AFFIDAVIT FOR CLAIM SETTLEMENT (BANK)
I, {{claimant_s_full_name}}, {{son_daughter_wife}} of {{father_s_husband_s_full_name}}, aged {{age}} years, residing at {{complete_residential_address}}, do hereby solemnly affirm and state as follows:
1. That I am the deponent herein and am fully acquainted with the facts stated in this affidavit.
2. That {{mr_mrs}}. {{name_of_the_deceased_account_holder}}, holder of {{savings_current_fixed}} Deposit Account No. {{bank_account_number}} with {{name_of_the_bank_and_branch}}, expired on {{date_of_death}}.
3. That I am the {{relationship_with_the_deceased_e_g_son_d}} of the deceased and am entitled to claim the amount lying in the above-mentioned account(s)/deposit(s).
4. That I have submitted the required documents, including the Death Certificate and other documents as required by the Bank, in support of my claim.
5. That I request the Bank to release and settle the balance amount standing to the credit of the above-mentioned account(s)/deposit(s) in my favour in accordance with the applicable rules and procedures.
6. That I undertake to indemnify and keep the Bank indemnified against any loss, claim, demand, or legal proceedings that may arise in the future on account of settlement of the said claim in my favour.
7. That the statements made herein are true and correct to the best of my knowledge and belief, and nothing material has been concealed therefrom.
Place: {{place}}
Date: {{date_in_dd_mm_yyyy_format}}
DEPONENT
(Signature of the Claimant)
VERIFICATION
I, {{claimant_s_full_name}}, the above-named deponent, do hereby verify that the contents of this affidavit are true and correct to the best of my knowledge and belief and that nothing material has been concealed therefrom.
Verified at {{place}} on this {{day}} day of (Month), {{year}}.
DEPONENT
(Signature of the Claimant)
Attested before me
(Signature & Seal of Notary Public / Executive Magistrate)