Annexure T3: Affidavit- To effect identification and claim of legal ownership
[To be submitted in non-judicial stamp paper as per the value prescribed by the respective State subject to a minimum of Rs. 20/-]
(In case of Transmission of Mutual Fund Units held by a Single Holder / on death of all unit holders in case of Joint Holding and where there is
no nominee)
I/We, the surviving legal heir(s) as per list given below hereby solemnly affirm and sincerely state on oath as
follows - That Mr. / Ms. _____________________________________________ <Name of the deceased Unit
Holder> the deceased was holding the following mutual fund units in his / her name as single holder/joint holders:
S No
Name of Mutual Fund
Scheme Name
Folio No
No. of Units Held
Shri./Smt. (name of the deceased) expired intestate on (date of death) at (place of death) leaving behind him/her
the following legal heirs :
Sr.
Name of Claimants
Address
Age
Relationship with deceased
No
I / We have already executed indemnity bond for transmitting the aforesaid units held by the deceased in my
name without production of Succession Certificate / Probate of Will / Letter of Administration ( LoA ) attached
herewith for your reference
OR
I / We have attached the No Objection certificate from all the legal Heirs
OR
I / We have attached the Copy of family settlement deed, signed by all the legal Heirs
We have enclosed all the requisite documents.
Deponent Signature(s): _________________, _____________________, ___________________
VERIFICATION
We hereby solemnly affirm and state that what is stated herein above is true to our knowledge and nothing has
been concealed therein and that we are competent to contract and entitled to rights and benefits of the above
mutual fund units.
Solemnly affirmed at
Signed before me at ________ on __________
Deponent(s)
___________________________________________
Signature of Notary with Official Seal of Notary
Original Death Certificate (DC) or Copy of the DC duly attested by a Notary Public or by a Gazetted Officer
KYC confirmation letter or KYC acknowledgement letter bearing PAN / PAN Exempt Ref. No and Name of
Claimant / Guardian (In case the claimant is a minor)
For minor Claimant
Proof of Age and relationship with Guardian: Birth Certificate / School Leaving / Passport/Other
New Bank Account Details [Annexure 2]
For Value Less than or equal to 2 lakhs: NOC
Indemnity
Family Settlement Deed
For Value more than 2 lakhs: Legal Heir Certificate Succession Certificate Probate of Will or Letter
Administration or Court Decree