Scribd Logo
Upload

Welcome to Scribd!

  • 197 views

    Form-G - (PPF Deceased Claim)

    Uploaded by

    Chandan Kumar
    This document is an application form for legal heirs or nominees to withdraw funds from a deceased person's Public Provident Fund (PPF) account. It requests the withdrawal of the entire balance of the late [name]'s PPF account number [number]. Various documents are required to be enclosed with the form, including a death certificate, succession certificate or letters of administration, the PPF passbook, and signed affidavits and letters of indemnity or disclaimer. The legal heirs or nominees must sign the form, which is then processed by the bank branch to sanction payment of the PPF balance via demand draft or bank cheque in the name of the claimant(s).

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Form-G - (PPF Deceased Claim)

    Uploaded by

    Chandan Kumar
    197 views4 pages
    This document is an application form for legal heirs or nominees to withdraw funds from a deceased person's Public Provident Fund (PPF) account. It requests the withdrawal of the entire balance of the late [name]'s PPF account number [number]. Various documents are required to be enclosed with the form, including a death certificate, succession certificate or letters of administration, the PPF passbook, and signed affidavits and letters of indemnity or disclaimer. The legal heirs or nominees must sign the form, which is then processed by the bank branch to sanction payment of the PPF balance via demand draft or bank cheque in the name of the claimant(s).

    Original Description:

    Sbii

    Original Title

    Form-g_(Ppf Deceased Claim)

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document is an application form for legal heirs or nominees to withdraw funds from a deceased person's Public Provident Fund (PPF) account. It requests the withdrawal of the entire balance of the late [name]'s PPF account number [number]. Various documents are required to be enclosed with the form, including a death certificate, succession certificate or letters of administration, the PPF passbook, and signed affidavits and letters of indemnity or disclaimer. The legal heirs or nominees must sign the form, which is then processed by the bank branch to sanction payment of the PPF balance via demand draft or bank cheque in the name of the claimant(s).

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    197 views4 pages

    Form-G - (PPF Deceased Claim)

    Uploaded by

    Chandan Kumar
    This document is an application form for legal heirs or nominees to withdraw funds from a deceased person's Public Provident Fund (PPF) account. It requests the withdrawal of the entire balance of the late [name]'s PPF account number [number]. Various documents are required to be enclosed with the form, including a death certificate, succession certificate or letters of administration, the PPF passbook, and signed affidavits and letters of indemnity or disclaimer. The legal heirs or nominees must sign the form, which is then processed by the bank branch to sanction payment of the PPF balance via demand draft or bank cheque in the name of the claimant(s).

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 4

    FORM – G

    [See sub paragraph (6) of paragraph 12]


    Application for withdrawal by Nominees/Legal Heirs under
    The Public Provident Fund Scheme 1968

    To,
    The Chief / Branch Manager
    State Bank of India
    ____________________
    ____________________

    I / We ________________________ the Nominee(s) / Legal Heir(s) of Late _____________________


    the subscriber to Public Provident Fund Account No ____________________ wish to withdraw the
    entire amount sanding to the credit of the Deceased in the said Account.

    Please find enclosed:

    (i) A Certificate in regard to the Death of the Subscriber.


    * (ii) Certificate in regard to Death of Mr. / Mrs. ______________________________ also the
    Nominee(s) appointed by the Subscriber.
    ** (iii) Succession Certificate / Letters of Administration with Attested Copy of Probate will of
    the Deceased issued by _______________ High Court.
    (iv) Passbook of PPF A/c of the Subscriber.
    @ (v) Letter of Indemnity
    @ (vi) Affidavit
    @ (vii) Letter of Disclaimer on Affidavit

    PLACE : ____________ Signature / Thumb Impression of


    DATE : ___/___/20___ Claimant(s) / Nominee(s)

    * Delete if not Applicable.


    ** Strike Off if there is a valid Nomination.
    @ To be produced by the Legal Heirs in the absence of Nomination.
    …………………………………………………………………………………………………………………………………………………
    TO BE USED BY THE BRANCH

    Payment of Rs.___________ (Rupees ___________________________________ Only) is sanctioned


    as full Settlement of PPF A/c No _______________ vide DD/BC No __________ dated ___/___/20___
    favouring _____________________________________

    Date : ___/___/20___ Branch / Service Manager


    …………………………………………………………………………………………………………………………………………………
    RECEIPT TO BE SIGNED BY THE NOMINEE / CLAIMANT

    Received the sum of Rs.___________ (Rupees __________________________________) from the


    State Bank of India _________________ (Branch) as full settlement of my / our claim.

    Re.1/-
    Revenue
    Stamp

    Date : ___/___/20___ Claimant(s) / Nominee(s)

    SBI FORMS BY 4577825


    Annexure – I to FORM-G
    (Letter of Indemnity)

    To,
    The Chief / Branch Manager
    State Bank of India
    ____________________
    ____________________

    In consideration of your paying or agreeing to pay me/us _______________________ (Names of


    Legal heirs) the sum of Rs____________ standing in Public Provident Fund Account No ____________
    with your Bank in the name of __________________________________ Without production of letters
    of administration or a succession certificate to the estate of the deceased _____________________
    (Name of the subscriber) 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 and we ________________________
    (Sureties) do hereby for ourselves and our heirs, legal representatives, executors and administrators
    jointly and severally undertake and agree to indemnity you and your successors and assigns 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 having agreed to pay/or paying me/us the sum as
    aforesaid.

    In witness whereof we have hereunto set your hands at ______________ on this ___ day of ________
    20___ in the presence of witnesses.

    Signed and delivered by the above named


    Heir/heirs of the deceased
    Signed and delivered by the
    Above named Sureties

    (i) ____________________ (Signature of Surety)


    ____________________ (Name & Address of Surety)
    ____________________
    ____________________

    (ii) ____________________ (Signature of Surety)


    ____________________ (Name & Address of Surety)
    ____________________
    ____________________

    Name and Address of Witnesses

    (i) ____________________ (Signature)


    ____________________ (Name & Address)
    ____________________
    ____________________

    (ii) ____________________ (Signature) Attested


    ____________________ (Name & Address)
    ____________________
    ____________________ Notary Public

    SBI FORMS BY 4577825


    Annexure – II to FORM-G
    (Affidavit)

    To,
    The Chief / Branch Manager
    State Bank of India
    ____________________
    ____________________

    I / We ___________________________ Husband/Wife of Late _____________________ aged ___


    years sons/daughters of the said Late ______________________ resident of ___________________
    _____________________________ do hereby declare and solemnly affirm as under :-

    1. That I / We am/are the only heir(s) of the Deceased Late ________________________ who died at ______
    on ___/___/20___. I / We alone represent the estate of Shri. / Smt. _________________________________

    2. That the Deceased Late __________________________ did not leave any WILL and therefore I/We am/are
    the only Successor(s) to the estate of the said Deceased.

    1) _________________________________

    2) _________________________________

    3) _________________________________

    4) _________________________________ DEPONENTS

    Verification:

    I/We, the above named deponents do hereby verify on solemn affirmation at __________ (name of
    place) that the contents of this affidavit are true to my/our knowledge and nothing material has been
    concealed.

    1) _________________________________

    2) _________________________________

    3) _________________________________

    4) _________________________________ DEPONENTS

    Dated : ___/___/20___

    ATTESTED

    (Oath Commissioner)

    SBI FORMS BY 4577825


    Annexure – III to FORM-G
    (Letter of Disclaimer on Affidavit)

    To,
    The Chief / Branch Manager
    State Bank of India
    ____________________
    ____________________

    I / We _______________________________ Husband/ Wife of _____________________________ residents of


    __________________________________________________

    (i) __________________________________ Son / Daughter of ______________________________________


    (ii) __________________________________ Son / Daughter of ______________________________________
    do hereby solemnly affirm as follows:-
    1) That Shri / Smt. _________________________________ died instate on ____/___/20___ leaving behind us
    _______________________________ his / her only Heirs.
    2) That we __________________________ heirs of our late father/mother for ourselves and on
    behalf of our heirs, executors, representatives and assigns do hereby relinquish our claims to the
    balance of Rs ____________ which may be credited to the account sought by our mother/father to
    be opened in your branch in the name of the estate of the said ________________________
    deceased father/mother after the realisation of Draft No ____________ on ___/___/20___ issued
    by State Bank of India and we have no objection whatsoever in the balance in the above referred
    PPF Account no ___________________ together with interest, if any, accrued thereon being paid
    by the Bank to our said mother/father Mrs./Mr. _________________________

    1) _________________________________
    2) _________________________________
    3) _________________________________
    4) _________________________________ DEPONENT(S)

    Verification:

    I/We, the above named deponents do hereby verify on solemn affirmation that the contents of this
    affidavit are true to my/our knowledge and nothing material has been concealed.

    1) _________________________________
    2) _________________________________
    3) _________________________________
    4) _________________________________ DEPONENT(S)
    Dated : ___/___/20___

    I identify the deponent(s) who is/are personally known to me and who has/have signed in my presence

    ATTESTED

    (Oath Commissioner)
    Dated : ___/___/20___

    (Annexure I to III to Form G added vide Ministry of Finance (DEA) Notification No.F-3(6)PD/86 dated 23/03/1986)

    SBI FORMS BY 4577825

    You might also like