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Indemnification Agreement-- Replacement Cashiers Check



INDEMNIFICATION AGREEMENT-REPLACEMENT CASHIERS CHECK

Agreement made on [date of agreement], between [Name of bank customer], of [address of bank customer], [city of bank customer], [state of bank customer], referred to as customer, and [Name of bank], of [address of bank], [city of bank], [state of bank], referred to as bank.

1. Customer has requested that bank issue a cashiers check to replace banks original cashiers check Number [Number of check], dated [Date of check]. A copy of the original cashiers check is attached as Exhibit and incorporated by reference. [Indication how check was lost, stolen or destroyed, for instance: Banks records show that the original check was placed in the United States mail. However, to date, customer has not received the check].

2. Customer warrants that person authorized to endorse check, such as: [Name of person], [he or she] is the only person authorized to endorse checks in [his or her] own behalf or the only persons authorized to endorse the check on customers behalf are [Name of first authorized person] and [Name of second authorized person]; neither of these persons has endorsed the check in question. Customer further warrants that customer does not know of the location of the original cashiers check. However, if customer should find the check, customer agrees to promptly deliver it to bank.

3. Customer agrees to indemnify bank against any claims, losses, or liabilities bank might incur as a result of a finding by a court of proper jurisdiction that the check bears the genuine indorsement of [customer or customers authorized representatives]; the check was properly endorsed to the person bringing the proceeding; and that person is a holder in due course.

4. Bank agrees to notify customer immediately on receipt of a claim on the cashiers check by a person claiming to be a holder in due course. Bank further agrees to allow customer to defend against any such claims. Such notice and opportunity to defend are conditions precedent to customers indemnification obligations under this agreement. In the event that such proceedings are brought, and the court finds that the signature was unauthorized, the parties shall share the expenses of defending against the action, including reasonable attorney fees.

Dated:


[Signature of customer]


[Signature and title of bank representative]