Ahmad Khan (4) Zoya Khan Aged 24 Years D/o Late Zahir Ahmad
Khan (5) Sana Khan aged 21 Years D/o Late Zahir Ahamd Khan All R/o H.No. 197/2 Infront
of Jain Dharam Shala Gopalganj Sagar (M.P.) do here by declare and solemnly affirms under
:(1)
That I/we am are the only heir (s) of the deceased Zahir Ahmad Khan S/o Kabir
Ahmad Khan who died at home Gopalganj Sagar on 07/10/2014 I/We alone
represent the estate of Shri Zahir Ahmad Khan S/o Kabir Ahmad Khan
(2)
That the deceased Zahir Ahmad Khan did not leave any will, therefore I/ We am
are successor (s) of the sold deceased.
Depondents Name
1. Smt. Anisa Bee
2. Shahin Begam Khan
3. Shireen Begam Khan
4. Zoya Khan
5. Sana Khan

Signature
.....................................
.....................................
.....................................
.....................................
.....................................

Verification
I/We the above named deponents do here by verify on solemn affirmation is Sagar
(name or place) that the contents of this affidavit are true to the best of mylaour
knowledge and nothing material has been concealed.
Dependents Name

Signature

1. Smt. Anisa Bee

.....................................

2. Shahin Begam Khan

.....................................

3. Shireen Begam Khan

.....................................

4. Zoya Khan

.....................................

5. Sana Khan

.....................................

ANNEXURE III
AFFIDAVIT
TO,
The Post Master
Gopalganj Sagar (NAME OF THE POST OFFICE)
We (i) Ku. Shahin Begam Khan Aged 31 Years D/o Late Zahir Ahmad Khan
(2) Ku. Shireen Begam Khan Aged 28 Yrs D/o Late Zahir Ahmad Khan
(3) Ku. Zoya Khan aged 24 Yrs D/o Late Zahir Ahmad Khan
(4) Ku. Sana Khan aged 21 Yrs D/o Late Zahir Ahmad Khan
All R/o H.No. 197/2 Near Jain Dharamshala gopalganj Sagar (m.P.)
do here by delcare and solemnly affirm as follows
1.

That Shri Zahir Ahmad Khan S/o Kabir Ahmad Khan Died intestate on
leaving behind us Widow and four daughters Smt. Anisa Bee, Ku. Shahin
Begam Khan, Shreen Begam Khan, Zoya Khan and Sana Khan his only heirs

2.

That we Ku.. Shahin Begam KHan, Ku. Shireen Beam Khan, Zoya Khan and
Sana Khan All D/o Late Zahir Ahmad Khan heirs of our late father, for our
selves and on behalf of our heirs, executors, represetnatives and assigns to
here by religuish our claims to the balance of Rs. 45255.00 In Acccount No.
310827. of S.B. (Name of Scheme) standing at Gopalganj Sagar (Name of
Post Office) in the name of the estate of the said Zahir Ahmad Khan deceased

and we have no objection what so ever in the balance in the above reffered
account together with interest if any accured there on being paid bythe post
office to Smt. Anisa Bee Widow of Zahir Ahmad Khan.
Dependents Name

Signature

1. Shahin Begam Khan

.....................................

2. Shireen Begam Khan

.....................................

3. Zoya Khan

.....................................

4. Sana Khan

.....................................
VERIFICATION

I/ We, the above named deponents do here by verifty on solemn affirmation that the
contents of this affidavit are true to the best of my / our knowledge and nothing mateiral
has been concealed.
Name Deponent

Signature

1. Shahin Begam Khan

.....................................

2. Shireen Begam Khan

.....................................

3. Zoya Khan

.....................................

4. Sana Khan

.....................................

I identify that deponents (s) Who is/ are personally known to me and who has/ have
signed in my presence
Date ..................................
Seal
Notary

ANNEXURE I
AFFIDAVIT
TO,
The Post Master
Gopalganj Sagar (NAME OF THE POST OFFICE)
We (i) Smt Anisa Bee Widow of Zahir Ahmad Khan
(2) Ku. Shahin Begam Khan Aged 31 Years D/o Late Zahir Ahmad Khan
(3) Ku. Shireen Begam Khan Aged 28 Yrs D/o Late Zahir Ahmad Khan
(4) Ku. Zoya Khan aged 24 Yrs D/o Late Zahir Ahmad Khan
(5) Ku. Sana Khan aged 21 Yrs D/o Late Zahir Ahmad Khan
(names of legal heir (s) the sum of Rs. 45255/ Rupees fourty Five thousand
Two hundred Fifty Five only standing in the account number 310827 Under S.B. (name of
scheme) with your office in the name (Zahir Ahmad Khan S/o Kabir Ahmad Khan without
production of letters of administration or a succession certified to the estate of the deceased
Zahir Ahmad Khan (Name of Depositor)
We Smt. Anisa Bee Widow of Zahir Ahmed Khan (2) Shahin Begam Khan (3)
Shireen BegamKhan (4) Zoya Khan (5) Sana Khan all daughers of Late Zahir Ahmad Khan
and we (1) Smt. Zabunnisha Khan W/o A.S.Khan and we R/o Gopalganj Sagar M.P.

2. B.K. Jain S/o Late Devendra Kumar Jain R/o Jhanda Chowk Gopalganj Ward Sagar
(Sureties) dohere by for ourselves and our heirs legal representative executors and
administrators jointly and severally undertake and agree to indemnify you and your
successors and assigns against all claims damages, proceedings losses, damages, charges
and expenses which may be raised against or incurred by you

by reason or

inconsequence of having agreed to pay me / us the sum aforesaid.

In Witness where of I/ We have here unto set my / our hand at this........... day
of ........... in the presence of Witness.
Signed and delivered by above named heir and heirs of the deceased.
Name

Signature

1.

Smt. Anisa Bee

2.

Shahin Begam Khan

3.

Shireen Begam Khan

4.

Sana Khan

5.

Zoya Khan

Signed and delivered by the above named sureties

Name
1.

Smt. Zabunnisha Khan

2.

B.K. Jain

Signature

Signature Names and address of witness

Name
1.

Shriyansh Jain S/o Komal Chand

Signature
.......................................

R/o Gopalganj Ward Sagar

2.

Mohd. Shakeel Khan S/o Mohd.

.......................................

Ismail S/o Gopalganj Sagar

ATTESTED
NOTARY