Deceased Claim - Adarsh Co

Transcription

Deceased Claim - Adarsh Co
ADARSH CO-OPERATIVE BANK LTD, SIROHI
Annexure-I
Claim from nominee to recognize his claim to the
deposit*/safety locker*
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._________________________________ further declare that I am
nominated to claim the deposit monies /articles held
in safe custody/safety locker
with______________________________Branch
by
Shri/Smt_____________________________________
deceased.
The
deposit
monies/
articles held in safe custody/safety locker are held in Account/Locker No._________________
Safe
custody
receipt
No.___________________________of
Shri/Smt.__________________________________________deceased.
Shri/Smt._____________________
Signature__________________
Nominee/appointed on behalf of minor nominee)
Date_____________________
Address:_____________________________
_____________________________
_____________________________
Witness:
1. Magistrate or Judicial Official
1. Name______________________________
Or
Address_____________________________
2. An officer of the Central or
___________________________________
Sate Government
Or
3. An Officer of a Bank
Or
4. Twp persons acceptable to the bank
___________________________________
Signature____________________________
1. Name______________________________
Address_____________________________
___________________________________
___________________________________
Signature____________________________
(Strike out whichever is not applicable)
Annexure- II
vkn'kZ dks&vkWijsfVo cSad fyiz/kku dk;kZy;] fljksgh
vkn'kZ dks&vkWijsfVo cSad fy- 'kk[kk------------------------------------mÙkjkf/kdkjh izek.k i= izLrqr djus dh vko';drk ls eqfDr
ikus ds fy;s
izkFkZuk i=
Jh@Jherh------------------------------------------------------------------------------------------iq=@ifRu---------------------------------------------------------------------------vkn'kZ dks&vkWijsfVo cSad fy- fljksgh ds e`rd lnL;@[kkrk /kkjd------------------------------------------------------------------------- iq=--------------------------------------------------------------------------------------------------------}kjk izkIr fd lnL;rk Øekad@[kkrk /kkjd :i;s----------------------------------------------------------- esa ---------------------------------------------------- fuoklh¼LFkku½---------------------------------------------fd@dk fo/kok@T;s"B------------------------------------------- gwAa
eSa ,rn~}kjk frfFk iwoZd ?kks"k.kk djrk gwa fd mijksDr lnL;@tek dÙkkZ us dksbZ ofl;r ugh dh gS izkFkZuk djrk
gwa fd eq>s mi;qDr lnL;rk@tekvksa dh 'krksZ ds vuqlkj mÙkjkf/kdkjh izek.k izLrqr djus fd vko';drk ls eqDr
dj fn;k tk;s vkSj eSa ,rn~}kjk frfFkiwoZd ?kks"k.kk Hkh djrk gwa fd uhps fy[ks c;ku tgka rd esjh tkudkjh vkSj
fo'okl ls lgh gSA
1- d- e`rd dk iqjk uke o e`R;q ds le; dk
irk vkSj O;olk; D;k gS \
[k- e`rd dh tkfr vkSj /keZ D;k gS \
x- D;k ;g fgUnq] fl[k] tSu ;k ckS) Fkk ftldh
lEifr dk mÙkjkf/kdkjh fgUnq mÙkjkf/kdkjh
vf/kfu;e 1956 ij vk/kkfjr gS \
?k- D;k og eqfLye Fkk ftldh lEifÙk dk
vf/kdkj eqfLye dkuwu ij vk/kkfjr gS \
2- mldh e`R;q dc vkSj dgka gqbZ \
3- D;k mlds }kjk dksbZ olh;r ukek fd;k Fkk\
4- D;k e`rd us mijksDr lnL;rk@[kkrk /kkjd
ds vUrxZr feyus okyh jde ds vfrfjDr dksbZ
nwljh ,slh lEifÙk NksMh gS ftlds fy;s :i;k
ikus dk vf/kdkj gksus dk izek.k i= tSls
mÙkjkf/kdkjh gksus dk izek.k i= ldls'ku
¼lfVZfQdsV½ vkfn izkIr dj fy;k x;k gS ;k
izkIr fd;k tkuk gS
[k- D;k e`rd us iwoZ esa cSad ds fdlh lnL; fd
_.k vnk;xh dh tekur ns j[kh gS ;fn gka rks
mldk uke ,oa lnL; la[;k
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
5- ¼v½ D;k e`rd us vius ihNs uhps fy[ks lacaf/k;ksa esa ls dksbZ lacaf/k NksMs gS ;fn gka rks muds iqjs uke vkSj vk;q
fy[ksA
d½ iq=
iqjk uke
vk;q
1
2
3
4
[k½ iqf=;ka
iqjk uke
1
vk;q
2
3
4
x½ fo/kok ;k fo/kok;s@fo/kqj
iqjk uke
vk;q
?k½ ekrk
M½ iwoZ e`r iq=ksa vFkkZr~ os iq= ftudh e`R;q lnL;@tekÙkkZ ls igys gks xbZ gSA
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------p½ iwoZ e`r iqf=;ka ¼vFkkZr~ os iqf=;ka ftudh e`R;q
lnL;@tek drkZ ls igys gks xbZ gks½ ds iq= o
iqf=;ka
¼N½ iwoZ e`r iq=ksa ds iwoZ e`r iq=ksa ¼vFkkZr~ ukrh ds
iq= ,oa iqf=;ka ,oa fo/kok;s½a
¼t½ firk
¼>½ HkkbZa
¼V½ cgusa
¼v½ ;fn Åij fns; lacfa /k;ksa esa ls dksbZ ukckfyx gS
rks ;g crkbZ;s fd ukckfyx fdlds lkFk jg jgs
vkSj budk Hkj.k iks"k.k dkSu dj jgk gS fo'ks"k
¼fgUnqvksa ds fy,½ ;fn bl izi= ds Øekad 5¼v½ esa
mYysf[kr dksbZ lacfa /k xksn fy;s x;s Fks rks muds ckjs
esa xksn fy;s tkus ls lacaf/kr iwjk C;kSjk nhft;s
5-¼c½ D;k e`rd us vius ihNs iz'u 5¼v½ ds mÙkj esa O;fDr dk
lnL; /kkjd ls
fn;s x;s lacaf/k;ksa ds dksbZ vksj laca/kh NksMs gS 'ks;jl iqjk uke
lEcU/k] vk;q
(sharers) jsthM~;qjhl (Residuaries) ;k fMLVsUV 1fdUMjM (Distant Kindered) ds :i eas ;fn gka rks 2mudk fuEufyf[kr fooj.k nsA
34-
uksV%& ;g fooj.k flQZ eqfLye lnL;ksa ds fy;s nsuk
t:jh gSA
6- ;fn e`rd us vius fiNs Åij fn;s x;s laca/ksa ls
dksbZ Hkh lacfa /k ugh NksMk gS ysfdu dqN nwj ds
lacaf/k tsls firkekg] firkekgh HkkbZ;ksa ;k cguksa ds
cPpksa vkfn NksMs gS rks ,sls lHkh nwj ds lacaf/k;ksa ds
uke vkSj vk;q fyf[k,A
7- iz'u 5 o 6 ds mÙkj esa fn[kyk;s x;s lacfa /k;ksa esa
ls dkSu dkSu ls lacaf/k fgLlk jkf'k@tek jkf'k fd
jde ds nkosnkj gS vkSj D;k bu lacfa /k;ksa esa ls
fdlh ds chp bl lac/a k esa dksbZ fookn gSA
8- ,d ,slh /kuh ekuh O;fDr dk iqjk uke vk;q vkSj
irk nhft;s tks e`rd ds oklh;ksa ds lkFk la;qDr
:i ls {kfr iwfrZ vuqcU/k Hkjus dk rS;kj gSA
vkt---------------------------------------------LFkku------------------------------------------------fnukad---------------ekg---------------o"kZ----------
lk{kh dk gLrk{kj-------------------------------------------------------------------
nkokdÙkkZ gLrk{kj----------------------------------------------------------
uke-------------------------------------------------------------------------------------------in-------------------------------------------------------------------------------------------irk----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
irk---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
;g C;ku fuEufyf[kr esa ls fdlh ,d ds lEeq[k Hkjk gksuk pkfg;s ¼1½ cSad izcU/kd ¼2½ 'kiFk vk;qDr ¼3½ MkWDVj
¼4½ jktif=r vf/kdkjh ¼5½ ek/;fed fo|ky; dk iz/kkuk/;kid ¼6½ eq[; iksLV ekLVj ¼ijUrq 'kk[kk iksLV ekLVj
ugha½ ¼7½ n.Muk;d ¼8½ xzke iapk;r vFkok LFkkuh; cksMZ dk v/;{k
Annexure-III
No Objection Letter
To,
The Adarsh Co-operative Bank Ltd.
____________________Branch.
Dear Sir,
I/We
understand
that
Mr./Mrs./Miss________________________________(Claimant)
son/wife/daughter/husband of the late Mr./Mrs._______________________________ resident
of __________________ has claimed as a legal heir of the deceased, the following amounts lying to
the credit of the deceased and/or the contents of the locker No.____________ lying with the
Adarsh Co-operative Bank Ltd._____________Branch:1. T.D.R. No(s)_______________ for Rs.________________due on______________
2. S.B. A/c No.________________ having credit balance of Rs.__________________
3. C.D. A/c No.________________ having credit balance of Rs.__________________
4. R.S.D. A/c No._______________ having credit balance of Rs.___________ _______
5. Contents of locker No._________ having value Rs.____________ as on date_______
6. _________________________________________________________________
7. _________________________________________________________________
In
respect
of
the
above,
I/We_________________________________________
___________________________________________________________________
son/wife/daughter/brother/mother/husband of the late Mr./Mrs./Miss______________
____________________________________________
hereby
declare
that
I/We
have
renounced all interest or share in the proceeds of the aforementioned accounts and/or contents of
locker No.____________ and have no objection to the refund by the Bank of the proceeds of the
aforesaid accounts and/or release of contents of locker to the aforesaid claimant without insisting
of Succession Certificate or other legal representation.
Yours Faithfully,
Date____________
_________
_________
Full Adreess:____________________________
_________
_________
_____________________________________
_________
_________
_____________________________________
_________
_________
(Signature)
(Relation with
deceased)
(The signatures of declarer/s should be attested by Ist class Magistrate /Notary Public /Branch Manager if
personally known to him. However, Sarpanch/Tehsildar may attest the signatures of the executants on the
presence of the Branch Manager who will attest his signature)
Annexure- IV
Letter be completed and signed by the surety
Branch Manager
Adarsh Co-operative Bank Ltd.
Branch……………………….
I beg to inform you that I am prepared to execute an Indemnity bond in favour of the Adarsh
Co-operative
Bank
Ltd.
By
Shri/Shrimati………………………………………………………………………..
Resident
of……………………………………………………… or the claim under its share money opposites of late
Shri/Shrimati………………………………..(Membership No…………) /(account No………….) without
insisting on legal evidence of title.
Consequently I have filled in the questionnaire from given below:Question
Answer
1. Are you related to the member/Account holder ?
2. What is your present occupation and permanent Address?
3. What is your approximate monthly income and What are
its sources?
4. What property movable or immovable do you process
And what is the present value thereof?
5. Is the property free from encumbrance?
I do here be solemnly assure the Adarsh Co-operative Bank Ltd. Branch……………………
that I have thoroughly understood and correctly answered the above question
Declared at…………………..……….the ………..…….………….day of…………………..19…………….
Witness & counter signed
Signature…………………………..
Signature of the declarent
Name………………………………
Full Name……………………………………………
Address & Seal……………………
Father's name of the declarant…………….……..…..
Present Address…………………………………….
Annexure-V
ADARSH CO-OPERATIVE BANK LTD.
In
consideration of the Adarsh Co-operative Bank Ltd.,
under the Multistate Co-operative societies Act, 2002 having agreed to
______________________________________________________________________________
registered
pay to
(Name of all Payees)
________________________________ of____________________________________________
(Relationship)
(Name of Deceased member/Account holder)
the
sum
of
Rupees_________________________
due
under
Shares
Money/Deposits
______________________on the Name of _________________________________ deceased without
recurring production of Probate or letters of Administration or Succession Certificate granted to the estate
of_______________________________________________________________________________________
(Name of deceased member/depositor)
We______________________________________________________________________________________
(Name of all payees)
and________________________________________________________________ our Heirs, Executors and
(Name of Surety)
Administrators do hereby agree to keep the said Adarsh Co-operative Bank Ltd,
(Branch)________________harmless and indemnified from and against all claims against it on the part of any
person or person whomsoever all damages, costs and expenses which the said Adarsh Co-operative Bank Ltd,
may sustain or incur in consequence of any such claim or claims.
In witness whereof we the said_______________________________________________
(Name of Payees)
_____________________________________and_____________________________________________have
(Name of Surety)
set
our
hands
at________________(Place)
__________________(Months) 19_______(Year)
this_________________(date)
day
(Name of all payees in the presence of)
Signed and delivered by the said__________________________________
(Name of all payees in the presence of)
_______________________________________and____________________________________
(Name of Surety)
(1)_________________________
(2)_________________________
(Signature)
1- Full Signature
Of witness______________________
Designation_____________________
Address________________________
2- Full Signature
Of witness______________________
Designation_____________________
Address________________________
Note:- (1) If this bond is signed in Vernacular one of the attesting witness should be requested to certify
that the contents of this Bond were explained to the party in vernacular before execution.
(2) Thumb impressions should be attested by a Magistrate or a Gazetted Officer or close Ist Officer
or Manager of Adarsh Co-operative Bank Ltd. Provided, he is fully satisfied about the identity of
the Party.
(3) To be stamped @0.05% & deposit or Rs. 200 whichever is lower with non judicial revenue
stamp.
of