United Bank of India

Annexure -i
Head office: 16, Old Court House Street,
Kolkata 700 001.
UNITED CASH RENTAL SCHEME
(Application for Term Loan against Rent Receivables)

PHOTO
The Chief Manager / Manager
United Bank of India
___________ Branch

I/We hereby apply for a term loan of Rs.........................

(Rupees....................................................................................only) repayable in .................monthly
instalments for the purpose of ........................................against the future rent receivables by me /us during
the next.............. months
from
my/our
property
situated
at ............................................................................................... I/we confirm having understood the
terms and conditions of the above scheme and agree to abide by the same. I/we give below the particulars
about me/us, which are true and correct and I/we have not withheld any information that May be vital for the
snaction of the loan applied for by me/us
1. Name: Mr./Ms/Messrs

2. Category :

Individual

Firm

Company

(mark the appropriate box)

3. If applicant is Individual
Residential Address:
Present : ................................
................................
................................
PIN .................................
Phone ................................

Parmanent:............... ................................
................................
................................
PIN ................................
Phone ................................

If Employed
Designation

............................................................

Name of the Employer:............................................................

Office Address

..............................................................
PIN ........................Phone........................

Salary Particulars for the Month .................. Year .................. (last salary drawn)
Gross Salary

Deduction

Net salary

(Salary Certificate to be attached)

Any other Income:

(Proof to be attached)

If Professional/ Self - employed

Profession/Activity
Address (If different from Residential Address:)

......................................................................
......................................................................
PIN ...........................

Annual Income for the last 3 years (proof to be attached)

Phone....................

Yr................................
Rs.......................................

Yr..........................
Rs....................................

Yr..........................
Rs.....................................

4. If applicant is Firm/Company
Date of Establishment :
(Certified copy of Deed of Partnership/Memorandum & Articles of association enclosed)
Name(s) of Partners/Directors:

Registered office Address

....................................................................................
....................................................................................
....................................................................................
...................................................................................
...................................................................................
...................................................................................
...................................................................................
Phone..................................
PIN ...............................

Financial Results for last 3 years (Audited Balance Sheet and P & L Account enclosed)
Year

...............................

...............................

...............................

Net Worth

...............................

...............................

...............................

Net Income

...............................

...............................

...............................

Net Profit

...............................

...............................

...............................

5. Pan Number of the Applicant:

(copy of latest IT/WT assessment, if any, to be enclosed)
6. Details of loan liabilities
NAME OF LENDER

PURPOSE

AMOUNT

PRESENT O/S BAL

7. Details of Guarantee given

PRINCIPAL

G'URANTEE GIVEN TO

AMOUNT OF G'URANTEE

8. Any other Contingent Liability:

9. Banking Relationship with the Bank Since :
Name of the Branch

Details of accounts maintained

10. Details of SB/CD accounts maintained with other Banks

Name of Bank

Branch

Type of A/C

11. Details of the property rented/leased out/to be rented/leased out

Plot No./House No
:
Flat/Shop/Godown No.
Street/Road/Lane

Police Station

Post Office

City/Town/Village

District

State

A/C Number

:
:
:

Pin ::
Landmark for identification (if any) :
Plinth/Built up Area

Whether plan for construction has been approved/ snactioned by appropriate authority?
(Copy of approved plan to be enclosed)
Whether the property and its rental are free of any encumbarance?
(Legal option is to be obtained before snaction of loan)
Whethre Tax on the property has been paid up -to-date?
(copy of the latest tax paid receipt is to be enclosed)
Title of the applicant: OWNER/LEASEHOLDER
(copy of title deed/lease deed to be enclosed)

(Mark the appropriate one)

If the applicant is Leaseholder,

whether empowered to let out/lease out the property:

12. If the applied loan is for substituting any existing loan against the property
Name of Lender Bank/Institution

Amount of Loan

Outstanding Balance as on...........

(Certificate for outstanding balance from the lender bank/institution to be enclosed)

13. Particulars of Tenant/Lessee

Name:

..........................................................................................................

Address: ..........................................................................................................
..........................................................................................................
Phone: .................................. Fax ........................................................
Line of Activity/Business :
Constitution : PSU/BANK/GOVT/SEMI-GOVT/LOCALBODY/MULTINATIONAL/PUBLIC CO
/PVT CO/OTHER (Specify)
(mark the appropriate one)

Market standing of the Tenant/Lessee :

In case existing Tant/Lessee whether :
there is any default in payment of rent
(copy of last rent receipt to be enclosed)
14. Particulars of the Tenancy/Lease Agreement (copy enclosed)
Date of Agreement
:
Agreement expires on
:
Monthly rentals due upto : .........................(month) ......................(year)
Gross monthly rent :
Deduction at Source :
Tax
:
Adjustment towards rental advance
:
Any other as per agreement
:
Net Monthly rent receivable
:
Any amount adjustable from monthly rent at the end
:
Net future rent receivables
:
15. Other Information
a) If the applicant is Firm/Company whether any of its Group Company has availed loan from
our Bank ? If YES, give the following particulars:

Borrower
Firm/Company

Branch Name

Amount of Loan

Outstanding as
on...........

Overdue If any

b) Whether any litigation pending against applicant :

c) If 'YES' give particulars
:
d) Any other information
:
Place :
Signature of the Applicant

Date :
Documents to be enclosed:

copy of Partnership Deed/Memorandum & articles of Association (not for individual applicant)

Copy of the Title Deed/Lease Deed (if leasehold property)

Copy of approved building plan

Copy of lease/tenancy agreement

Copy of latest tax receipt of the property

Income proof for individual applicant

Larest IT/WT Assessment, if available

Audited balance sheets of Eirm/Company

Certificate of outstanding balance in loan a/c against the property

Copy of latest rent receipt (in case existing tenant/lessee)