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INDEN/INITY BOND FOR SUCCESSION OF DEPOSITOR

The indenture made this ,........day of ....20

hereinafter called the fi rst party and the surety
called the second party, and the Udham Singh Nagar Distt. Coop. Bank
Ltd... here in after called Bank the third party.

Whereas ....H/W/S/O
R/o deceased at the time of his death had the
Nc No...... .......with the Bank and
whereas the first party claims to be the sole heir of the
said. ..and claims be entitled to the balance of
Rs Plus lnterest (RS. ...... with lnterest
standing to the credit of the Above said deceased. ......1n the Books of the

Bank.

And whereas said claimant.. .......Had requested the said Bank to pay
the aforesaid amount and the Bank has agreed to pay e amount upon the said
.... giving such indemnity as is hereafter contained.

Now This Deed Witness that in consideration of the payment by the said Bank.
accents specified herein (the receipt where of the said first party acknowledge)
the said first party and surety both bind themes salve severally and jointly to
pay the aforesaid amount wit int est, loss, damage and costs of all kinds what
so ever to the said Bank in case any claim is made about the aforesaid money
by anybody else.

Further consideration of the aforesaid payment to the first party by the said
Bank, the aforesaid first Party and the surety both undertake for themselves,
their, executors, administrators to hold the said Bank, its agents'servants etc
harmless and indemnified in respect of all claims to the aforesaid money.
 ln witness where of the parties here to have signed this deed on the day
and date mentioned above.

Signature (Second Party) Signature (First Party)

Signature (Sureties)

2 (Signature (Third party)

1
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 Check List of Documents

Sr. Claims Document Obtained:

No. Yes/No
1 Application Form for without Nomination
2 Copy of Death Certificate (Verified with Original)
3 ldentify Proof
4 Proof of Deposit
5 Affidavit
6 lndemnity Bond
7 Receipt
B Copy of Family Registe/ suRvtvtNG N/EN/BER

CERTIFICATE

I Nominal N/embership Form

10 Any other
11

12

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 R ister of Settlement of Deoth Clqims
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