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The Lic Surrender form serves as a critical document for individuals seeking to surrender their life insurance policies. This form captures essential information, including the policy number, the insured individual's name, and the surrender value amount. It is designed to confirm that the policyholder has not made any previous assignments or reassignments of the policy, ensuring that the Life Insurance Corporation of India has clear authority to process the surrender. The form also details the financial components involved, such as the surrender value, any refundable premiums, and deductions for loans or other charges. A witness signature is required to validate the transaction, along with specific instructions for illiterate persons to ensure their identity is verified properly. Additionally, if multiple parties are involved in the surrender, a Letter of Authority must be completed to designate a single individual to receive the payment. The form is structured to provide clarity and protect the interests of all parties involved, facilitating a smooth surrender process.

Lic Surrender Example

_____________ DIVISIONAL OFFICE

FORM OF RECEIPT FOR THE SURRENDER VALUE OF POLICY NO.

--------------------------------------------------------------------------------------------------------------------------------

On the Life of ________________________________________________________________

For Rs._____________________________________________ dated __________________

I/We hereby declare that I/We have not served on any Office of the Life Insurance Corporation of India any Notice of assignment or reassignment in respect of the above POLICY/ POLICIES except those, if any already Registered by the Life Insurance Corporation of India or the Insurer who issued the above POLICY/POLICIES nor Shall I/We serve on any office of the said Corporation, any notice of assignment or reassignment before payment of the Loan Value/ Surrender Value or Survival benefit due on ________________________________ I have not

dealt with the Policy in any other way.

I/We_________________________________________________________________________

____________________________________________________________________________

do hereby acknowledge receipt from the Life Insurance Corporation of India of the sum of Rupees

*___________________________________________________________________ being the Surrender Value including Cash Value of Bonus and premiums refundable on account of occupation extra and / or DAB/EPDB extra of the above

Mentioned Policy, which is herewith delivered up to the said Corporation to be cancelled. In

witness whereof these presents are subscribed by me/us.

at_________________________________________________________________________on

Name of the place

the ______________________________day of _________________________________2000

Date

Month

SURRENDER VALUE (Inclusive of Cash Value of Bonus )

Rs. ______________

Premium refundable on account of occupation extra

Rs._______________

Premium refundable on account of D.A.B. / EPDB extra

Rs. _______________

Less :

 

Loan

Rs. _______________

Interest

Rs. _______________

APL Debt

Rs. _______________

Other Charges (to be specified )

Rs. _______________

 

Rs. _______________

 

Rs. _______________

ENGLISH-KNOWING WITNESS :

 

 

Signature : _____________________________

 

One Rupee

 

 

Revenue

 

 

Full Name : _____________________________

 

Stamp

 

When

 

 

 

 

amount

 

 

 

 

exceeds Rs.

 

500/-

(of the witness)

 

 

 

Occupation : ____________________________

 

 

 

Address : ____________________________

Signature

In Short in

English

______________________________________

 

Full

Vernacular

______________________________________

 

 

 

___________________________________________________________________________

* Gross amount of Surrender Value

* Delete where not applicable

___________________________________________________________________________

Note : Illiterate persons must affix their thumb marks which should be indentified by the attesting Magistrate under the seal of his office, or a Block Development Officer or a Gazetted Officer or a Principal/Headmaster of Local High School or Higher Secondary School run by the Government or an Agent of a Nationalised Bank or Class I Officer of the Corporation or a Development Officer of the Corporation with atleast Five Years' Service provided he/she is fully satisfied about the identify of the person(s) executing the form. Signature in Regional Languages must be attested by respectable English-knowing persons. The witness attesting such Signatures/thumb marks should sign the declaration below :-

"The contents of this discharge form have been explained to ____________________________

______and he/she/they have/has signed the same/put thumb impression after fully understanding

the same.

SEAL OF OFFICE

______________________

IF ANY

 

 

Signature of the Witness

If the Receipt is signed by more than one person and payment is desired to be made to only one of their number, then a letter of Authority as under must be completed and signed by all of them except the authorised person before Magistrate or a Block Development Officer or Gazetted Officer or a Principal/Head Master of Local High School or Higher Secondary School run by the Government or an Agent of a Nationalised Bank or a Class I Officer of the Corporation or a Development Officer of atleast 3 years' standing or confirmed Dev. Officer recruited from Agents who were D.M.'s or B.M.'s Club Members before joining provided he/she is fully satisfied about the identity of the executants. The Letter of Authority will also be required if payment is to be made to any person other than the parties signing the Receipt.

Place__________________

Date __________________

I/We hereby authorise and request Life Insurance Corporation of India to pay the above mentioned amount of Rs. ______________________________________________________

to ________________________________________________________________________

(Name of the authorised person)

Signed by the party or parties

Within-mentioned in the presence of :

______________________

Signature/s in full

__________________________________________________________________________

Magistrate or a Block Development Officer or a Gazetted Officer etc.

??I hereby certify that the contents of this note of Authority were explained by me in vernacular

to

____________________________________________________________________________

____________________________________________________________________________

and he/she has agreed to payment being made to ____________________________________

They have

______________________________________the party or parties authorised.

Magistrate or a Block Development Officer or a Gazetted Officer etc.

____________________________________________________________________________

??This endorsement is required to be completed and signed by the attesting Magistrate, or a Block Development Officer or a Gazetted Officer etc. when the Note of Authority is completed by an illiterate or Vernacular knowing person.

F.No. 5074/3510 (Rev.)

___________________

File Breakdown

Fact Name Description
Purpose The Lic Surrender form is used to formally request the surrender value of a life insurance policy from the Life Insurance Corporation of India.
Declaration Requirement Individuals must declare that they have not assigned or reassigned the policy prior to surrendering it.
Witness Requirement A witness, who understands English, must sign the form, especially if the surrender amount exceeds Rs. 500.
Identification for Illiterate Persons Illiterate individuals must affix their thumbprint, which must be verified by an authorized official.
Governing Laws This form is governed by the Life Insurance Corporation Act and relevant regulations under Indian law.
Payment Authorization If payment is to be made to someone other than the signatories, a separate Letter of Authority must be completed.

Guide to Using Lic Surrender

After completing the Lic Surrender form, the next step involves submitting it to the Life Insurance Corporation of India. Ensure all sections are accurately filled out to avoid delays in processing. Proper identification and witness signatures may also be required depending on individual circumstances.

  1. Begin by entering the policy number at the top of the form.
  2. Provide the name of the policyholder in the designated space.
  3. Fill in the amount of the surrender value in the specified field.
  4. Write the date of the surrender in the appropriate section.
  5. Confirm that no notices of assignment or reassignment have been served by checking the relevant box.
  6. Complete the declaration by signing your name and providing any necessary details.
  7. Specify the total surrender value, including cash value of bonus and any refundable premiums.
  8. Deduct any loans, interest, or other charges from the surrender value.
  9. Have an English-knowing witness sign the form and provide their full name and occupation.
  10. If applicable, affix a one rupee revenue stamp where required.
  11. If there are multiple signatories, complete the Letter of Authority for payment to be made to one authorized person.
  12. Ensure all signatures are present and the form is dated correctly.

Get Answers on Lic Surrender

What is the Lic Surrender form?

The Lic Surrender form is a document used to officially request the surrender of a life insurance policy. By completing this form, the policyholder declares their intention to cancel the policy and receive the surrender value, which may include cash value of bonuses and any refundable premiums. It is important to ensure that all necessary information is accurately filled out to avoid delays in processing.

Who needs to sign the Lic Surrender form?

All policyholders listed on the insurance policy must sign the Lic Surrender form. If the policy is held jointly, each holder must provide their signature. In cases where the policyholder is illiterate, a thumbprint is acceptable, but it must be witnessed and attested by an authorized individual, such as a magistrate or a gazetted officer.

What information is required to complete the form?

To complete the Lic Surrender form, you will need to provide:

  1. Your policy number.
  2. The name of the insured individual.
  3. The total surrender value, including any bonuses and refundable premiums.
  4. Details of any loans or other charges against the policy.
  5. The date and place of signing the form.

Ensuring that all this information is accurate will help facilitate a smooth surrender process.

What happens after I submit the Lic Surrender form?

Once you submit the Lic Surrender form, the insurance company will review the request. If everything is in order, they will process the surrender and issue payment based on the surrender value. This process may take some time, so it's advisable to keep a copy of the submitted form for your records and follow up if you do not receive confirmation within a reasonable period.

Can I authorize someone else to receive the surrender value on my behalf?

Yes, you can authorize another person to receive the surrender value. To do this, you must complete a Letter of Authority, which must be signed by all policyholders and the authorized individual. This letter should also be witnessed by a qualified official. The authorized person will then be able to collect the payment on your behalf.

What should I do if I encounter issues with the Lic Surrender form?

If you face any issues while completing or submitting the Lic Surrender form, it is best to contact the customer service department of the Life Insurance Corporation of India. They can provide guidance and assistance in resolving any problems. Additionally, you may want to consult with a legal advisor for further support if needed.

Common mistakes

Filling out the Lic Surrender form can be straightforward, but many individuals make common mistakes that can delay the process. One frequent error is failing to provide complete personal information. Ensure that all required fields, such as the policy number and the name of the insured, are filled out accurately. Incomplete information can lead to processing delays.

Another mistake is neglecting to check for existing assignments. The form requires a declaration that no notice of assignment or reassignment has been served, except for those already registered. Omitting this detail can complicate the surrender process and may require additional documentation.

Many individuals also overlook the importance of signatures. The form must be signed by all parties involved, and if there are multiple signers, each must sign in the presence of an authorized witness. Failing to do so can result in the form being rejected.

Additionally, not specifying the correct amounts can create issues. Ensure that all financial figures, including the surrender value and any deductions, are accurately calculated and clearly stated. Mistakes in these amounts can lead to misunderstandings about the payment due.

Another common oversight is not providing the required witness signature. The form mandates a witness who is proficient in English. If this step is skipped, it can lead to delays or rejections.

Some individuals may forget to attach necessary documents, such as proof of identity or previous correspondence regarding the policy. This omission can hinder the processing of the surrender request.

It is also crucial to pay attention to the instructions regarding thumb impressions for illiterate persons. If applicable, ensure that the thumb impression is properly witnessed and attested, as failure to do so can invalidate the form.

Moreover, not keeping a copy of the submitted form is a mistake that can lead to complications later. Retaining a copy allows for easy reference in case any issues arise during processing.

Finally, submitting the form without reviewing it thoroughly can result in errors. Take the time to double-check all entries before submission to ensure that everything is accurate and complete. This careful review can save time and prevent unnecessary delays in receiving the surrender value.

Documents used along the form

When surrendering a life insurance policy, several other forms and documents may be needed alongside the Lic Surrender form. Each of these documents serves a specific purpose and helps ensure a smooth process. Here’s a list of commonly used documents:

  • Letter of Authority: This document allows the policyholder to designate a specific person to receive the surrender value on their behalf. It must be signed by all parties involved and may require notarization.
  • Claim Form: If the policyholder is claiming benefits from the policy, this form must be filled out. It provides necessary details about the policy and the claim being made.
  • Identity Proof: A government-issued ID, such as a driver's license or passport, is often required to verify the identity of the policyholder and any authorized representatives.
  • Address Proof: Documents like utility bills or lease agreements may be needed to confirm the current address of the policyholder, ensuring all records are up-to-date.
  • Policy Document: The original policy document must be submitted along with the surrender form. This serves as proof of the policyholder's ownership and the terms of the policy.
  • Witness Declaration: If the policyholder is illiterate or unable to sign, a witness declaration may be required. This document confirms that a witness has observed the signing or thumb impression.
  • Tax Clearance Certificate: In some cases, a certificate may be needed to confirm that any applicable taxes related to the policy have been settled before the surrender.
  • Loan Repayment Agreement: If there is an outstanding loan against the policy, this document outlines the terms for repayment before the surrender value can be processed.
  • Nominee Declaration: If there are any changes to the nominated beneficiary, a declaration form must be completed to ensure that the right person receives the benefits.
  • Medical History Form: Depending on the policy, insurers may require a form detailing the policyholder’s medical history, especially if the surrender value is being calculated based on health-related factors.

Gathering these documents can help streamline the surrender process and ensure that all requirements are met. It’s important to check with the insurance provider for any specific documentation they may require, as this can vary by company and policy type.

Similar forms

The Lic Surrender form has similarities with several other documents related to financial transactions and agreements. Here are four documents that share common features with the Lic Surrender form:

  • Power of Attorney: Like the Lic Surrender form, a Power of Attorney grants authority to another person to act on behalf of the signer. Both documents require signatures and may need a witness to validate the agreement.
  • Release of Liability Form: This form releases one party from liability to another. Similar to the Lic Surrender form, it involves a declaration of understanding and acceptance of terms, often requiring a witness for verification.
  • Loan Agreement: A Loan Agreement outlines the terms of borrowing money. Both documents involve financial transactions and require clear acknowledgment of amounts and conditions. Signatures from all parties involved are essential.
  • Settlement Agreement: This document resolves disputes between parties. Like the Lic Surrender form, it includes a declaration of terms agreed upon by all parties and often necessitates a witness to confirm the authenticity of signatures.

Dos and Don'ts

When filling out the Lic Surrender form, it's important to follow specific guidelines to ensure accuracy and compliance. Here are eight things you should and shouldn't do:

  • Do provide accurate personal information, including your name and policy number.
  • Do ensure all required signatures are present, especially from witnesses.
  • Do double-check that all amounts are correctly calculated and clearly stated.
  • Do use clear and legible handwriting to avoid any misunderstandings.
  • Don't leave any sections of the form blank; fill in all necessary details.
  • Don't forget to have the form witnessed by an authorized individual if required.
  • Don't alter any information on the form after submission; it may lead to complications.
  • Don't submit the form without checking for any additional documentation that may be needed.

Following these guidelines will help ensure a smooth process when submitting your Lic Surrender form.

Misconceptions

Misconceptions about the Lic Surrender form can lead to confusion and potential issues during the surrender process. Here are six common misunderstandings:

  • The form can be submitted without proper identification. Many believe that identification is not necessary. However, identification is crucial to verify the identity of the person surrendering the policy.
  • All signatures must be in English. It is a misconception that only English signatures are valid. Signatures in regional languages are accepted but must be attested by an English-knowing witness.
  • Only the policyholder can sign the form. Some think that only the policyholder is allowed to sign. In reality, if there are multiple policyholders, all must sign unless a letter of authority is provided.
  • Submission of the form guarantees immediate payment. Many assume that submitting the form will result in instant payment. The processing time may vary, and several factors can affect when the payment is issued.
  • There are no fees associated with surrendering the policy. It is a common belief that surrendering a policy is free of charge. However, various deductions such as loans and other charges may apply, impacting the final surrender value.
  • The surrender value is the same as the cash value of the policy. Some individuals think that the surrender value equals the cash value. In fact, the surrender value may include additional components, such as bonuses and premiums refundable.

Understanding these misconceptions can help ensure a smoother surrender process and prevent unnecessary delays or complications.

Key takeaways

When filling out and using the Lic Surrender form, there are several important points to keep in mind:

  • Ensure Accuracy: Double-check all information entered on the form, including policy numbers and personal details. Errors can lead to delays in processing your surrender request.
  • Witness Requirement: A witness must sign the form. This person should be someone who understands English and can attest to the identity of the signatory, especially if thumb impressions are used.
  • Loan and Charges: Be aware of any outstanding loans or charges against the policy. These amounts will be deducted from the surrender value, so it's crucial to have this information readily available.
  • Authority for Payment: If the payment is to be made to someone other than the signatory, a Letter of Authority must be completed and signed by all parties involved. This ensures that the funds are disbursed correctly.