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Indemnity-Declaration to Enable theConcerned Government Authorities to

Transfer the Property in the Name ofLeal !eir"s of theDeceasedINDEMNITY-DECLARATION

WE (1)______________________________, (2) ______________

__________________ and (3) __________________________, all of ________,

adl!s, Ind"an In#a$"!an!s, %es"d"n& a! ______________________________, do#e%e$' solenl' aff"% and s!a!e as nde%-

1* We a%e !#e onl' le&al #e"%s and %e+%esen!a!"es of la!e

#%" ____________________ .#o d"ed on _________* (#e%e"naf!e% called#the said deceased$)* T#e o%"&"nal dea!# ce%!"f"ca!e of !#e sa"d deceased

"s anne/ed as Anne%ture #A$#e%e!o*

2* O% %ela!"ons#"+ ."!# !#e sa"d deceased "s as nde%0

Name Relationship

(") ____________________________ W"feW"do.

("") ____________________________ na%%"ed da!e%

(""") ____________________________ on

We and !#e sa"d deceased a%e "nds and a%e &oe%ned $' T#e "nd la.*We #e%e$' s!a!e !#a! sae and e/ce+! o%seles !#e%e a%e no o!#e% le&al

#e"%s and %e+%esen!a!"es of !#e sa"d deceased*

3* T#e sa"d deceased a! !#e !"e of #"s dea!# .as !#e sole o.ne% of !#e%es"den!"al +%o+e%!' nael' __________________________ and .#"c#

+%o+e%!' "s o%e +a%!"cla%l' desc%"$ed "n !#e &chedule#e%ende% .%"!!enand !#e sae "s #e%e"naf!e% %efe%%ed !o as #the said property$*

4* T#e sa"d deceased died intestate lea"n& s as #"s onl' le&al #e"%s and

%e+%esen!a!"es acco%d"n& !o "nd La.* We #e%e$' f%!#e% s!a!e anddecla%e !#a! sae and e/ce+! o%seles !#e%e a%e no o!#e% le&al #e"%s and

%e+%esen!a!"es of !#e sa"d deceased* &ince' the said deceased diedintestate and as (e are the only leal heirs and representatives of

the said deceased (e are entitled to the estate of the said deceased

in e)ual share i*e* +",rd

to each of us*.

T#e sa"d deceased died leavin a (illda!ed ___________* 5' !#e sa"d ."ll

!#e deceased #as de"sed and $e6ea!#ed !#e sa"d +%o+e%!' !o !#eDe+onen!s #e%e!o, a co+' of .#"c# "s anne/ed as Anne%ture #/$#e%e!o*

T#e sa"d ."ll "s dl' acce+!ed and ac!ed +on $' all of s*

7* Acco%d"n&l', .e eac# of !#e De+onen!s #ae $ecoe en!"!led !o 13%ds#a%eeac# "n !#e sa"d +%o+e%!'*

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