1. Accounts with Nomination clause or Joint account with survivor
clause:
|
Sl. No. |
Documents to be obtained |
|
1 |
Copy of Death Certificate
(Verified with Original). |
|
2 |
Proof of Identity of the nominee
(Such as Ration Card, Election ID Card, PAN Card or Passport or any other
satisfactory proof of Identification acceptable to the Bank). |
|
3. |
Application to be used when
account has nomination/ joint account with survivor clause (Annexure VI) |
|
4 |
Receipt (Annexure VIII) |
|
5 |
Declaration
in case funds are settled in favour of a Minor (Annexure
IX)
|
1. Accounts without Nomination or Joint account without survivor
clause:
|
Sl. No. |
Documents to be obtained |
|
1 |
Copy of Death Certificate
(Verified with Original) |
|
2 |
Proof of Identity (Such as
Ration Card, Election ID Card, PAN Card or Passport or any other satisfactory
proof of Identification acceptable to the Bank or proof of authority of legal
heir(s) Where ever applicable) |
|
3. |
Application to be used for other
than nomination/joint account with survivor clause (Annexure VII) |
|
4 |
Letter of Indemnity (Annexure
X) |
|
5 |
Letter of Disclaimer (Annexure
XI) |
|
6 |
Affidavit (Annexure XII) |
|
7 |
Receipt (Annexure VIII) |
|
8 |
Declaration in case funds are
settled in favour of a Minor (Annexure IX) |
|
9 |
Opinion Report on Surety
(Annexure XIII) |
APPLICATION FOR DECEASED CLAIM
(To be used when account has
nomination or is a joint account with survivor clause)
From
------------------------------------------
-----------------------------------------
------------------------------------------
To Branch Manager,
State Bank of Hyderabad,
------------------------ Branch.
Dear Sir,
Re: Deceased Account of Late Shri
/ Smt
Account No
.
I / we advise the demise of Shri /
Smt
on.
... He / She holds the above account (s) at your
branch. The account is in the name(s)
of.
.
..
A. In case of Nomination.
I,
.Son /daughter of Shri
.. Residing at (Full
Address)
am (i) the registered nominee in the above account (s).
(ii) The person authorized to
receive payment on behalf of Master / Miss
who is the
nominee in the above account(s) and is a minor as on the date of this claim.
Please settle the balance in the
account in the name of nominee. I / We
receive the payment as trustee(s) of the legal heirs of the deceased.
B. In case of joint account.
I / we request you to delete the
name of deceased person and continue the account in my / our name(s) with same
mode of operations.
I we submit photocopy of the
following document(s) together with originals.
Please return the original to us after verification.
Death Certificate issued by
..
Identity proof (required in
nomination cases)
Yours
faithfully,
Place:
Date:
(Claimant(s))
APPLICATION FOR DECEASED CLAIM
(To be used for cases other than (nomination
/ joint account with survivor clause))
From
------------------------------------------
-----------------------------------------
------------------------------------------
To Branch Manager,
State Bank of Hyderabad,
------------------------ Branch.
Dear Sir,
Re: Deceased Account of Late Shri
/ Smt
Account No
.
I / We advise the demise of Shri /
Smt
. on
..
. He / She holds the above account (s)
at your branch. The account is / are in
the name(s) of
..
I / We lodge my / our claim for
the balances with accrued interest lying to the credit of the above named
deceased who died intestate. I / We am
/ are the legal heirs of the above named deceased and lodge my / our claim for
payment as per the banks rules and discretion. The relevant information about the deceased and the legal heirs
are as under.
1. Names in full of the parents of
the deceased:
Father:
.
Mother:
2. Religion of the
deceased:
..
3. Details of living (i) Husband (ii) Wife (iii) Children (iv)
Father (v) Mother (vi) Brothers (vii) Sisters (viii) Grand Children. If Hindu Joint Family, the name and address
of the Karta and Co-parceners with their respective ages.
Full Name with Address Occupation Relationship with Age
Deceased
(I)
--------------------------------------------------------------------------------------------------------
(II)--------------------------------------------------------------------------------------------------------
(III)-------------------------------------------------------------------------------------------------------
(IV)-------------------------------------------------------------------------------------------------------
(V)--------------------------------------------------------------------------------------------------------
(VI)-------------------------------------------------------------------------------------------------------
Cont
2
Page No
:2:
4. Name or Names of the Guardian
(s):
.
of the minor children of the
deceased depositors
(A) Whether Natural Guardian/Court
appointed Guardian:
..
.
(B) Whether Guardian appointed by
a Court of Law in India, if so attach a certified copy or duly attested copy of
such Order:
.
(C) In whose custody the Minor /
Minors is / are:
.
.
5. Claimant(s) name(s) and address in full:
(i)
______________________________
(ii)
______________________________
(iii)
______________________________
I / we submit the following
documents. Please return the original
death certificate to us after verification.
1. Death Certificate (Original + Photocopy)
issued by:
.
2. Letter of Indemnity:
We request you to pay the balance
amount lying to the credit of the above named deceased to
.
On my / our behalf.
I / We hereby solemnly affirm that
the above statements are true and correct to the best of my / our knowledge and
belief.
Yours
faithfully,
Name of
the Claimant
Address
Signature
1
2
3
4
5
6
Place:
Date:
Received with thanks from State
Bank of Hyderabad, ____________________ Branch, a sum of Rs.____________ (Rs.
_______________________________)
vide Bankers Cheque No.
_________________ dated ________________ in favour of _____________________________________________________
in full and final settlement of my / our claim as successor on the balance in
______________ Account(s) No(s).____________________________________
standing in the name of the deceased Shri / Smt.________________________
_____________________________________________________. I / we do not have any other claim from the
Bank henceforth.
|
|
Place:
Date:
(Signature of all legal
heirs Over a revenue stamp)
I
_______________________________________________ father and natural guardian
of ____________________________________
hereby certify that the proceeds of your Bankers Cheque No.____________
dated__________ favouring ____________________________________ issued by you in
settlement of the balance in account number ______________________ of Late
___________________
_______________________ will be
utilized for the benefit of the minor only.
Signature of Natural Guardian or
Guardian appointed by the Court.
(To be stamped
as per the Stamp Act applicable to the State)
LETTER OF
INDEMNITY WITH RESPECT TO PAYMENT OF BALANCE IN THE DECEASED CONSTITUENTS
ACCOUNT WITHOUT PRODUCTION OF LEGAL REPRESENTATION
To
The Branch Manager,
State Bank of Hyderabad,
...Branch.
IN CONSIDERATION OF YOUR PAYING OR
AGREEING TO PAY ME / US.
1).
__________________________________________________
2).
___________________________________________________
3).
___________________________________________________
4).
____________________________________________________
(Insert here the name(s) of the Claimants)
The sum of Rupees._________
(Rupees. ______________________________)
Standing at the credit of Savings
Bank / Current Account / R.D. / T.D Account etc.,
No.____________________________________ with your bank in the name of Shri. /
Smt. ____________________________________________________
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 / we 1. __________ _____________, 2. _____________________, do
hereby for myself / ourselves and my / our heirs, legal representatives,
executors and administrators jointly and severally UNDERTAKE TO 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 consequences of your having agreed to
pay or paying me / us the said sum as
aforesaid.
SIGNED AND DELIVERED
BY the above named on this
___________ day of
______________two thousand
_________________.
1. ___________________________ 2.
_______________________
3.___________________________ 4.
________________________
( Heirs / Claimants of the
deceased )
1. _____________________________,
2. __________________________
(Signatures
of Sureties)
To
The Branch Manager,
State Bank of Hyderabad,
_______________ Branch.
Dear Sir,
Re: Account No.
_________________________ in the name of Late. Shri / Smt. /
Kum.__________________________________________________ Balance Rs.
_____________ With reference to the above account(s), I / we following legal
heirs of the late Shri / Smt. / Kum. _________________________________ ( 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 Late Shri /
Smt. / Kum. _________________________________( Name of the deceased account
holder) to Shri / Smt. / Kum. 1.________________________ 2.
__________________________
such delivery of the payment of
the balance in the above account(s) would be completely binding on us and we
will not question the Banks action in doing so if any proceedings. I / we also undertake to bind ourselves, our
heirs and legal representatives not to revoke the declaration made herein.
1.
______________________________________________________________
2. ______________________________________________________________
3.
_____________________________________________________________
4. _____________________________________________________________
5. ______________________________________________________________
Signed before me on This ______
day of _________ Two thousand _______________.
Seal
Notary
Public / Magistrate.
I / we (1)
_____________________________________________________ son of
___________________________ and (2) _____________________________ son of
____________________ residing at (1) __________________________ and (2)
__________________________ do hereby take oath* / solemnly affirm and say as
follows:
1. That Shri / Smt. / Kum
___________________________________________
(Herein after referred to as the
deceased) died intestate on _____________________ at
_______________________________.
2. That we know the deceased and his/her family since the last
________ years.
3. That at the time of his/her 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 AGE Relationship with the
Deceased.
1)______________________________________________________________.
2)_____________________________________________________________.
3)_____________________________________________________________.
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 interest 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 State
Bank of Hyderabad ____________________ branch, to which the above mentioned
persons are entitled to claim.
6. That we are making this solemn declaration sincerely and
conscientiously believing the same to be true and with full knowledge that it
is on the strength of this declaration that the State Bank of Hyderabad
______________________ branch, has agreed at our request to make payment of the
amounts of the deposits / to deliver the assets to the above mentioned persons
without insisting on production 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 ______two 1. ______________________
thousand_________________ In the
presence of
____________________ 2.
______________________
SEAL
Judge / Magistrate / Notary.
OPINION REPORTS ON THE
SURETY NO.
1.Name in
full :
2. Address:
3. Academic
Qualifications:
4. Age:
5.
Occupation:
(If
employed, Please state the name of
the employer and since when employed)
6.
Present monthly income / salary (Attach the
Salary certificate,
if income is by way of salary)
7.
Number of Dependents:
8.
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
policies if any:
D)
Other Assets:
E)
Details of bank accounts, if any (Name
and
Address of
bankers with account numbers
(Current/
Savings ) to be furnished.
9.
Personal Liability if any:
10. Please
indicate whether surety id related
To the Claimants (Yes / No)
11. Period
for which claimants are 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
Remarks of
the Divisional Manager / Branch Manager.
Date:
Divisional Manager/
Branch Manager.