Filing the Form 3815 must be completed if you plan to obtain or renew a license from the Department of Financial Services in Florida. The form is an important document for businesses, professionals, and organizations as it provides records of certain financial transactions required by law. This blog post will provide detailed information about completing the Lic Form 3815 accurately and efficiently so you can ensure compliance with all applicable regulations. We'll cover everything from who must complete this form to how to make sure you have all necessary documentation before filing - no matter what kind of business or organization you manage!
| Question | Answer |
|---|---|
| Form Name | Lic Form 3815 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | lic form 3815, lic lost policy form 3815, lic 3815 form pdf hindi, lic 3815 form |
F. No. 3815(Rev)
(To be stamped Rs.At the stamp office or Collector’s Office BEFORE EXECUTION or to be copied out on a
To all to whom these present shall come ____________________________________
________________________________________________________________________ of
(Name of all Payees & Surety)
____________________________________________________________________________
(Name of all residence of Payee/s)
inhabitiants send Greetings
where a Policy of Insurance Numbered ___________________ for Rs. ____________________
was granted on _________________by the Life Insurance Corporation of India, established by the
Life Insurance Corporation Act 31 of 1956 (hereinafter referred to as the Corporation ) on the life
of ___________________________________________________________________________
(Name of Policyholder)
and WHAREAS _____________________________________________________ which was in
(Policy No. or Assignment Deed Dated)
Possession of ____________________________________________ has been lost or misplaced
(Name of Policyholder)
and whareas the said Corporation has on the said_____________________________________
_____________________________________________________________________________
(Name of all Payees & Surety)
undertaking to enter into the said Corporation a covenant of the nature hereinafter appearing agreed to pay to the said _________________________________________________________________
(Name or Name of Payee/s)
__________________________________________________________ the value of the said Policy
viz. Rs. ________________________ now know ye and these presents witness that in pursuance of
the said agreement and in consideration of the said Corporation having agreed to pay the value of the said Policy to the said_______________________________________________________________
(Name or Name of Payee/s)
(the receipt whereof is hereby acknowledged) they the said_________________________________
(Name or Name of Payee/s & Surety)
their hairs, executors or adminstrators will from time to time and at all times save and keep harmless and indemnified the said Corporation its succossers and assignees of and from all actions, suits, costs claims and demands of whatever nature and kindsover which may be instituted, preffered claimed or made against the said Corporation, its successor or assignees by any persons or person by reason of his, her, their possession of or right to the said original
_____________ ___________________________________________________________________
[Pol. No. or Assignment Deed Dated]
by reason of anything in relation to the premises.
In witness whereof the said
(Names of Payee/s & Surety)
have hereunto put their hands at _____________this _______________day of _____________20___
Signed and delivered by the said _______________________________________________________
(Names of Payee/s & Surety)
W
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S
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In the presence of : |
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1) Full Signature of witness |
______________________ |
1) |
______________________ |
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Signature |
Designation : ________________________ |
2) |
______________________ |
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Signature |
Address : _____________________________
._____________________________
2)Full Signature of witness _________________ Signature of Surity __________________
Designation : __________________
Designation : __________________
Address: ______________________
Adrress : _________________________
N o t e : If this Bond is signed in Vernacular one of the attesting witnesses should be requested to certify that the contants of this Bond were explained to the party in varnacular before execution.
Illitrate Persons must affix their thumb impression which should be attested by Megistrate S.E.M. A Gazetted officer, a Block Development Officer or Class 1 Officer of the Corporation Provided
He is fully satisfied about the identify of the claimant