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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