Claim Case Forms

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INDEX

Sr. No.
Prescribed forms ANNEXURE

1. Claim Form (PNB 831) for nominee I

2. Inventory for contents of locker (With Nomination & II & IIA


Without Nomination )

3. Inventory for articles left in safe custody (With III & III A
Nomination & without Nomination )

4. Receipt (From Nominee) IV -1

Receipt (From Claimant) IV -2

5. Power of Attorney (Deposit Account) - PNB-1141 V

6. Power of Attorney (Locker) - PNB 1142 VI

7. Agreement of indemnity VII


(Deposit Account / Locker) - PNB 1143

8. Indemnity Bond with surety (Deposits) – PNB-346 VIII

9. Indemnity Bond with surety (Lockers) – PNB 1144 IX

10. Letter of Consent-Cum-Relinquishment for claims up to X


Rs.2.00 lac in respect of Deposits/Lockers

11. AFFIDAVIT CUM INDEMNITY BOND WITH XI


SURETY ( For allowing operation in HUF accounts in
case of death of Karta)
ANNEXURE-I

CLAIM FORM
(For Establishing the Identity of the Nominee)
(PNB 831)

I Shri/Smt./Kum. ____________________________________ Nominee/appointed


on behalf of the minor nominee hereby declare that I am the nominee/
appointed on behalf of the minor nominee of the deceased
Shri/Smt./Kum._________________________. I further declare that I am
nominated to claim the deposit monies/articles held in safe custody/safety
locker with _____________________ Branch by Shri/Smt./Kum.
________________________ deceased. The deposit monies/articles held in
safe custody/safety locker are held in Account _____________/Locker
No.________ safe custody receipt No.____________ of Shri/Smt./Kum
_________________ deceased.

Shri/Smt./Kum.___________________________
Signature____________________
(Nominee/appointed on behalf of minor nominee).

Address __________________________
__________________________
__________________________

Witness*:

1. Magistrate or judicial official 1.Name _________________


or Address _______________
2. An officer of the Central or State _____________________
Government _____________________
Or _____________________

3. An officer of a Bank Signature __________________


Or

4. Two persons acceptable to the Bank 2.Name_________________


Address _______________
_____________________
(*strike out whichever is not applicable)
(Signature) _________________

********

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ANNEXURE-II

Form of inventory of contents of safety locker hired from Banking


Company (Section 45 ZE (4) of the Banking Regulation Act, 1949).
(To be used in case of Lockers operated jointly and there is nomination or
survivorship clause )

The following inventory of contents safety locker No._____________ located


in the safe deposit vault of Punjab National Bank_______________Branch :-

*hired by Shri/Smt.______________ (deceased) in his/her sole name

*hired by Shri/Smt.(i) ________________ } (deceased) } Jointly with


(ii) _______________ }
(iii) ______________ }
.
was taken on this _________ day of _______ 200____

Sr. No. Description of articles Other identifying


in safety locker particulars, if any

1.

2.

for the purpose of inventory access to the locker was given to the Nominee/
and the surviving hirers.

*who produced the key to the locker.


*by breaking open the locker under his/her/their instructions.

The above inventory was taken in the presence of:


1. Shri/Smt. ____________________ 1.
(Nominee) O R Shri/Smt.____________________
Address _____________________ (Nominee)
Address
_____________________
(Signature) _______________ (Signature)

AND

Shri/Smt.______________________
{ Survivors of joint hirers.} Shri/Smt. { Survivors of joint hirers.}
Address ___________________ }
Address (Signature) _________________ }
_______________________
(Signature) ____________

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2. Witness(es) with name, address and signatures.

*I, Shri/Smt ________________________ (Nominee)

*We, Shri/Smt ______________________ (Nominee), and


Shri/Smt._______________ the survivors of the joint hirers, hereby
acknowledge the receipt of the contents of the safety locker comprised in
and set out in the above inventory together with a copy of the said
inventory.

Note:

It is made clear that access to the locker is given to survivor(s)/nominee(s)


only as a trustee of the legal heirs of the deceased locker hirer on the
condition that such access if given to survivor(s) / nominee(s) shall not
affect the right or claim which any person may have against the survivor(s)
/ nominee(s) to whom the access is given.

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ANNEXURE-II A

Form of Inventory of Contents of Safety Locker Hired from Banking


Company
(To be used where there is no nomination or survivorship clause)

The following inventory of contents of Safety Locker No. ___________ located


in the Safe Deposit Vault of _Punjab National Bank , Branch at___________.

* hired by Shri/Smt. ____________________(deceased) in his/her sole name.

* hired by Shri/Smt. (i) __________________(deceased) Jointly with (ii) ______


_____________________& (iii) _____________________________________

was taken on this ___________________ day of _________________ 20______

Sr. No. Description of articles Other identifying


in safety locker particulars, if any

1.

2.

For the purpose of inventory, access to the locker was given to the legal
heir(s)/a person mandated by the legal heir(s) and surviving hirers
*By breaking open the locker under his/her/their instructions.
*Who produced the key to the locker. (Delete whichever is not
applicable).

The above inventory was taken in the presence of :

Legal heirs of deceased joint hirer(s)/person mandated by legal heirs

1. __________________ (Signature)
Shri/Smt.______________________________
Address . _________________________

__________________(Signature)
Shri/Smt.______________________________
Address .____________________________________

And

__________________(Signature)
Shri/Smt. _______________________{Survivors of Joint hirers}
Address _____________________________________

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____________________(Signature)
Shri/Smt. ________________________
Address. _____________________________________

2. Witness (es) with name, address and signature:

__________________(Signature)
Shri/Smt. ________________________
Address . __________________________________

__________________(Signature)
Shri/Smt.______________________________
Address .____________________________________

******************

ACKNOWLEDGEMENT
* I, Shri/Smt. __________________________________ legal heir/mandate holder
* We, Shri/Smt. _________________________________________________________
____________________________________ legal heirs and Shri/Smt.
____________________________________________________________ surviving
hirers hereby acknowledge the receipt of the contents of the safety locker
comprised in ad set out in the above inventory together with a copy of the
said inventory.

Shri/Smt. ____________________________
(Legal Heir/Mandate Holder)

Shri/Smt. ________________________ Signature __________________


Shri/Smt._________________________Signature __________________
Shri/Smt. ._______________________ Signature ___________________
Date & Place ________________________
(* Delete whichever is not applicable)

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ANNEXURE-III

Form of inventory of articles left in safe custody with Banking Company


(Section 45 ZC (3) of the Banking Regulation Act, 1949).
(To be used where there is nomination )

The following inventory of articles left in safe custody of Punjab National Bank
with________ branch, by Shri/Smt.________________
(Deceased) under an agreement/ receipt dated_____________ was taken on this
________day of _____________200 :-

Sr.No. Description of articles Other identifying particulars, if


any
1.

2.

The above inventory was taken in the presence of:

1. Shri/Smt._____________(Nominee) OR 1. Shri/Smt._______________
Address ______________ (Appointed on behalf of minor
________________________ Nominee)
Address __________________
____________________________
Signature ______________
Signature _________________

2. Witness(es) (with name, address and signatures.)


i). Signature_________________ ii). Signature_________________
Name____________________ Name____________________
Address _________________ Address _________________

I, Shri/Smt ____________________ (nominee/Appointed on behalf of Minor Nominee)


hereby acknowledge receipt of the articles comprised and set out in the above
inventory together with a copy of the said inventory.

Shri/Smt._____________(Nominee) OR Shri/Smt._______________
(Appointed on behalf of minor
Nominee)
Signature _________________ Signature _________________
Date_______________________ Date_______________________
Place___________________ Place___________________

Shri/Smt._________________(Nominee) Shri/SmtSignature ________________


Signature ________________ Date_______________________
Date_______________________ Place___________________
Place___________________
* (Delete whichever is not applicable)
 While returning/releasing articles, kept in Lockers, to the nominee Bank is not
required to open sealed/closed packets.
 All nominations recorded by the Bank should be acknowledged to the locker
holder on the prescribed format.

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ANNEXURE-III A.
Form of Inventory of articles left in
Safe Custody with banking company
(To be used where there is no nomination or survivorship clause )

The following inventory of articles left in safe custody of Punjab national


Bank
With _______________________branch, by Shri/Smt. __________________
(deceased)
under on agreement/receipt dated _____ was taken on this, ______ day of
_____20 ____
Sr. No. Description of articles Other identifying
in safe custody . particulars, if any

1.

2.

The above inventory was taken in the presence of, Legal heirs or a person
mandated by legal heirs
1. Shri/Smt. __________________
(
Signature)

Address . __________________________________
2. Shri/Smt. ________________________________ __________________
(Signature)
Address .____________________________________

ACKNOWLEDGEMENT

* I, Shri/Smt. _______________________________________ legal heir/mandate


holder
* We, Shri/Smt. ___________________________________________________ legal
heirs and Shri/Smt. _________________________________________ surviving
hirers hereby acknowledge the receipt of the articles comprised and set out
in the above inventory together with a copy of the said inventory.

Shri/Smt. ____________________________
(Legal Heir/Mandate Holder)
Shri/Smt. _________________________________ Signature __________________
Shri/Smt. _________________________________ Signature __________________
Shri/Smt. .______________________________ Signature __________________
Date & Place ________________________
(* Delete whichever is not applicable)

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Annexure-IV -1

RECEIPT FROM NOMINEE

Received with thanks from Punjab National Bank, _________________


branch, a sum of Rs. _______________ (Rupees
_____________________________ only) by Banker‟s Cheque
No.________________ dated ____________ in favour of
____________________________________________________ in full and final
settlement of my/our claim as nominee on the balance in ___________
Account(s) No(s).___________________________________ standing in the name
of the deceased Shri/Smt/Kum. ________________________________. I/We do
not have any other claim from the Bank henceforth.

I hereby confirm that the payment has been received as trustee (s) of the
legal heirs of the deceased.

Place: Revenue
stamp

Date:

(Signature of Nominee)

*********

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Annexure-IV-2

RECEIPT FROM CLAIMANT

Received with thanks from Punjab National Bank, _________________


branch, a sum of Rs. _______________ (Rupees
_____________________________ only) by Banker‟s Cheque
No.________________ dated ____________ in favour of
____________________________________________________ in full and final
settlement of my/our claim as legal heir/claimant on the balance in
___________ Account(s) No(s).___________________________________ standing
in the name of the deceased Shri/Smt/Kum.
________________________________. I/We do not have any other claim from
the Bank henceforth.

I /we hereby confirm that the payment has been received for self and for
and on behalf of other legal heirs of the deceased.

Place: Revenue
stamp

Date:
(Signature of the legal heirs)

DECLARATION
(In case funds are settled in favour of a Minor)

I,-------------------------- father/mother/duly appointed guardian of ---------


----------- hereby certify that the proceeds of the Banker‟s Cheque No.------
--- dated---------- favoring ------------- issued by Punjab National Bank,
_______________branch, in settlement of the balance in account number ----
------------- of Late--------------------will be utilized for the benefit of the
minor only.

Signature

Date :

Place:

***********

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ANNEXURE -V
(PNB – 1141)

POWER OF ATTORNEY
(For deposit accounts)

(To be stamped as special Power of Attorney as per rates prevailing in


the States and attested by a Notary/Magistrate)

KNOWN ALL MEN BY THESE PRESENTS THAT I / WE.........................


S/0................................ W/O................................... do hereby appoint Sh
...................... S/O
Sh .............................. R/O ............... as my/our attorney in my/our name
and on my/ our behalf to do or execute all or any of the acts or things: -

WHEREAS Shri/Smt.........................had the following accounts with


Punjab National Bank, Branch Office ...................... and WHEREAS
He/She/has expired on .......................Leaving behind _________(No.) legal
heirs namely__________________________________________

Details of accounts of the Balance (Rupees)


deceased

2.

AND WHEREAS I/We cannot present, myself/ourselves to receive my/our


share in the said amounts and give discharge to the bank.
By virtue of this power of attorney, the said nominated attorney will do the
following acts etc. that is to say:

1) To receive my/our share in the aforesaid amounts lying with


BO:.........................................…

2) To give receipt and proper discharge to the bank in connection with the
above amounts received on my/our behalf

3) To execute Indemnity Bond and arrange for surety in respect of my/our


share in the said amounts received.

4) Generally to do all lawful acts necessary for receiving of the said


amounts from the bank.

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AND I / We hereby agree that all acts, deeds and things lawfully done by
my/ our said attorney shall be deemed as acts, deeds and things done by
me/ us personally and I / we undertake to ratify and confirm all and
whatsoever that my /our said attorney shall lawfully do or cause to be done
for me/ us by virtue of powers hereby given.

IN WITNESS WHEREOF I/We have signed this deed on this ...... day of...
……………..200 ..

EXECUTANT(S)

1) Witness

2) Witness

(If different persons execute at different places / difference dates, the place/
date be not filled up. The place / date be indicated against their respective
signatures)

********

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ANNEXURE-VI
(PNB – 1142)

POWER OF ATTORNEY
(For Lockers)

(To be stamped as special Power of Attorney as per rates prevailing in


the States and attested by a Notary/Magistrate)
-----------------------------------

KNOW ALL MEN BY THESE PRESENTS THAT I/WE ....................... S/0


......................... R/O ................. do hereby appoint Sh ..................... S/0
....................... R/O.................. as my/our attorney in my/our name and
on my/ our behalf to do or execute all or any of the acts or things
mentioned hereinbelow.:

WHEREAS Shri/Smt ................................. had locker No ..........................


with Punjab National Bank, Branch Office ..................... ........

AND WHEREAS He/She has expired on ................... leaving behind


............................... legal heirs.

AND WHEREAS I/ We cannot present myself/ ourselves to open the locker,


receive the contents thereof and give discharge to the bank.

By virtue of this power of attorney, the said nominated attorney will do


the following acts etc. that is to say:

1) To have access, to open the said locker and to receive contents thereof

2) To sign the inventory of the contents of locker and receive copy thereof,
give receipt and proper discharge to the bank in connection with the
receipt of contents of locker.

3) To execute Indemnity Bond and arrange for surety in respect of my/our


share in the contents of the said locker.

4) Generally to do all lawful acts necessary for receipt of the contents of the
said locker.

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AND I/We hereby agree that all acts, deeds and things lawfully done by
my/ our said attorney shall be deemed as acts, deeds and things done by
me/ us personally and I / we undertake to ratify and confirm all and
whatsoever that my /our said attorney shall lawfully do or cause to be done
for me/ us by virtue of powers hereby given.

IN WITNESS WHEREOF I / We have signed this deed on this _____ day of


_____ year _________.

1) Witness
EXECUTANT(S)

2) Witness

(If different persons execute at different places / difference dates, the place/
date be not filled up. The place / date be indicated against their respective
signatures)

********

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ANNEXURE- VII
(PNB – 1143)

AGREEMENT OF INDEMNITY
( For deposits /lockers)

(To be stamped as an agreement as per rates prevailing in each State)


(Delete inapplicable words)

THIS AGREEMENT is made at ............. this ........... day


of......200....Between S/Sh ................................... Sh/Smt.*...........
Son/daughter/husband/widow of Sh.......... .......... R/O
................................................

(hereinafter called the principal party 'which term shall include


his/her/their heirs, administrators and executors) of the one part and
PUNJAB NATIONAL BANK BRANCH OFFICE ....................... hereinafter
called the ' BANK' of the second part.

WHEREAS Sh/Smt ..........................son/daughter/husband


of...........................resident of .............. deceased, at the time of his/her
death had the following account(s)/ locker with the bank.

And WHEREAS the said principal party..................... claim/claims to be


the sole heir/heirs of the said late ............................... and as such
claim/claims to be entitled to the payment of the above balance/balances
standing to the credit of the deceased along with interest/delivery of
contents of the said locker.

NOW THIS AGREEMENT witnessed that in consideration of the payment of


amount with interest by the Bank/delivery by the Bank of the contents of
locker, mentioned above (the receipt whereof the said principal party hereby
acknowledges), the said principal party agrees to refund after demand
aforesaid amount/ value of the contents of locker, with interest, as may be
levied by the Bank, in case any claim is made about the aforesaid
amount/contents of locker by any other heir or anybody else.

The said principal party has/have accordingly signed this agreement on the
day, month and year mentioned above.

FOR PUNJAB NATIONAL BANK


PRINCIPAL PARTY
EXECUTANT(S)

*(Give the details of all claimants)

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ANNEXURE-VIII
(PNB 346)

INDEMNITY BOND WITH SURETY


( For deposit accounts)

THIS INDENTURE is made at……….........……this......……..day


of..………….200...….
Sh/Smt*...........Son/daughter/husband/widow of Sh.............
..............R/O……………….
................................................ hereinafter called `the principal party' of
the first part AND Sh/Smt. ...............son/daughter/widow of Sh.................
R/O .................... hereinafter called `the surety' of the second part and
PUNJAB NATIONAL BANK herein called `The bank' of the third part

WHEREAS Sh...............................son of Shri ..........................resident of


.............. deceased, had at the time of his death following account(s) with
the bank at branch Office ...................

Details of accounts of the deceased Balance (Rs.)

1.

2.

AND WHEREAS the said principal party .............. claim (s) to be the sole
heir/heirs of the said deceased and entitled to the above mentioned
property of the deceased and also claim(s) the payment of the balance (s)
standing to the credit of the deceased in the books of the bank.

NOW THIS INDENTURE witnesseth that in consideration of the payment by


the bank of the amounts above mentioned, (the receipt whereof the said
principal party hereby acknowledges) , the said principal party and the
surety both bind themselves severally and jointly to pay the aforesaid
amounts with interest, loss, damages and cost of all kinds whatsoever to
the said Bank, in case any claim is made about the aforesaid money(s) by
anybody else. Further, in consideration of the aforesaid payments to the

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said principal party by the said bank, the principal party and the surety
both undertake for themselves their heirs, executors and administrators to
hold the bank, its agents etc. harmless and indemnified in respect of all
claims to the aforesaid money(s).

IN WITNESS whereof the principal party, and the surety have put their
signatures

1) WITNESS ....………….
OCCUPATION…………. PRINCIPAL PARTY
ADDRESS ....…………..
2) WITNESS……………… SURETY
OCCUPATION…………
ADDRESS ...……………

FOR PUNJAB NATIONAL BANK

(EXECUTANT(S)

*(Give the details of all claimants)

************

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ANNEXURE-IX
(PNB – 1144)
INDEMNITY BOND WITH SURETY
(for locker)

THIS INDENTURE is made at............... this ............ day of ..............


year....... Between Sh/Shri*.............. son/daughter/ widow of
........................... resident of........... herein called the 'principal party' of the
first part AND Smt./Sh. .................. son/ daughter/widow of Sh
..................... resident of ....................... hereinafter called ' the surety ' of
the second part and PUNJAB NATIONAL BANK hereinafter called 'The bank'
of the third part.

WHEREAS Sh ........................... son of Sh ....................... resident of


................….. the deceased had at the time of his death had the following
lockers with the Bank at Branch office
.....................................................................
Locker No.................
AND WHEREAS the said principal party claim (s) to be the sole heir/heirs
of the said deceased and entitled to the above mentioned property of the
deceased and also claim(s) the delivery of the contents of locker no .........
………………(As per inventory report of the contents prepared on
…………………………….) .in the name of the deceased with the bank.

NOW THIS INDENTURE witnesseth that in consideration of the delivery by


the bank of the contents of the locker above specified, (the receipt whereof
the said principal party hereby acknowledges) the said principal party and
the surety both bind themselves severally and jointly to pay the value of the
contents of locker with interest, loss, damages and cost of all kinds
whatsoever to the said Bark, in case any claim is made about the aforesaid
contents of the locker by anybody else. Further, in consideration of the
aforesaid delivery to the said principal party by the bank, the said principal
party and the surety both undertake for themselves their heirs, executors
and administrators to hold the bank, its agents etc. harmless and
indemnified in respect of all claims to the aforesaid contents of locker.

IN WITNESS whereof the principal party and the surety have put their
signatures

1) WITNESS ....………….
OCCUPATION…………. PRINCIPAL PARTY
ADDRESS ....…………..
2) WITNESS……………… SURETY
OCCUPATION…………
ADDRESS ...……………
FOR PUNJAB NATIONAL BANK

59
(EXECUTANT(S)

*(Give the details of all claimants)

ANNEXURE-X

LETTER OF CONSENT-CUM-RELINQUISHMENT

The Branch Manager,


Punjab National Bank,
BO: _______________

Dear Sir,

Settlement of Claim pertaining to the Deceased Customer Shri / Smt.


/ Kum.______________________________in respect of Account / Locker
No._______________ at your branch

With reference to the above I / we inform you that Shri / Smt. / Kum.
___________________________, who has been your customer, expired on
______________________ leaving behind him/her the following legal heirs,
who are entitled to receive the amount / contents of the Locker lying with
you in the above account / locker:

Sr. *Name of the Legal heir Age Relationship with the


No. with full Address (Years) deceased

1.

2.

3.

We, the legal heirs at Sr. No.________ to ___________above, hereby relinquish


our claim and give consent in favour of the abovesaid Shri / Smt. /
Kum______________________(at Sr. No.______ above) to sign & present the
claim in his/her own name in respect of the said Account
No.______________________ / Locker No._______________________________
having a credit balance of Rs.______________________(as on
_____________________) and to receive the payment of the amount lying in
the said Account / the contents lying in the said Locker and to execute the
required documents in his / her own name for himself / herself and to give
receipt and discharge to the bank in regard to the claim.

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We hereby declare that the payment / delivery so made to the above Shri /
Smt. / Kum. _________________________ shall validly discharge the bank and
none of us will have any claim against the bank in whatsoever manner in
this regard.

The Signature of the above-named Shri / Smt./Kum _________________ is


given below:-

_____________________________ 1.
(Signature of the Authorized Person) 2.
3.

Name:
Address__________ *EXECUTANTS

(*To be signed with name and full address by the persons except the
person in whose favour the relinquishment and consent is given)

Signed before me on this ______ day of _________ Two thousand


_______________.

Seal
Notary Public / Gazetted Officer / Officer of Public Sector
Undertaking

61
ANNEXURE- XI

AFFIDAVIT CUM INDEMNITY BOND WITH SURETY


( For allowing operation in HUF accounts in case of
death of Karta)

THIS INDENTURE is made at……….……this......……..day


of..….201…...….between

1) Sh/Smt*................. Son/daughter/husband/ wife of/widow of


Sh....................R/O …………………... ; 2) Sh/Smt*.................
Son/daughter/husband/ wife of/widow of Sh....................R/O
…………………... ; and 3) Sh/Smt*................. Son/daughter/husband/wife
of/widow of Sh....................R/O …………………... {hereinafter called as `the
principal parties'} of the FIRST PART

{*Note: details of all coparceners be mentioned }


And

Sh/Smt. ...............son/daughter/widow of Sh................. R/O ....................


and Sh/Smt. ...............son/daughter/widow of Sh................. R/O
....................{hereinafter called `the Sureties'} of the SECOND PART

And

PUNJAB NATIONAL BANK, a body corporate constituted under the Banking


Companies (Acquisition and Transfer of Undertakings) Act of 1970, having
it's Head Office 7, Bhikhaiji Cama Place, New Delhi 110 066 and interalia a
Branch Office …………………….. {hereinafter called `the Bank'} of the THIRD
PART

WHEREAS

a) Late Sh...............................son of Shri ..........................resident of


.............. was the Karta of …………………………………..{hereinafter
called as “HUF”} and was operating following account of HUF with the
bank at branch Office ...................

Details of account of the HUF Balance (Rs.)

b) The principal parties affirm that Shri ……………………….expired on


……………….and they are the only living members of the
………………………. (Name of the HUF). A copy of the death certificate
has since been submitted to the Bank. They further affirm that there
are no other members / coparceners in the said HUF.

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c) The principal parties further affirm that Mr./Ms.
____________________________________ is a coparcener of the HUF and
he/she has been unanimously appointed as the new Karta of the
HUF;

d) The principal parties approached the Bank with a request to


substitute the name of the deceased Karta Shri _________, with the
name of newly appointed Karta Mr./Ms. __________________________
and to allow operation in the account {detailed in para (a)
hereinabove}, by the newly appointed Karta for which the principal
parties and the sureties have agreed to execute an indemnity and
surety as contained herein.

NOW THIS INDENTURE witnesseth that in consideration of the Bank


having accepted the request of the principal parties to allow the newly
elected/appointed Karta to operate the account, the principal parties and
the sureties hereby agree, undertake and bind themselves jointly and
severally to pay the amount shown in the account of HUF at the time of the
death of earlier Karta, late Sh. ………………………, alongwith further
interest, loss, damages and cost of all kinds whatsoever the Bank may
incur, in case any claim is made about the aforesaid money(s) by anybody
else on account of accepting the request of the principal parties and thereby
allowing continuing operation in the account of HUF. Further, in
consideration of accepting the request of the principal parties by the Bank,
the principal parties and the sureties undertake for themselves and bind
their heirs, executors and administrators to hold the bank, its assigns etc.
harmless and indemnified in respect of all/any claims to the aforesaid
money.

IN WITNESS whereof the principal parties, and the sureties have put their
signatures

1) WITNESS ....………….
OCCUPATION…………. PRINCIPAL PARTIES
ADDRESS ....…………..
SURETIES
2) WITNESS………………
OCCUPATION…………
ADDRESS ...………… …
FOR PUNJAB NATIONAL BANK

{EXECUTANT(S)}

************

63

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