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)

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 sanction of the loan applied for by me/us

The Chief Manager / Manager
United Bank of India
___________ Branch
PHOTO
1. Name: Mr./Ms/Messrs
2. Category : Individual / Firm / Company (mark the appropriate box)
3. If applicant is Individual
Residential Address:
Present : ................................ Parmanent:............... ................................
................................ ................................
................................ ................................
PIN ................................. PIN ................................
Phone ................................ 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 ........................... Phone....................
Annual Income for the last 3 years (proof to be attached)
Yr................................ Yr.......................... Yr..........................
Rs....................................... Rs.................................... 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 ...................................................................................
...................................................................................
PIN ............................... Phone..................................
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 A/C Number
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 :
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 encumbrance?
(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 (Mark the appropriate one)
(copy of title deed/lease deed to be enclosed)
If the applicant is Leaseholder, whether empowered to let out/lease out the property:
Pin ::
Landmark for identification (if any) :
Plinth/Built up Area :
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:
b) Whether any litigation pending against applicant :
c) If 'YES' give particulars :
d) Any other information :
Borrower
Firm/Company
Branch Name Amount of Loan Outstanding as
on...........
Overdue If any
Place :
Date :
Signature of the Applicant
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
Latest IT/WT Assessment, if available
Audited balance sheets of Firm/Company
Certificate of outstanding balance in loan a/c against the property
Copy of latest rent receipt (in case existing tenant/lessee)