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    Asset - and - Liabilities - Format - For - Borrower - and - Guarantor Signed

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    Surabhi Rathore

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Asset - and - Liabilities - Format - For - Borrower - and - Guarantor Signed

    Uploaded by

    Surabhi Rathore
    8 views3 pages

    Original Title

    Asset_and_Liabilities_Format_for_Borrower_and_Guarantor Signed

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    8 views3 pages

    Asset - and - Liabilities - Format - For - Borrower - and - Guarantor Signed

    Uploaded by

    Surabhi Rathore

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    INDIAN BANK, BRANCH

    DETAILS OF ASSETS AND LIABILITIES

    OF____________________________________________________ AS ON
    Add:_________________________

    Lands. IMMOVABLE PROPERTY.


    Name of the Ancestral of If encumbered Extent in acres Doc Regn No. Total value
    village or Taluka Self acquired To what extent Wet/Dry Date & Rs
    Where the lands Address of
    are situated with Registrar
    S.No Office

    (1) Total Rs

    Buildings
    Name of the village Ancestral or If Doc Regn Total Value
    or Town where they are Self- encumbered No. Date & Rs.
    situated and the street & acquired. To what Address of
    Municipal No: Extent. Registrar
    Office
    Residential
    House
    Shops and
    factories
    Machinery/
    Vehicles etc
    (2) Total

    Liquid Assets
    Nature of If encumbered Amount Market Total Value
    stock To what extent Value Rs.
    Cash & Bank Balance

    Investment in business
    Investment in Government
    Promissory Notes, shares,
    NSC Etc
    Other movable property
    like Life Policy etc. (Paid
    up value)
    (State their nature)
    (3) Total Rs
    (1)+(2)+(3) Grand Total of Assets Rs
    Liabilities
    Borrowing SECURITY

    Nature Value Limit Amount borrowing


    Rs
    From our Bank*
    From other Bank*
    From other sources*
    Gross Income for the year 20__ - __ : Rs.
    Net Income for the year 20__ - __ : Rs.

    I certify that all information furnished above is true. I have no borrowing except those mentioned above. No
    legal action has been taken or pending in any court against me/us/firm/company .I am not in the defaulters
    list of RBI/SAL of ECGC. I am not directors on board of any Public/Private sector/Co-operative Banks. I am
    also not related to any official of Indian Bank.

    Date: Signature.
     Furnish full details on the reverse side.

    Investment in Business
    Name of the Company/Firm Amount invested Amount withdrawn Net investment.

    *Borrowings from our Bank


    Name of the Nature of facility Limit sanctioned Security value (Rs) Balance
    branch outstanding (Rs)

    *Borrowing from other Banks


    Name of the Bank Name of branch Nature of facility Amount Sanctioned Balance
    (Rs) (Rs) outstanding (Rs)

    *Contingent Liabilities
    Name of facility Details of Liability Amount (Rs)
    1.Guarantees signed

    2.Taxes under dispute outstanding

    3.Claim against us, not


    acknowledged as debts

    4.Bills discounted with Banker not


    yet due for payment

    5. Letters of Credits/Guarantees
    issued on my behalf.

    6. Estimated amount of contracts


    remaining to be executed as capital
    account not provided for.

    7. Others, if any.

    Total Rs

    Details of legal heirs:


    Name Age Relationship

    I undertake that:

     I will intimate the bank, if any of the assets mentioned in my assets and liability statement is
    disposed off.
     I will intimate the bank, if I will assume any further liability other than the mentioned in my assets
    and liability statement.

    DATE: Signature

    Details to be enclosed: a. IT/WT returns; b. Proof of Ownership of assets

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