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P.O. S.B. Manual Vol. III - India Post

P.O. S.B. Manual Vol. III - India Post

P.O. S.B. Manual Vol. III - India Post

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63FORM – F(See sub-rules (3) and (4) of rule 8)Serial No…………………..Application for closure of account under Senior Citizens Savings Scheme, 2004by Spouse(Joint Holder) / Nominee(s)/Legal HeirsToThe <strong>Post</strong>master/Incharge,…………………………………………………(name of the Deposit office)…………………………………………………Subject: Application for withdrawal /closure of account.Sir,I/We* …………………………………………………………………… the spouse (Joint holder)/ nominee(s) /legal heirs of late……………………………………………. , the depositor to the SeniorCitizens Savings Scheme, 2004 account No…………………………………………….. wish to withdrawthe entire amount standing to the credit of the deceased in the said account.Please find enclosed:-(i) A certificate in regard to the death of the Depositor.*(ii) A Certificate in regard to the death of Shri/ Shrimati……………………………………andShri/Shrimati………………………also the nominee(s) appointed by the Depositor.**(iii) Succession Certificate/Letter of Administration with attested copy of probatedwill of the deceased depositor issued under the provisions of the <strong>India</strong>n Succession Act, 1925.(iv) Pass Book of the Depositor.@(v) Letter of Indemnity.@(vi) Affidavit.@(vii) Letter of disclaimer on affidavitSignature or thumb impression of claimant(s)/Joint HolderWitness………………………………………………………(Signature, name and address)………..Date………………………………………………………………..Place……………………………………………………………….FOR USE BY THE DEPOSIT OFFICEWithdrawal of Rs……………………………………(Rupees………………………………………………………………………….…….) is sanctioned.Adjustments made (to be specified) Rs………………………………………….(Rupees…………………………………………………..)NET AMOUNT PAYABLE Rs………………..………………(Rupees……………………………………...…………………………………)(Signature of incharge of deposit officealong with name & designation stamp)__________________________________________________________________________________RECEIPT TO BE SIGNED BY THE CLAIMANT (S)Received a sum of Rs…………………………. (Rupees…………………………………….)from………………………………………………………….. (name of Deposit office) as per detailsfurnished above, in full settlement of our claim.Date:Place:

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