Declaration Indemnity Agreement For Small Estates

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DECLARATION INDEMNITY AGREEMENT FOR SMALL ESTATES
Name of Deceased: __________________________________________________________
Name of Personal Representative/Next of Kin: _____________________________________
NOTE: The term “personal representative” means, if there is a will, the executor(s) named in the
Deceased’s will or, if there is no will, the next of kin representing the estate, as the case may be.
1. No application has been made for either Letters Probate or Letters of Administration for the
estate of the Deceased.
2. I/ We authorize Canadian Imperial bank of Commerce, CIBC Mortgage Corporation and
CIBC Securities Inc. (each being “CIBC”) to pay or deliver the assets below to:
(Insert Product type and Account Number): ________________________________________
Assets of the Deceased with CIBC Account, Bank Account: $__________________________
Sign & Date Here if deceased made a Will:
(Executor/ Next of Kin) ________________________________________________
See below
(Witness) Sign and date above ___________________________________________
Sign & Date Here if deceased died Intestate (No Will):
(Executor/Next of Kin)________________________________________________
See below
(Witness) Sign and date above __________________________________________
By checking this box and clicking "Submit", I acknowledge that I
SUBMIT
am offering a digital signature and that I assume any liability to the
above-mentioned account and document and that all information
herein is correct and complete.

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Parent category: Letters
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