Company Name :

STATEMENT OF BOOK DEBTS AS ON XXXXXXXX

Hypotechaed To Bank :

Sr.No. Bill No. Date of Bill Name of Party Amount Rs.

1 0.00
2 0.00
3 0.00
4 0.00
5 0.00
TOTAL 0.00
Stock on Hand & WIP 0.00
TOTAL AMOUNT 0.00
Limit Rs. 0
Terms of Sanction : Bank Debts upto _________ days only are to be taken. ["After sultably as per sanction"]
(in Lack)
Total value of } Rs. We solemnly declare that quality ardrate of the stock noted above and hypothecated/Pladged to the Bank are true and the either our own
B ook Debts } absolute property or that we have such an interest in the same as entitles us to hypothecate pledged the same with the Bank to the full extent of
upto_90_days} Bank's advance to us against these goods and that they are not subject to any lien claim or charge of any sort and on the strength of this
Less : declaration of ours the advance has been taken.
Margin % : Rs.
Advance value : Rs.
Balance : Rs.
Verified

Break-up of Stock & Works in Progress For,

Site Of Name Goods Name Amount
Site : Rs. 0
Site: Rs. 0
Site: Rs. 0
TOTAL AMOUNT Rs. 0 Director

MARGIN 50% RS. 0.00

MARGIN 75% RS. 0.00
TOTAL AMOUNT RS. 0.00