Form of a Letter of Indemnity

image: LETTER OF INDEMNITY
Here is a form of Letter of Indemnity - Indemnity Bond. A bank account holder died intestate leaving behind some amount in his bank account without nominating any person. The sole legal heir of said account holder- who has not obtained either succession certificate or Letter of Administration from the appropriate court of law, is submitting this indemnity bond to the bank authority to withdraw the amount lying in the account of the deceased person. The Bond is also executed by a surety on his behalf.

A PDF version of the form is also available for download from the link provided hereinbelow.




FORMAT OF THE LETTER OF INDEMNITY


To
The Branch Manager,
__Name of the Bank__,
__Name of the Branch__.

IN CONSIDERATION of your paying or agreeing to pay me, __name of the claimant_, the sum of _ the amount_ standing at the credit of Savings Bank Account No. _account no._ with your bank in the name of __name of the account holder_, since deceased, without production of Letters of Administration or a Succession Certificate to his/her estate or a Certificate from the Controller of Estate Duty to the effect that estate duty has been paid or will be paid or none is due, I, __name of the claimant_, and I, __name of the surety_, do hereby for ourselves and our heir, legal representatives, executors and administrators, jointly and severally UNDERTAKE AND AGREE to indemnify you and your successors and assign against all claims, demands, proceedings, losses, damages, charges and expenses which may be raised against or incurred by you by reasons or in consequence of your having agreed to pay / or paying me the said sum as aforesaid.


Signed, Sealed and Delivered by the above named Claimant and Surety on this __the day__ day of __the month__, 2012 at __place__.


SIGNED AND DELIVERED
by the above named Claimant  :      

__________________________________


SIGNED AND DELIVERED
by the above named Surety      :       


 ___________________________________




REPORT ON THE SURETY:
1.
Name in full
:

2.
Address
:

3.
Academic Qualification
:

4.
Age
:

5.
Occupation
If employed, please state the name of the employer and since when employed
:

6.
Present monthly income/salary
:

7.
Total yearly income from all source
:

8.
No. of Dependents
:

9.
Personal Assets


a)

Immovable Property viz. land / building, flat etc. give details acquisitions, present value etc.

:


b)
Investments (Fixed Deposits, shares etc. if any)
:

c)
Life Insurance Policy
:

d)
Other Assets
:

e)
Details of bank accounts, if any, [Name and address of bankers with the account No. (Current / Savings) to be furnished]
:




10.
Personal Liability, if any
:

11.
Please indicate whether surety is related to the claimant
:

12.
Period for which claimant is known
:


        I confirm that all the statements made by me in this application are true and correct and have been made by me.
Place :  
Date  :                                                               
                                                                                      Signature of the Surety


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