State Bank

LETTER OF INDEMNITY
(Letter of indemnity with respect to payment of Balance in the Deceased

Constituents Account with production of Legal Representation)
To
Chief / Branch Manager
State Bank of India
Belilious Road Branch
Howrah 711101
IN CONSIDERATION of your paying or agreeing to pay us,
1. Swati Hazra
2. Mamata Baral
3. Miss Shrestha Baral.
The sum of Rupees Twenty nine thousand nine hundred one and paise Sixty
three only. standing at the Credit of Saving Bank Account No. 11726856943 with
your Belilious Road Branch in the name of Shri Kiron Kumar Boral since
deceased, without production of Letters of Administration or a Succession

Certificate to his estate or a Certificate from the Controller of Estate Duly to the
effect that estate duly has been paid or will be paid or none is duly, we,
1. Purnendu Das, Advocate, 10 Old Post Office Street, Room No. 11, Kolkata
700 001.
2. Souvik Maji, Advocate, 10 Old Post Office Street, Room No. 11, Kolkata
700 001.
do hereby for ourselves and our heirs, legal representative executors and
administration, jointly and severally UNDERTAKE AND AGREE TO
INDEMNIFY you and assign against all claims, demands, proceedings, losses,
damages, charges and expenses which may be raised against or incurred by you
by reason or in consequence of your having agreed to pay / or paying us the said
sum as aforesaid.
Signed, Sealed and delivered by the above named on
This Day of Two Thousand
SIGNED AND DELIVERED by the above named
1. Swati Hazra, 2. Mamta Baral.

3. Ms. Shrestha Baral.
Claimants of the deceased.

Signed and delivered by the aforesaid
(1) Purnendu Das
(2) Souvik Maji.
Sureties.
LETTER OF DISCLAIMER
To
Chief / Branch Manager
State Bank of India
Howrah 711101
Dear Sir / Madam,
Account No. 11726856943

In the name of Late Shri Kiron Kumar Baral
Balance Rs. 29,901.63P with Accrued Interest.
With reference to the above account (s) I / We, the following legal heirs of the
late Shri Kiron Kumar Baral (Name of the Deceased account holder) have to
advise that we have no interest in the above assets and 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 aforesaid Shri Kiron Kumar Baral (Name of the deceased)
to Shri
2
1. Swati Hazra Relationship with Deceased Father.

2. Mamata Baral Relationship with Deceased Daughter in Law.
3. Ms. Shrestha Baral Relationship with Deceased Granddaughter.
Such delivery of the payment of the balance in the above account (s) would be
completely binding to us and we will not question the Banks action in so doing if
any proceedings. I / We undertake to bind ourselves, our heirs and legal
representative not to revoke the declaration made herein.
Sl. No. Name (s) of the Disclaimer (s) Age Signature

1. Swati Hazra
2. Mamata Baral
3. Ms. Shrestha Baral
Signed before me this day of 20

AFFIDAVIT
We (1) Swati Hazra wife of Sri Chandu Hazra,
(2) Mrs. Mamata Baral wife of Late Biswajit Boral,
(3) Ms. Shrestha Baral daughter of Late Biswajit Boral a minor under the
age of 18 years represented through mother and natural guardian all of No. 7,
Kuchil Sarkar 1st bye Lane, P.S. Bantra, Kadamtala, Howrah, do hereby
solemnly affirm and say as follows :
1. That Late Shri Kiron Kumar Boral (hereinafter referred to as the

deceased) died intestate on 29 / 07 / 2015.
2. That I / We know the deceased and his family since the last years.
2
3. That at the time of his death the deceased left surviving him / her the
following persons who according to the law by which they are governed, are the
only legal heirs of the deceased entitled to succeed to the estate of the deceased
on an intestate succession ;
Sl. No. NAME OF MEMBER (S) AGE (IN YEARS) RELATIONSHIP WITH
DECEASED
1 Swati Hazra 55 Years Father
2 Mamata Baral 40 Years Daughter in Law
3 Ms. Shrestha Baral 17 Years Grand Daughter
4. That we are not related in any manner whatsoever to the deceased or any
of the above mentioned persons nor have we any claim or interstate of
whatsoever nature in the estate of the deceased.
5. That we are informed and we verily believe that the deceased has left
certain deposits / assets with the State Bank of India Belilious Road Branch, to
which the abovementioned persons are entitled to claim.
6. That we are making this solemn declaration sincerely and conscientiously

believing the same to true and with full knowledge that it is on the strength of this
declaration that the State Bank of India Belilious Road Branch, has agreed at our
request to make payment of the amounts of the deposit / to deliver the assets to
the abovementioned persons without insisting on produced by them of a grant of
legal representation to the estate of the deceased from a competent Court.
Sworn / Solemnly affirmed at this day of 20 in the

Presence of before me.
1) 2)
Prepared in my office The deponent is identified by me
Advocate Advocate
To
Asstt. General Manager
State Bank of India
Howrah 711101
DISPOSAL OF DECEASED S ASSETS WITHOUT PRODUCTION OF LEGAL

REPRESENTATION UNDER BRANCH MANAGER DISCRETIONARY POWERS
1. Name of Deceased KIRON KUMAR BORAL

2. Date of Death 29.07.2015
3. Whether Death Certificate has Yes
been registered in Banks Book
4. Whether the Deceased Died Intestate
Testate / Intestate
5. Segment of the Account (s) /
Assets
6. PARTICULAR OF DEPOSITS / ASSETS :
(a) Type of Deposits (SB/CA/ TDR)
.
(b) ACCOUNT NO 11726856943
(c) Total Amount Involved Rs. 29,901.63P.
(d) Whether the Unsed Chq NOT YET
Leaves / ATM Card have been
taken back
7. Whether Deceased had any NO
Bank Liabilities (Give Details)
8. Whether the above Liabilities NA
have been settled before
disposal of the Assets of
deceased
9. Name of the Claimants / Legal 1. Swati Hazra Relation Father
Heirs, and Relationship with the 2. Mamata Baral Relation Father in Law.
Deceased 3. Ms Shrestha Baral Relation Grand Father.
10. In case of any Minor, they have
been represented by
11. Whether Assets from part of the
self acquired Assets of
deceased.
Remarks :
We have paid / settled the above Deceased Claim after conducting the concrete enquiry
and taking the required documents as mentioned in Column 16 under Branch
Manager Discretionary Power and as per Delegation of Financial power vide E
Circular No : CDO / ORG DFP / 5 / 2014 15 dated 03 11 2014.

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LETTER OF INDEMNITY

(Letter of indemnity with respect to payment of Balance in the Deceased

IN CONSIDERATION of your paying or agreeing to pay us,

deceased, without production of Letters of Administration or a Succession

Signed, Sealed and delivered by the above named on

This Day of Two Thousand

SIGNED AND DELIVERED by the above named

1. Swati Hazra, 2. Mamta Baral.

Claimants of the deceased.

Dear Sir / Madam,

Account No. 11726856943

1. Swati Hazra Relationship with Deceased Father.

Sl. No. Name (s) of the Disclaimer (s) Age Signature

Signed before me this day of 20

We (1) Swati Hazra wife of Sri Chandu Hazra,

(2) Mrs. Mamata Baral wife of Late Biswajit Boral,

1. That Late Shri Kiron Kumar Boral (hereinafter referred to as the

6. That we are making this solemn declaration sincerely and conscientiously

Sworn / Solemnly affirmed at this day of 20 in the

Prepared in my office The deponent is identified by me

DISPOSAL OF DECEASED S ASSETS WITHOUT PRODUCTION OF LEGAL

1. Name of Deceased KIRON KUMAR BORAL

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