Affidavit
Attested by Executive Magistrate in Prescribed Format
FORM OF AFFIDAVIT
Before Executive Magistrate / Notary Public
In the Office/Court of Mr. …………………………………… Notary Public /Executive Magistrate
………………………………………………….. I/We, Mr./Mrs. …………………………….
Aged ………………………………. S/D/W of Mr. ……………….. R/o ………………………………….
P.O …………………… P.S ……………………………… in the district of …………………………… at present ……………………………………….
By Profession ………………… do hereby solemnly affirm and state as follows:
1. That I am an applicant to the ……………. for the allotment
of …………………….….
2. That I or any of my family members do not own/owns
or have been allotted any residential house/plot/flat/shop/Shop-cum-Residence
by …….. or any Govt. authority in the locality where the Housing Scheme exists
as per the conditions contained in the Brochure under “Terms and Conditions of Allotment”.
3. That I have not sold/ transferred/ purchased any
residential house/plot / flat/shop/Shop-cum-Residence allotted by …….. or any
Govt. authority in the locality where the Housing Scheme exists, as per the
conditions contained in the Brochure under “Terms and Conditions of Allotment”.
4. That my annual family income from all sources is
Rs. ____________/-.
5. That I undertake to pay the bid value of the Plot
or full cost of the Flat/House as fixed by ……….. after allotment and before
taking over possession, as per terms and conditions of the Brochure.
6. That the facts stated in this application appended
to it are true to the best of my/our knowledge and belief and shall be
construed as a part of this affidavit.
7. That I am well aware of the terms and conditions
contained in the Brochure and filled up the Application Form and agree to abide
by the same in all respect.
Identified by me
Advocate Signature of the Deponent
I Mr./Ms. ………………………………….. Aged………………………………. S/D/W/ of Mr.
……………………………… R/o ………..…… P.O……………………………. P.S ……………………….. in
the district of ……………………… at present …………………………. by
Profession ………………………… who is identified by Mr. …………………………. advocate appears
before me and states on oath that the content of this affidavit are true to the
best of his/her knowledge and belief.
Affidavit Attested by Executive Magistrate in Prescribed Format
Deponent
Executive Magistrate/Notary Public
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