Da Forms: Da-1 To Annexure-15 Page 19
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35ANNEXURE-5
(To be duly stamped as per the Stamp Act applicable to the State)
INDEMNITTY BOND TO BE OBTAINED FROM LEGAL HEIRS OF
DECEASED AND TWO SURETIES WHERE THE CLAIM AMOUNT/VALUE
EXCEEDS Rs.50000/-.
Know all men by these presents that I/We (1) _______________________ S/o.
_______________________,
aged
about
________
years,
residing
at
____________________________________ (2) Sri _______________________,
S/o._____________________,
aged
about
______
years,
residing
at
_______________________________
(3)
Sri
_____________________,
S/o.______________________,
aged
about
______
years,
residing
at
_______________________ (hereinafter called ‘legal heirs of deceased’ which
expression unless repugnant to the context or meaning thereof shall include
his/her/their
heirs,
successors,
representatives
etc.)
and
(1)
_______________________ S/o. _______________________, aged about ________
years,
residing
at
____________________________________
(2)
Sri
_______________________, S/o._____________________, aged about ______
years, residing at _______________________________ (hereinafter referred to as
“Sureties” which expression unless repugnant to the context or meaning thereof shall
include his/her/their heirs, successors, representatives etc.) are held and firmly bound
to The South Indian Bank Ltd., their successors, assigns etc. (hereinafter called the
“Bank”) in the sum of Rs._________________ (Rupees _______________________
________________________________ only) to be paid by the Bank for which
payment to be well and truly made.
Whereas Sri/Smt.__________________________ had ____________ account with
total balance of Rs.___________________ (Rupees ___________________________
_________________________ only) / had pledged gold worth Rs._______________
(Rupees ________________________________________ only) / had Safe Deposit
Lockers/Deposited articles in Safe Custody containing articles with approximate
value of Rs.________________ (Rupees ________________________ only) with
________________________________ Branch of The South Indian Bank Ltd. and
whereas the said Sri/Smt._____________________ died on ___________ leaving
behind the legal heirs mentioned above, and whereas the said legal heirs had filed
claim application with The South Indian Bank Ltd. for payment/for release of
gold/articles.
Whereas the Bank has agreed to pay the amounts to the legal heirs without producing
succession certificate/letter of administration on the condition that the Bank should be
indemnified by all the legal heirs and two sureties against all loss that may be caused
to it as a result of payment of the amount to the legal heirs without regular legal
representation in the form of succession certificate/letter of administration.
Whereas the Bank has agreed to accept the Bond of the legal heirs and the sureties
herein named as sufficient indemnity, now in consideration of the premises, the
Executants herein have entered into this Bond.
19
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