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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