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A Declaration and an Indemnity
1. We, …………………………………………, are having office at ………………………………………………… , state on solemn affirmation as under : -

2. We are the members of the …………………………………….. Co-operative Society Limited, a Co-operative Society registered under the Maharashtra Co-operative Societies Act, 1960 and such members we hold the requisite shares issued by the said society bearing consecutive numbers from ……….. to ………. (both inclusive) as also Office premises being office No. ………, on the ……. floor of the building "……………………….." at …………………………………………………

3. By an Agreement of Sale executed on ………………… by us in favour of our Transferee, namely ……………………………….., for transfer of the aforesaid shares
and the aforesaid office premises held by us members of the ……………………………………..Co-operative Society Ltd. (hereinafter referred to as the "Said Society") on the terms and conditions and for the consideration mentioned therein.

4. We hereby declare that we have not encumbered in any manner whatsoever including by way of mortgage, charge, lien the said shares and the said premises and that we have full right, title and absolute authority to sell, transfer the aforesaid shares and the aforesaid premises with the due permission of the said Society.


5. We hereby further declare that we have not agreed to sell and/or transfer the said shares and the said premises to any other party/parties except the Transferee named hereinabove nor we have received any consideration either in part or in full or as and by way of deposit or earnest money from any other party or parties for the sale of the aforesaid shares and the aforesaid premises.

6. We hereby further declare that we are in full possession - both physical and juridical - of the said premises and that we have not encumbered the said premises by way of tenancy and/or leave and licence or by any other arrangement.

7. We hereby now indemnify and keep forever indemnified the said Society and its present and future office bearers against any claim, suit and any of the legal proceedings by any person or persons lawfully or equitably claiming any right, title and interest in the said shares and the said premises and in any manner objecting to the transfer of the said shares and the said premises to the aforesaid Transferee.

8. We hereby further declare and admit that this indemnity shall include all costs, charges and expenses that the said Society and its office bearers may have to incur as a result of any such claim and/or suit and/or any other legal proceedings whereby the action of the said Society in approving the said transfer of the said shares and the said premises to the aforesaid Transferee is challenged.

9. We hereby declare that we are conscious of the fact that on the basis of this declaration and indemnity hereby executed by us of our own free will in favour of the said Society and its present and future office bearers that the said Society and its Managing Committee shall consider approving the transfer of the said shares and the
said premises to the aforesaid proposed Transferee and to admit the said Transferee as its member in our place.

Solemnly affirmed at Mumbai, this ………… day of ……….…... )  
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    Before me
Identified & Interpreted By me :