Annexure E |
Note: To be executed in the presence of a Public Notary / Gazetted Officer
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Bond of Indemnity to be furnished jointly by all Legal Heir(s) including the
Claimant(s) (To be submitted on Non-judicial Stamp Paper of appropriate value) |
[For Transmission of Securities on death of Sole Securities’ Holder, where
no nomination has been registered] |
I/We do hereby solemnly affirm and state on oath as follows:
That Mr./Ms. was holding the following securities:
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That the aforesaid deceased holder died intestate on ,
without registering any nominee, leaving behind him/her the following persons as the
only surviving legal heirs, according to the laws of intestate succession applicable to
him/her by which he/she was governed at the time of his/her death.
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OR
That the aforesaid deceased holder died on , without registering any nominee,
leaving behind him/her the following persons as the only surviving legal heirs,
according to the laws of testamentary succession.
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Therefore, I/We, the Legal Heir(s)/Claimant(s) and deponent(s) herein has/have,
approached
with a request to transmit the aforesaid securities in the name of the undersigned
Mr./Ms. , on my/our behalf, without insisting on production of a
Succession Certificate/Probate of Will/Letter of Administration or any Court order, for
which we execute an indemnity as is herein contained and on relying on the information
herein given by us, believing the same to be true.
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In consideration therefore of my/our request to transfer/transmit the above said
securities to the name of the undersigned Mr./Ms. ,
I/We hereby jointly and severely agree and undertake to indemnify and keep indemnified,
saved, defended, harmless, and its successors and assigns for all time hereafter against all
losses, costs, claims, actions, demands, risks, charges, expenses, damages, etc.,
whatsoever which they may suffer and/or incur by reason of transferring the said
securities as herein above mentioned, at my/our request to the undersigned Mr./Ms.
, without insisting on production of a Succession
Certificate/Probate of Will/Letter of Administration or any Court order.
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IN WITNESS WHEREOF the said
1) Mr./Ms. X
2) Mr./Ms. X
have hereunto set their respective hands and seals this day of . Signed
and delivered by the said legal heir/s.
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(*) = Name of the deceased security holder (#) = Name of the claimant/s
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Name of the Legal Heirs |
Signature of the Legal Heirs |
1) |
X |
2) |
X |
3) |
X |
Signed before me at:
on:
Signature of Notary
Official stamp & seal of the Notary & Regn. No.:
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