ANNEXURE –2
[see para 56(3)(i)]
DEPARTMENT OF POSTS
Claim application form for settlement of Savings Certificates of the deceased
holder where the claim is preferred on legal evidence of heirship

To
The Postmaster
………………………
Sir,
In connection with the settlement of Post office certificates standing in the
name of the (deceased) …………………… in the books of …………………… (name of Post
office), I ……………………………….. a ……………….. (state the full relationship) of the
deceased, who died on …………… hereby claim the payment of the value of the post office certificate(s) No………………. In support of the claim, I, hereby, submit the original/certified/attested copy of the following :
i) A succession certificate granted by ……………………. Under No…………..
dated………………….
ii) Probate of will granted by ……………………….. under No…………………..
dated………………
iii) Letters of Administration of the Estate of the deceased granted by
………………………… under No………………… dated…………..
Address……………………. Yours faithfully,
……………………………….
Date ……………………… (Signature of the claimant)
CERTIFICATE BY TWO WITNESSES
We hereby certify that the person who has applied and put his signature on
the application for the payment is the real claimant and the same person in whose favour the Succession Certificate/Probate of will/letters of Administration has been granted by the court.
Date : 1. Signature & Address
Date : 2. Signature & Address
TO BE FILLED IN BY THE POST OFFICE
CERTIFIED THAT I am satisfied that the legal evidence of heir ship produced
by the claimant is genuine and that the claimant whose name appears in the
application form is the person mentioned in the Succession Certificate/Probate of
will/letters of Administration.
Signature of the Postmaster
Date stamp of PO
Note :Whenever copies of the original documents are produced, the claimant should get them attested by a responsible officer of the post office.