Application for Bank Facilities

To Place : _______
The Manager, From : _____
Bank of Maharashtra Name & Address : _____________________
Branch _____________________
___________________________
I/We request you to grant me/us the credit facilities, indicated below for the purpose of __________________________________________For your information, I/we furnish below particulars of my/our business, income, property etc. and statements of assets and liabilities.
1. Name of the applicant (Firm) in full
If belonging to SC/ST.
(in case of individual)
2. Nature of Business activity with brief description _____________________________________________
3. Year of Establishment
1. _____________________________________________
4. Branches and other allied 2. _____________________________________________
concerns. 3. _____________________________________________
5. : Sole Proprietorship / Registered / Unregistered / Business is : Partnership / Joint Hindu Family / Private
: Public Limited Company.
6. Name and worth of partners/Member directors :
Name Age Relationship Approximate worth Whether partners / (outside business) Directors of other companies (Please name)
1. ______________________________________________________________________________________________
2. ______________________________________________________________________________________________
3. ______________________________________________________________________________________________
4. ______________________________________________________________________________________________
5. ______________________________________________________________________________________________
7. : ___________________________________________________________________________
Side business (if any) : _________________________________________________________________
2
8.
Branch Amount/Date of opening Type of Date of maturity Current / Saving Bank / Deposit in case of Term Fixed Deposit / Cash Credit Deposit account with our Bank.
9.
Bank Branch Facilities Drawing Balance
Name of other Bankers power outstanding with particulars of Credit facilities
10.
Bank Branch Amount Deposit with Type of Date of other Banks Deposits maturity in case of Term Deposits
11. Estimated for Turn over of business for last 19 19 19 19 19 three years
1. Sales
2. Purchase
3. Profit or Loss
12. 19 19
Sales tax paid for last two years Rs. Rs.
13.
Income-tax assessed for last two years Rs. Rs.
14.
Income during the last year
3
15. :
Facilities required : Nature, Extent and Duration
Type of facility Limit Security Market value Amount of
Required offered of security Insurance Validity
of Insurance
C/C
Loan
BP/BD
Guarantees
L/Cs
1. Rs. ___________
for documentary bills Rs. ___________
2. Rs. ___________
for clean bills Rs. ___________
3. Rs. ___________
for cheques Rs. ___________
Bills Discounted limit required Rs. ___________
16.
Particulars of Project Cost of Project Other sources Feasibility Report of the
of finance Project
17. Particulars of movable and immovable property owned by the applicant (Outside business) :
: _______________________________________________________________
a) movable property
: _______________________________________________________________
b) Immovable property
1) : _________________________________________________
Survey/ Municipal No. & location
2) ______________________ 3) _____________________
Built up area Market value
4) ___________________________________________
Municipal and other taxes paid every half year
4
5) ___________________________________________
Encumbered / Unencumbered
6) ___________________________________________
if encumbered name of the
mortgagee and the extent of encumbrances
18. ______________________________________
______________________________________
Names of the parties for whom and amount for ______________________________________
which the applicant is a co-signatory of guarantor ______________________________________
with the bank and or other banks.
19. ________________________________
________________________________
Names. Addresses of business concerns/ persons who ________________________________
know the applicant intimately _______________________________
20. ________________________________
Names of the proposed cosignatory/guarantor ________________________________
(with approximate worth)
(Income tax assessment in case of individuals)
Liabilities Assets
Capital Rs. Fixed Assets Rs. ___________
Deposits Rs. Stock-in-trade Rs. ___________
Borrowings Rs. Sundry Debtors Rs. ___________
Rs. Rs. ___________
Sundry Creditors Rs. Cash & in Bank Rs. ___________
Rs. Rs. ___________
for purchase other assets
Rs.
other liabilities
Rs
Assessment of working Capital
I/We hereby declare that the particulars given above are true and correct and I/We hold myself/ourselves personally liable if any of them turn out to be wrong or false.
N. B. : This application must be accompanied by extract of house property, latest Balance-Sheet, Income Tax Assessment orders and Sales-Tax paid receipt.
Signature