PERSONAL ASSETS AND LIABILITIES OF APPLICANT

A. IMMOVEABLE PROPERTIES
Place where the flat or building is situated (please Self-Acquired If encumbered, to Extent of land in Market value
furnish details of Survey) No., Door No., Street, etc. what extent acres (wet or dry or Rs.
garden)

(Further particulars if any, may be furnished overleaf)

B. LIQUID ASSETS

PARTICULARS Amount (Rs.) If encumbered, to what extent

1. Cash and Bank balances
2. Govt. Securities (Give details)
3. Shares (Give details)
4. Life Insurance Policy No., Date and Surrender Value
5. Jewellery
6. Investment in Business
7. Investment in Associate Firms, if any
8. Provident Fund
9. Public Provident Fund
10. ---------------------------------
Total
(Further particulars if any, may be furnished overleaf)
C. LIABILITIES
PARTICULARS Amount (Rs.)
1. Borrowings from Bank (Given details of Security furnished)
2. Borrowings from Multains
3. Borrowings from other sources (Give details of Persons)
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4. . Total

NET TOTAL ASSETS (A+B+C)

Name: ________________________________________________________________________________________

Address: _______________________________________________________________________________________

______________________________________________________________________________________________

_______________________________________________________________________________________________ ___________________
Signature

OPINION REPORT ON THE BORROWER / CO-APPLICANT #E (FOR BANKS USE ONLY)

Total Value of Assets (A+B) : Rs. __________________________

Less Borrowings against these assets : Rs. __________________________
Less Other Borrowings / Liabilities : Rs. __________________________
Add Guarantors Investment in venture financed : Rs. __________________________
Add Investment proprietor / Guarantor in any other business : Rs. __________________________
______________________________________________________________________________ : Rs. __________________________
______________________________________________________________________________ : Rs. __________________________
Net means of Borrower / Proprietor / Guarantor : Rs. __________________________
(Conservatively) Say : Rs. __________________________
The net means of Shri ______________________________________________________________ can be conservatively estimated at
Rs. _________________________________ The aforesaid information has been verified from independent market sources

STATE BANK OF INDIA

Date: ___________________ Asst. / Deputy Manager / Branch Manager