To
The
……………………………………
…………………………Bank,
………………………Branch,
……………………………………
Dear Sirs
WHEREAS
(1) Shri ……… son of late Shri ……………… resident of…………………was having a
fixed Deposit No………………… dated………………… for years @ …………………% interest per
annum and the said fixed deposit has become due on …………………The said
Shri…………………had not nominated anybody to receive the proceeds of the said Fixed Deposit
Receipt on his death under the Banking Companies (Nomination) Rules, 1985.
(2) The said Shri . expired on………………… leaving Smt …………………and his minor son
Master………………… as his only legal heirs in accordance with Hindu Law, by which the said
Shri …………………governed at the time of his death
(3) The said Smt …………………. has applied to you to pay the maturity proceeds of the said
FDR viz. Rs ………………… to me for myself and as mother and natural guardian of my
minor son………………… without insisting on the production of legal representation to the estate
of the deceased Shri …………………which you have agreed to pay on condition inter alia, on my
executing this Letter of Indemnity with two sureties
NOW THIS LETTER OF INDEMNITY WITNESSETH THAT in consideration of your agreeing to
pay to the said Smt . …………………for herself and in her capacity as mother and natural
guardian of her minor son Master …………………the said sum of Rs…………………
being the maturity proceeds of the Fixed Deposit Receipt No…………………
dated………………… for Rs………………… . we (1) Smt …………………. the claimant aforesaid
and (i) ………………… and (ii) …………………as sureties hereby bind and oblige ourselves, our
heirs, executors, legal representatives and assigns jointly
And severally to indemnify and keep indemnified the …………………Bank, its successors and
assigns of, from and against all claims, demands, actions, proceedings, losses, damages, costs,
charges and expenses which may be made, or brought or commenced against the Bank or which
the………………… Bank may have to pay, incur or suffer as a result (direct or indirect) of the
payment to the said Smt………………… aforesaid sum of Rs…………………
IN WITNESS WHEREOF, we (1) Smt ….. and (i) ……. and (ii) ………………… aforesaid
have subscribed our names hereunto on this………………… day of 20…………………

WITNESSES
1 Signed and delivered by the within named Smt.
2. Signed and delivered by the within named
Shri…………………(First Surety)
Signed and delivered by the within named Shri … .. (Second Surety)