Вы находитесь на странице: 1из 6

CHENNAI CENTRAL COOPERATIVE BANK AFFIDAVIT ---------------

We (1) E. Baskar S/o T.N.Ethirajulu Hindu aged 50 years, (2) E. Purushothaman (Son) Hindu aged 47 years, (3) N. Nandakumari (Married daughter) Hindu aged 44 years being the Sons and daughter respectively of late E. Valli all residing at No.2/170, TNHB,West Mugappair, Chennai 600 037 do solemnly and sincerely affirm and state as follows. That Smt. E. Valli died on 21-11-2008 at Govt. General Hospital leaving no will and leaving behind her surving only ourselves as sons and daughter as sole heirs and but left behind her surving none as father, mother any widow by any pre-deceased sons or any son or daughter by any pre-deceased son or daughter.

Solemnly affirmed at Chennai on ------ day Of ---------- and solemn affirmation was Administered by me explained in Tamil

Signed before me

Magistrate

INDEMNITY BOND -------------------------

This deed of Indemnity executed at Chennai this day of ----------- 2010 ----------- by

1) E. Baskar

S/o T.N. Ethirajulu 50 years

2) E. Purushothaman S/o T.N.Ethirajulu 47 years 3) N. Nandakumari W/o N.R. Narasimhan 44 years All residing at No.2/170, TNHB, West Mugappair, Chennai-37

Hereinafter called the indemnors (1) Aged residing at

S/O

2)

S/O

aged

Residing at

Hereinafter called III party indemnor to and in favour of the Chennai Central Cooperative Bank doing business at No.215, Prakasam Salai, Chennai 600 108, hereinafter called the Indemnee bank is as follows.

WHEREAS Late Smt. E. Valli had a Bank Account No. With the bank at Periyar Nagar Branch whereas the said E. Valli died on 21-11-2008 at Govt. General Hospital,Chennai-3 leaving behind her (1) E. Baskar (Son) 2) E. Purushothaman ( Son )

(3) Smt. N. Nandakumari (Married daughter) As her heirs and leaving no will. And whereas there is now balance of Rs

Standing to the credit or the above said Smt. E. Valli whereas all the Indemnors are Entitled for the amount of Rs. Sum of Rs. Whereas the indemnee bank has agreed to pay the

With interest thereto in full settlement of the claim of the

Indemnors on the faith or representation made to the Indemnee Bank, whereas to the Desire of the indemnee bank the indemnors have agreed to indemnify the indemnee Bank for such loss or damage in money value not exceeding Rs. With interest thereto Arising to the Indemnee bank by reason of a claim if any from the minor heirs of the deceased by reason of payment of Rs. With interest thereto by the Indemnee Bank to the Indemnors. This deed of indemnity witnesseth that the indemnors jointly and severally hereby agree to indemnify the Indemnee Bank such sum not exceeding Rs. With interest thereto which the Indemnee Bank may sustain as loss or damage by reason of a claim for Rs. With interest, if any, from any including anyone or all of the minor children of the deceased by the reason of payment Rs. With interest by the Indemnee Bank to the Indemnors. In witnesseth whereof the Indemnors have put their hand on 2010 in presence of day of

WITNESSES :

1.

1.

2.

3.

1. Claimant III Party Indemnor

THIRD PARTY INDEMNORS EMPLOYERS CERTIFICATE

This is to certify that Shri/Smt. As Monthly income is Rs. (Rupees

is employed in our firm/Institution and his/her

Only). The pay slip is also attached herewith.

The said Shri/Smt. Years and his/her retirement is on

has been in our service since

The details given above are true and correct. The specimen signature of Shri/Smt. is hereby attached.

Specimen signature

P.S. Salary slip to be enclosed.

CONSENT LETTER FROM THIRD PARTY INDEMNOR

Dt. From

To The General Manager Through the Manager Chennai Central Cooperative Bank Ltd. Branch Chennai

Sir,

I Hindu aged about

Son of/wife of years working as And residing at Chennai, do hereby solemnly and sincerely affirm and state as follows: at

I know the family of the deceased

for over

years and I am well

Aware of the family members who are mentioned in the legalheirship certificate as the heirs of late I hereby give my consent with all my free will that I stand guarantee to the Bank, if there is any claim from any other than the heirs of late Smt. E. Valli in future after the amount is paid to the heirs of I am hereby binding myself to indemnify the bank against any loss as such that may occur in future. I am herewith enclosing the Pay Certificate in proof of my employment.

NO OBJECION CUM CONSENT LETTER FROM THE CLAIMANTS We/I, E. Purushothaman Son of late Smt. E. Valli Hindu aged about Years, Smt.N. Nandakumari, Married daughter of late Smt. E. Valli And wife of Shri N.R. Narasimhan Hindu aged about 44 years residing at Do hereby solemnly and Sincerely affirm and state as follows: We state that Smt. E. Valli died on 21-11-2008 intestate leaving no will or settlement. The deceased Smt.E. Valli has left behind her the following surviving as legal heirs. 1. 2. 3.

We are the legal heirs of the deceased Smt. E. Valli who has A/C No. with The Chennai Central Cooperative Bank Ltd. Periyar Nagar Branch and we are entitled To receive the jewels lying under referred above. We further state that for our convenience, we all agree and give our full consent and we have no objection for the jewels being paid to Shri E. Baskar and we accept that the Jewels paid to us personally as well. We further state and assure that what we have stated above is true and correct.

1.

2.

3.

Вам также может понравиться