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    INDIAN_BANK_ASSET_LIABILITY_FORM

    Uploaded by

    anand050379

    Copyright:

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

    INDIAN_BANK_ASSET_LIABILITY_FORM

    Uploaded by

    anand050379
    26 views2 pages

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    Copyright:

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

    INDIAN_BANK_ASSET_LIABILITY_FORM

    Uploaded by

    anand050379

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 2

    BRANCH NAME__: _____________________________

    DETAILS OF ASSETS AND LIABILITIES

    Of____________________________________________________ AS ON (date)
    Add:_________________________

    Lands. IMMOVABLE PROPERTY.


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

    (1) Total Rs

    Buildings
    Name of the village Ancestral or If Doc Regn No. Total Value
    or Town where they are Self- acquired. encumbered Date & Address Rs.
    situated and the street & To what of Registrar
    Municipal No: Extent. 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 branch Nature of facility Limit sanctioned Security value (Rs) Balance outstanding
    (Rs)

    *Borrowing from other Banks


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