Annexure “A”
LETTER OF DISCLAMER
The Branch Manager,
State Bank of India,
___________________Branch
Dear Sir,
______________________________________Account
No________________________________ in the name of Shri/Smt./Kum.
__________________________________________________________ balance Rs.
____________________________________________________________________ with
reference to the above account (s) I/We the following legal heirs of the late Shri/Smt./Kum.
_________________________________________ (Name of the deceased account holder)
have to advise that we have no interest in the above assets as such we have no
objection to your paying the balance amount lying in the above account (s) with
you in the (name of the deceased account holder) to Shri/Smt./Kum.
1.__________________________________________________________________________
2.__________________________________________________________________________
3.__________________________________________________________________________
4.__________________________________________________________________________
5.__________________________________________________________________________
6.__________________________________________________________________________
7.__________________________________________________________________________
8.__________________________________________________________________________
Such
delivery of the balance in the above account (s) would be completely binding on
us and we will not question the bank’s action in so doing if any proceeding.
I/We also undertake to bind ourselves, our heirs and legal representatives not
to revoke the declaration made herein:-
Sr. No. Name(s)
of the Claimant Age Signature
1.__________________________________________________________________________
2.__________________________________________________________________________
3.__________________________________________________________________________
4.__________________________________________________________________________
5.__________________________________________________________________________
6.__________________________________________________________________________
7.__________________________________________________________________________
8.__________________________________________________________________________
Signed
before me
This
………………………………day of ………………………………………………..SEAL(Notary Public/Magistrate)
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