Statement of Means of Surities
Statement of Means of Surities
Statement of Means of Surities
STATEMENT OF MEANS
1. N a me
b) Business/Office
3. Age
4. Guarantee offered in the account of
5. Occupation
6. Total Annual income for the last two Year ended Year ended
years (copy of IT Returns/orders 31.3……… 31.3…………
to be enclosed in case of Income
Tax Payers.)
7. Whether connected with any other firm (If so, name of the firm and the position therein
to be furnished)
Name of the firm/Company P a r tners/Dir ectors
No.
9. Details of borrowings :
Sl. Amount of From whom borrowed Security of fere d When payable.
No. Borrowing (Rs.)
I hereby declare that the information given hereinabove are true and correct.
Date : ………………………………………
( Signature )
The correctness of the facts contained in the statement has been verified by the undersigned
to the extent possible from the documents/papers furnished by the borrower and also by
making enquiries from the market.