Affidavit cum Indemnity Letter BANK OF INDIA

Affidavit cum Indemnity Letter

In respect of payment of balance in deposit accounts / contents of safe deposit

locker/ safe custody articles of deceased person;

(To be stamped with the duty payable for affidavit & Indemnity bond)

I/We Mr/Ms/Miss ----------------------------------------------------------------------------------------- (name/names of the claimants),

(s/o, w/o, d/o)------------------------------------------------------------------------, aged, --------------

address, -----------------------------------------------------------------------------------------------------

do hereby solemnly affirm and state as follows.

1. I/We am/are the legal heirs of Mr/Ms/Miss_____________________________ (name of deceased account holder) and the deceased is my/our (father/mther/wife/husband/son/daughter etc.)

2. I/We further state that I/We the following legal heirs are the only legal heirs entitled to claim the balance deposit/amount /jewels/ ornaments and other valuables the contents held in the locker/safe custody:-

No.      Name                                                              Age                Relationship to the deceased

1.

2.

3.

4.

5.

3. I/We further state that the deceased was holding an account (hereinafter referred to as “the account”)  (specify the account details) ------------------------------ in -----------------branch of Bank of india (herein after referred to as “the Bank”). At the time of the death of the deceased the account was having a credit of Rs ------------------------------------ (balance amount in the account) which includes interest upto-------------------------------------------------------------(date of payment) amount to Rs.-------------------------------------------------------(amount being now paid)

4. I/We affirm that I/We am/are the sole legal heirs of the deceased who are entitled to receive the amount standing in the credit of the account belonging to the deceased.

5. I/We have requested the bank to make the payment of the amount standing in the credit of the account belonging to the deceased together with interest thereon as applicable to shri/smt ------------------------------ being one of the legal heirs for and on behalf of all the legal heirs.

OR

I/We have requested the bank to hand-over contents of the safe deposit locker/items held in safe custody to Shri/Smt. ------------------------------------------being one of the legal heirs for and on behalf of all the legal heirs.

6. I/We are aware that the Bank has agreed to settle our claims relying on this affidavit and I/We agree to indemnify the bank in respect of such payment or delivery of the contents of items in safe deposit locker or held in safe custody against any claim made by any person for the amount standing to the credit of the account of the deceased.

7. I/We for ourselves and my/our respective heirs, executors and administrators jointly and severally agree, affirm and undertake that the bank, its successors and assigns and its managers, agents, officers and servants and their respective estates and effects are and shall from time to time and at all times hereafter be  kept safe and saved harmless and indemnified for and in respect of such payment and against all actions, losses, cost, charges, expenses and demands whatsoever in respect of the said payment or delivery of the contents of items in safe deposit locker or held in safe custody.

All the averments made herein before are true and correct and I/We put my/our signature/mark on this Day of 26 at in the presence of .

Signatures(s) of deponents. (claimants)

Signature of Witness

Affidavit to be attested by Notary Public