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SURETY APPLICATION
IN THE COURT OF SESSIONS / METROPOLITAN MAGISTRATES
_____ COURT AT _________
Application No. ___________ of 20___
(Case No. ______ / SS / of _____
Remand Application of ___________________ Police Station dated _______
ABC Applicant /Accused No.1
Versus
The State of ________ Respondents
(through XYZ Police station)
I, ____________, Surety, hereby solemnly affirm and state as follows –
(1) I beg to offer myself as a Surety for _______, Accused No.___, who is charged u/s ____ of ________ Act,____, and who has been ordered to be released on Bail in the Sum of RS. ________ (Rupees ____ Only) with 1 Surety in the like amount by your Worship on ________.
(2) I give below certain particulars concerning myself -
(a) Full name of the Surety:
Qualifications, if any:
Full Residential address:
Period for which the Surety
Has been residing at the above
Address:
Rent paid for the Residence:
Whether the rent bill if the
Residence stands in the name
Of Surety:
(b) Occupation / Business:
Full Business address:
Nature and extent of business
And Surety’s interest therein:
Rent paid for the place of the business:
Whether the Rent bill of the
Place of business stands in
the name of the Surety:
(c) Name and address of the Employer:
(If the Surety is in the Service)
Full address of the place of Service:
Amount of Monthly pay and allowance drawn:
Length of Service with Employer:
Amount of Provident Fund,
If any at the Surety’s credit:
(d) Full particulars of House property owned
If any; its location, rateable value,
Surety’s share of interest therein, and
whether it is in anyway encumbered:
(e) Amount of Income Tax paid each of the
Last three year:
(f) Banking Account, if any, Amount lying
In each Banking Account:
(g) Length of time for which the Surety has
Known the accused personally:
Whether the Surety is related to the Accused;
If so, How:
Whether the Surety has stood surety for any
Other person; if so, state the name of the
Parties; the amount for which the Surety
has stood Surety for them in the Court;
and the number of cases against those
accused; and whether the case / cases against
those persons are being or have concluded.
Whether the Surety has at any time his
Surety Bond forfeited. If so, give particulars:
Whether the Surety has at any time made
an Application for Suretyship which has
been rejected; if so, give the particulars thereof:
Whether the Surety is involved in
any civil litigation:
Whether the Surety himself has been
concerned in any case as an accused
person; if so, give particulars:
(h) Any other particular in regard to the
status of the Surety or income as
which the Surety may desire to give:
(3) I produce the following proof in support of my Statement and give particulars of the same, as below:
Rent bills of Place of Residence
Ration Card
Rent bills of place of Business
Deed of Partnership / other document
Relating to Business
Certificate from the Employer
Certificate of Amount in the Provident Fund
Title deeds of Properties
Municipal bills of the Properties
Bank Pass Book
Income Tax Payment Receipt
Other Proof
Pan Card
Election Card
(4) I pray that I may be accepted as Surety for the above mentioned accused person in the sum of Rs.______=00 (Rupees _______Only)
Solemnly affirmed at ______
This _____ Day of ______, 20___
Signature of the Surety
Before me
Sessions Judge / Metropolitan Magistrate
Identified by me
Advocate for the Surety
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