RELEASE OF A BOND OBLIGATION, WHEN THE BOND IS LOST

KNOW ALL MEN BY THESE PRESENTS that 1, A, son of .............resident of ……………

SEND GREETINGS.

WHEREAS the said X, son of Y, son of …………… and Z son of …………..bound

themselves to the said A by a bond dated...............for payment of a sum of Rs . …………… to
the said A.

AND WHEREAS the said sum of Rs ……………has been paid with interest in full discharge of
the said bond.

AND WHEREAS the said bond having been misplaced or lost by the said A and therefore,
cannot be delivered up to the said X, Y and Z

NOW THESE PRESENTS WITNESS THAT 1, the said A for the aforesaid consideration hereby
release and discharge forever the said X, Y and Z and each of them from the obligation of the
said bond for all sum there under payable to me or my executors, administrators and assigns.

IN WITNESS WHEREOF the above named A has hereunto set his hand the day, month and
year first above written.

WITNESSES
1 Signed and delivered by the within named A

2.