You are on page 1of 1

DECLARATION

We the undersigned ……. wife of / son of ……. aged 50 years residing at


about do hereby solomnly affirm and state on oath as follows:-

Whereas late Sri/smt ........ was a member of The Bangalore City Co-
operative Bank Ltd., Pampamahakavi Road, Bangalore-18, holding Shares
expired on ……… leaving behind her the mentioned persons as the only
heirs entitled to claim the shares & DRF/title deeds relating to the house
property the security of which he/she had raised loans which was
discharged on.

On our application dated......to the General manager, The Bangalore City


Co-operative Bank Ltd., Bangalore-18, for the return of the shares & DRF /
title deeds of the above property, the Bank insisted upon the execution of a
declaration by us before the return of the title deeds.

Further we authorise Smt. to receive the Shares & DRF/documents of title


of the above property on our behalf. We declare that in the event of any loss
on this account to the Bank. We shall indemnity such loss that may be
incurred by the Bank.

Bangalore DEPONENT

Dated: SWORN TO BEFORE ME

You might also like