ORISSA GOVERNMENT LAND SETTLEMENT RULES
SCHEDULE-I
(See Note Below Rule 8 (4) )
AFFIDAVIT
In the Court of Shri………………………………………………………
Magistrate……………………………………………………………….

 

I, Shri……………………………………………………aged………………..son of………………………………… village …………………………P.O………………P.S……………….. in the district of……………………..at   present……………………by profession do hereby solemnly affirm as follows:

1.That my income from all sources is Rs……………….(Rupees………………….)

2.That I or any of my family members do not own or possess any residential house/building or homested land in the jurisdiction of………….. town……………
3.That I own or posess a residential house/building of homestead in the jurisdiction of town but this has inadequate accommodation, the extent of my homested land being………………….cents.
4.That my family consists of besides myself.
  1. Husband.
  2. Wife.
  3. Sons
  4. Unmarried daughters.
  5. Widowed and dependant daughters.
  6. Brothers below…………………years and unmarried sisters
  7. Father.
  8. Mother.
  9. Step children.
  10. ……………….
  11. ……………….
  1. That my continued stay in this town is necessary in the interest of my employment/business/trade/profession and avocation.
  2. That I have not been considered for any homestead plot in the town earlier and that my application has been rejected.
  3. That I solemnly swear and affirm that the above statement are true to my knowledge and I swear that I have not concealed anything regarding existing property, owned either by me or by any of my family members mentioned above.
Identified by me  

Signature of the deponent

ADVOCATE

Shri…………………………………………aged…………………..years son of………………resident of village………………..P.O………………….P.S……………. in the district of……………..at present by profession who is identified by Shri…………..Advocate, appears before me and states on oath that the contents of this affidavit are true to the best of his knowledge.

 

Strike out whatever is unnecessary

Deponent Magistrate