Petition for Grant of Succession Certificate
In the Court of ……………… in the goods of ………… (state name, address and nationality)
In the matter of the grant of a succession certificate in respect of the debts, securities of the said deceased
The humble petition of AB (state address and relationship)
The above-named applicant respectfully begs to state as follows:
1. That the deceased GH of, etc., at etc., hereinafter referred to as the said deceased died intestate at No. …………… on the ……… day of ……… .
2. That prior to and at the time of his death the said deceased has had his fixed place of residence at No. …………… within the jurisdiction of this court, where he ordinarily lived and resided and left also some property.
3. That the said deceased was governed by the Hindu Succession Act (or Indian Succession Act) etc., and the applicant being his legal heir under the said law is entitled to succession certificate in respect of the debts and securities hereunder mentioned.
4. That the said deceased left him surviving at the time of his death, only the following and no other relatives.
(a) CD son of, etc., of, etc.
(b) EF son of, etc., of, etc.
5. That as the said deceased left no will, no application was or could therefore be made in any court for the grant of probate thereof or of administration of his estate, with a copy annexed thereto and there is no impediment to the grant of a certificate to the applicant.
6. That the particulars of the debts and securities in respect of which the certificate is prayed for are set forth in Annexure A.
The applicant prays that the court may be pleased to grant him the succession certificate for collection of the debts and securities with interest thereon mentioned in Annexure A below.
Annexure A
Debts
| Sl. No. |
Name of debtor |
Amount of debt, including interest on date of application for certificate ( or extension) |
Description and date of instrument, if any, by which the debt is secured |
|
1.
2. 3. 4. |
………………………
……………………….. ………………………. |
………………………..
……………………….. ……………………….. ……………………….. |
…………………………
…………………………. …………………………. ………………………….. |
Annexure B
Securities
| Sl. No. |
Distinguishing number of letter of security | Name, title or class of security |
Amount of par value of security |
Market value of security on date of application for certificate (or extension) |
|
1.
2. 3. |
………………………
…………….……….. …………………….. |
………………………..
……………………….. ……………………….. |
……………………
…………………… ……………………. |
…………………………
…………………………. …………………………. |
Verification
I, ……………………… residing at ………………… being the ……………… of the above-named ……………… do hereby declare and say that the statements contained in paragraphs 1 to 6 of the above petition and also the particulars contained in the Annexures ‘A’ and ‘B’ including all figures are true to my knowledge and the rest are my humble submissions to this Learned Court.
I sign this verification at ………… this ………… day of ………… 2000.
Signature
Before me
Notary
Prepared in my Office
Advocate for the Petitioner