Lien removal on FD Request Format

Date: ___/___/_______
Customer Name: Mr. Mrs. Ms. M/s. _______________________________________
Overdraft Account No. ___________________

Customer ID: __________________________

To Axis Bank Limited

<Name & Address of the Branch>
Dear Sir / Madam,
Sub: Removal of lien marked on FD.
In reference to my/our overdraft account mentioned above, I/We have lien marked the below FDs in
favor of Axis Bank Limited. I/We request you to kindly remove the lien on the same.
FD Account No.

Type of Deposit
(RIC/MIC/QIC)

SB/CA account to be
remapped to MIC/QIC
account on lien removal

Collateral code

I/We also understand that the since the OD limit is availed against these lien marked FD receipts, the
request for lien removal may be rejected if the OD account Drawing Power goes below the Debit
balance by virtue of requested lien removal.
Revised sanction limit:-

____________

Revised ROI:- ____________

Date: _______________

Place: _______________

(Borrowers Signature)
Name:

For Bank use only:

Signature of the account holder and particulars on the application verified.
Branch Head/ Branch Operations Head Name: _________________________
Employee No.: __________

SSN No

(Signature of Branch Head/ Branch Operations Head)

: __________

Lien removal on FD and ODFD closure Request Format

Date: ___/___/_______
Customer Name: Mr. Mrs. Ms. M/s. _______________________________________
Overdraft Account No. ___________________

Customer ID: __________________________

To Axis Bank Limited

<Name & Address of the Branch>
Dear Sir / Madam,
Sub: Removal of lien marked on FD and ODFD closure
In reference to my/our overdraft account mentioned above, I/We have lien marked the below FDs in
favor of Axis Bank Limited. I/We request you to kindly remove the lien on the same.
FD Account No.

Type of Deposit
(RIC/MIC/QIC)

SB/CA account to be
remapped to MIC/QIC
account on lien removal

Collateral code

I/We wish to close my/our ODFD Account No._____________________ with you as

_____________________________ (reason for closure) and pay us the credit balance (if any) by:
Credit to our savings / current account no. ______________
I authorize the bank to debit my/our saving/ current account no __________________ in case of any
shortfall at the time closure of ODFD account.
We surrender the following unused cheques nos. from ____________ to____________
Date: _______________

Place: _______________

(Borrowers Signature)
Name:

For Bank use only:

Signature of the account holder and particulars on the application verified.

Cheques nos. from ____________ to ___________ destroyed in our presence.

Branch Head/ Branch Operations Head Name: _________________________
Employee No.: __________

SSN No

(Signature of Branch Head/ Branch Operations Head)

: __________

Premature/Partial Withdrawal of FD Lien marked Request Format

Date of Request: ___/___/_______
Customer
Name:

Mr.

Mrs.
_______________________________________

Ref: Overdraft Account No. ______________________ : Customer ID :

Ms.

M/s.

____________

To Axis Bank Limited

<Name & Address of the Branch>
Dear Sir / Madam,
Sub: Premature/Partial withdrawal lien marked to avail OD limit
Premature withdrawal

Partial withdrawal

In reference to my/our overdraft account mentioned above, I/We have lien marked the below FDs in
favor of Axis Bank Limited. I/We request you to kindly prematurely/partially withdrawal of FD.
FD Account No.

Revised sanction limit:-

Maturity Date of Term

Deposit

____________

Collateral Code

Amount of
Partial Closure

Revised ROI:- ____________

I/We authorize bank to levy premature withdrawal penalty if any. I/We also understand that the since
the OD limit is availed against these lien marked FD receipts, the proceeds of the premature
withdrawal will only be credited to my/our above referenced Overdraft account maintained with the
bank.
Date: _______________
Place: _______________

(Borrowers Signature)
Name:

For Bank use only:

Signature of the account holder and particulars on the application verified.

Branch Head/ Branch Operations Head Name: _________________________
Employee No.: __________

SSN No

(Signature of Branch Head/ Branch Operations Head)

: __________