Model format of petition for pay order to withdraw the amount deposited in motor accidents claims cases by the insurer

 

BEFORE THE MOTOR ACCIDENTS CLAIMS TRIBUNAL

(COURT)

PLACE

IA NO           OF  20

IN

MCOP NO        /20

Name of the insurance company          ---    Petitioner / 2^nd  respondent.

 

                                                                        VS

Name of the petitioner                                   ---   Respondent / petitioner.

AFFIDAVIT

I, Name, s/o -----, aged      years, -------- officer, ---- insurance co ltd., having it’s office at    ---   do hereby solemnly affirm and sincerely state as follows:-

1.     I am an officer of the petitioner insurance company, divisional office and I know the facts of  the case. In the above claim, our insurance company is the 2^nd  respondent in the main petition.

 

2.     The petitioners had filed the claim petition for the grant of compensation on account of the injuries sustained by him in  a motor vehicle accident.

 

3.     This hon’ble court awarded a sum of Rs. -----/ along with interest and cost on -------. Accordingly, the petitioner/2^nd respondent herein deposited a sum of Rs.25,000/ and Rs.----/ totally Rs.-----/ into the court.

 

4.     The petitioner/2^nd  respondent had filed an appeal in CMA NO ---- /20  on the file of the   ---------  high court, on the ground that, the vehicle  bearing  regn.no. ------------  was  insured with this petitioner/2^nd respondent with act only policy and the insurance company is not liable to pay compensation. The appeal is allowed and this petitioner / 2^nd respondent is exonerated from liability and permitted to withdraw the entire award amount with proportionate accrued interest by filing necessary application and the Respondent / 1^st respondent is liable to pay the compensation amount. The  amount of Rs. -------/ along with accrued interest shall be refunded to the petitioner / 2^nd respondent insurance company. The petitioner/2^nd  respondent is entitled to withdraw the  amount.

 

5.     The invested amount is send for from the bank as per order in IA NO  / 20 dated ----. After send far now a sum of Rs.---- / is in C.C.D. The petitioner / 2^nd respondent is entitled to  the said amount.

 

6.     Hence pay order to the tune of Rs.--------/ may be issued in favour of this petitioner / 2^nd respondent or else much loss and hardship will be caused.

 

7.     There is no attachment or impediment over the above amount.

 

8.     This petitioner/2^nd respondent undertake to redeposit the above said amount as and when required by this hon’ble court.

 

9.     In the above circumstances in the interest of justice pay order may be issued for Rs.------------/in ------ bank, place, account number -------------, MICR code -----------, IFSC code -------- in favour of the petitioner, and thus render justice.

 

 

It is therefore just and necessary that this hon’ble court may be pleased to issue a pay order For Rs. -------------- / and thus render justice. 

 

 

Petitioner/2^nd  respondent.

Solemnly affirmed and signed before me

On this the     day of         ,2021

At palayamkottai.

 

                                    Advocate.

 

BEFORE THE MOTOR ACCIDENTS CLAIMS TRIBUNAL

(COURT)

PLACE

IA NO           OF  20

IN

MCOP NO        /20

Name of the insurance company          ---    Petitioner / 2^nd  respondent.

 

                                                                        VS

Name of the petitioner                                   ---   Respondent / petitioner.

PETITION UNDER RULE 163 & 165 CPC

1.Address of the petitioner/2^ND  respondent:

                           -----

2.Address of the Respondents/claimants:

                         ---------    

1.         For the reasons stated in the accompanying affidavit, it is prayed that this hon’ble court may be pleased to issue pay order for Rs.------------/in ------ bank, place, account number -------------, MICR code -----------, IFSC code -------- in favour of the petitioner, and thus render justice.

 

 

Advocate for the petitioner /2^nd  respondent.

 

 

 

 

BEFORE THE MOTOR ACCIDENTS

CLAIMS TRIBUNAL,

(COURT)

PLACE.

IA NO           OF       20

In

MCOP         OF   20

 

 

 

Name of the insurer.

Petitioner / 2^nd  respondent.

 

 

 

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

Petition on behalf of the petitioner/

2^nd  respondent under

RULE 163 & 165 CPC

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

 

 

 

 

Name

--  Respondents/claimants.

 

 

 

BY

NAME,

ADVOCATE,

PLACE.

 

 

Encl

Affidavit  1.

 

 

BEFORE THE MOTOR ACCIDENTS CLAIMS TRIBUNAL

(COURT)

PLACE

IA NO           OF  20

IN

MCOP NO        /20

Name of the insurance company          ---    Petitioner / 2^nd  respondent.

 

                                                                        VS

Name of the petitioner                                   ---   Respondent / petitioner.

 

Receipt

        Received a sum of Rs.------- (Rupees                      only) by way of pay order towards appeal deposit amount along with interest in the above mentioned case to the petitioner / 2^nd respondent.

 

Revenue stamp to be

Affixed and signed.