Widow/Widower Legal Heir Certificate Application

To,
The Concerned Authority
Subject: Application for Legal Heir Certificate
Respected Sir/Madam,
1. Applicant Details
Name of Applicant (Widow/Widower):
Relation with Deceased:
Address:
Mobile Number:
Email:
2. Deceased Person Details
Name of Deceased:
Date of Death:
Address of Deceased:
Death Certificate Number (if any):
3. Details of Legal Heirs
S. No. Name Relationship with Deceased Age Address
Purpose for which Legal Heir Certificate is required:
Enclosures:
  1. Death Certificate Copy
  2. Applicant’s Identity Proof
  3. Relation Proof
  4. Address Proof
  5. Any other relevant documents
Signature of Applicant
Date