APPLICATION FORM FOR SUCCESSION CERTIFICATE. [Death certificate of deceased and 3 (Three) Nos. passport size photographs of the applicant to be attached with this application.] Name of deceased 1. 2. Father's/ Husband's Name 3. Permanent home address Village PO PS Dist State 4. Name of applicant 5. Relation with deceased 6. Present address Village PO PS Dist State Published on National Portal of India (india.gov.in) 7. Details of debts applied for. Amount Sl. No. Details of debts Name & Address of debtor Remarks /- Rs. 1 /- Rs. 2 /- Rs. 3 8. Name and address of family members Name Address Published on National Portal of India (india.gov.in) 9. Name & Address of relatives of deceased Name Address Certified that the information furnished above is true to the best of my knowledge and belief. Signature of applicant Date Published on National Portal of India (india.gov.in)
