Fill and Sign the Indemnity Agreement Form

General Form of an Indemnity Agreement Indemnity agreement made on the ____ day of ___________________________, 20___, between ______________________________________________________ (name of person promising to indemnify) of _______________________________________________________ ______________________________________________________________________________ ________________________________ (street address, city, county, state, zip code) , referred to herein as Indemnitor, and ________________________________________________________ (name of person to be indemnified), a corporation organized and existing under the laws of the state of _____________________________________, with its principal office located at ______________________________________________________________________________ ______________________________________________________________________________ _______________________________ (street address, city, county, state, zip code) , referred to herein as Indemnitee. For and in consideration of the mutual covenants contained in this Agreement, and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties agree as follows: 1. Liability, Loss or Damage Indemnitor agrees and undertakes to indemnify Indemnitee from any and all liability, loss, or damage Indemnitee may suffer as a result of claims, demands, costs, or judgments against Indemnitee arising from ____________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ (set forth facts that would result in indemnification). 2. Duration Indemnity under this Agreement shall commence on _____________________________ _______________ (e.g., the date of execution of this Agreement) , and shall continue in full force until _____________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ (indicate event that results in termination of promise to indemnify). 3. Requirement of Notice to Indemnitor Indemnitee agrees to notify Indemnitor in writing, within ______days, by registered or certified mail, at Indemnitor's address as stated in this Agreement, of any claim made against Indemnitee on the obligations indemnified against. WITNESS our signatures as of the day and date first above stated. ____________________________________ (Name of Indemnitee) ________________________________________ By_________________________________ (Name of Indemnitor) ____________________________________ (Name and Office in Corporation)