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    Asset Liability Format

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    riasuri86

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

    Asset Liability Format

    Uploaded by

    riasuri86
    12 views2 pages

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    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    12 views2 pages

    Asset Liability Format

    Uploaded by

    riasuri86

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Form No.

    187
    Punjab & Sind Bank
    (A Govt. of India undertaking)

    STATEMENT OF ASSETS & LIABILITIES AS ON 31.03.2024

    Date:
    The Branch Manager
    Punjab & Sind Bank,
    Chandni Chowk, Delhi-06

    Dear Sir,

    I hereby append below the details of my Assets & Liabilities as required by you in connection with credit facilities
    being sanctioned/renewed/reviewed by your Bank to me/us/Mr./Mrs./M/s.
    ________________________________________

    1. Name

    Borrower Guarantor

    AADHAAR

    PAN Passport No. DIN

    2. Details of main occupation : including all


    connected and associated occupations
    3. DOB
    4. Address:- Business Tel No.

    Residence Tel No.


    Email id
    5. DETAIL OF ASSETS
    (BUSINESS & PERSONAL)
    Fixed Assets- Property/Machinery etc.

    Address of Property/Machinery Area/ measurement Value Self Occ./ If encumbered Freehold/ Document
    location (House No/Locality/ (total & share of Rented (Bank/FI name Leasehold Submitted
    Khasra No. with PIN) undersigned) & amount of
    loan)

    Liquid Assets & movable property like stock in trade, vehicles etc.
    Detail of Asset If encumbered (Bank/FI Value Document Submitted
    name & amount of loan)

    Deposit Accounts
    Nature of account Bank’s name/Branch Account No. Approximate Balance

    Others
    Cash in Hand
    Punjab & Sind Bank
    Statement of Assets & Liabilities
    Shares/Mutual funds/other inv
    Govt. Securities
    LIC etc. Policy No. Sum Assured Surrender Value Premium Paid

    Any other Assets,


    PF/PPF/NPS/KVP/NSC/IVP
    Contribution/Deposit, Etc
    Jewellery

    TOTAL ASSETS:- Rs.

    6. Liabilities
    From Banks and from Market including deposits received (pledged/Hyp/mortgaged)
    Name of Date of Loan Bal o/s Purpose of Status (Standard/ Security (Pledge/
    Bank/FI, Sanction Amount Finance Irregular/NPA) Hyp/Mortgaged)
    Branch

    Others
    Nature Amount
    Income Tax Dues/Govt Dues outstanding
    Others

    TOTAL LIABILITIES: Rs.

    7. Net Worth =Assets – Liabilities (5-6)


    8. Income for last three years (attach payment F.Y. 2021 – 2022
    assessment orders). F.Y. 2022 – 2023
    F.Y. 2023 – 2024

    I certify that the above information is true. I also confirm that no suit has been filed and there are no statutory
    overdues pending against me/any other firm/company in which I am partner/director/guarantor.

    SIGNATURE

    VERIFIED BY

    LOAN OFFICER INCHARGE BRANCH MANAGER

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