A FORM INDEMNITY BOND
The Manager,
The Sholapur District Central
Co-operative Bank Ltd., Solapur.
In consideration of your paying the amount in the A/c of the
deceased Shri/Smt.__________________________________________ as
his / her legal heirs, without obtaining succession certificate, probate or
letters of Administration to the Estate of the deceased.
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..2..
I hereby, agree and undertake and unequiacally promise to refund to the said Bank,
the said amount of rupees in the event of any claim made against this bank for the
said amount Rs.______________ (Rs.____________________
______________________________________ only) at Branch ____________
___________________________ and also undertake to indemnity the Bank, its
successor, assignees to the full extent against losses and expenses of whatever
nature, suffered or incurrent in relation there of by the said bank.
Dated this ___________day of ______________
Signature.
In the event of the above Shri / Shrimati _______________________
__________________ failing to discharge his / her obligations under the above
indemnity bond, we as his sureties, bind ourselves, our heirs and assignees to
indemnity the bank against all losses arising therefrom.
Name & Signature of Name & Signature of
Witness Sureties
1) 1)
2) 2)
Affidavit
Before The Special Executive Magistrate, Solapur.
A FORM INDEMNITY BOND
I, Shri Sudhir Bahubali Pandit Age : 57 years, Occup : Business
R/o. At Post Takali, Tal. South Solapur.
The Manager,
The Sholapur District Central
Co-operative Bank Ltd., Solapur.
In consideration of your paying the amount in the A/c of the
deceased Shri Sudhir Bahubali Pandit as his / her legal heirs, without
obtaining succession certificate, probate or letters of Administration to the
Estate of the deceased.
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..2..
I hereby, agree and undertake and unequiacally promise to refund to the said Bank,
the said amount of rupees in the event of any claim made against this bank for the
said amount Rs.1599.70 (Rs. One Thousand Five Hundred Nineteen & Ps.
Seventy only) at Branch Takali, Tal.South Solapur and also undertake to
indemnity the Bank, its successor, assignees to the full extent against losses and
expenses of whatever nature, suffered or incurrent in relation there of by the said
bank.
Dated this 12th day of Nov.2013
Signature.
In the event of the above Shri Sudhir Bahubali Pandit failing to discharge
his / her obligations under the above indemnity bond, we as his sureties, bind
ourselves, our heirs and assignees to indemnity the bank against all losses arising
therefrom.
The above contents are true and correct to the best of my knowledge and
belief. I am liable u/s 199, 200 of I.P.C. if any contents found false.
Signature
Name & Signature of Name & Signature of
Witness Sureties
1) 1)
2) 2)