AFFIDAVIT 1
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IN THE
COURT OF EXECUTIVE MAGISTRATE, SAINTALA/ NOTARY PUBLIC, TITILAGARH
AFFIDAVIT
In
the Court of Sri .........................................
Magistrate
...............................................
I, Sri Ramesh Nag, aged about
34 years, son of Dharani Nag, Village: Belgaon, PO: Belgaon,
P.S.: Saintala in the district of Balangir at present Village: Belgaon, PO: Belgaon,
P.S.: Saintala in the district of Balangir by profession Daily
wages labour do hereby solemnly affirm as follows:-
1.
That
my income from all sources is ₹22.000/- (Rupees Twenty-Two Thousand) only
2.
That
I or any of my family members do not own or possess any residential
house/building or homestead land in the jurisdiction of rural area.
3.
That,
I own or posses a residential house / building of homestead in the jurisdiction
of town but this has inadequate accommodation the extent of the homestead land
being __________________ cents.
4.
That,
my family consist of beside myself.
(i)
Husband Ramesh Nag
(ii)
Wife Baidehi Nag
(iii)
Unmarried
daughter Rani Nag
5.
That,
my continued stay in this town is necessary in the interest of my employment,
business /trade, profession and avocation.
6.
That,
I have not been considered for my homestead plot in the town earlier and that
my application has been rejected.
7.
That,
I solemnly swear and affirm that the above statements are true to my knowledge
and I swear that I have not concealed anything regarding existing property,
owned either by me or by any of my family members mentioned above.
Identified by me
Signature of the Deponent
Advocate
AFFIRMATION
I Sri Ramesh Nag, aged about 34
years, son of Dharani Nag, Village: Belgaon, PO: Belgaon,
P.S.: Saintala in the district of Balangir at present Village: Belgaon, PO: Belgaon,
P.S.: Saintala in the district of Balangir by profession Daily
wages labour, who is identified by Sri S.N. Sahu, Advocate appears
before me and states on oath that the contents of this affidavit are true to
the best of my knowledge.
Deponent Magistrate
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