APPLICATION FORM FOR HOME LOAN Date: To, The Branch Manager Maharashtra Gramin Bank Branch: _______________ Taluka: _______________ District: _______________ st Name of 1 Applicant Father’s/Husband’s Name Current Residential Address Pin Code Telephone No. (with STD code ): Mobile No. 1 Whether Current Address is Email ID: Self owned Family Rented Provided by employer/leased Permanent Residential Address Pin Code Telephone No. (with STD code ): Mobile No. 1 Email ID: Date of Birth DDMMYYYY Age: ( Sex Male Female Marital Status Single Married Number of Dependants Children Others KYC Details PAN Card No. Divorced Year Months) Widow/Widower AADHAAR Card No. Driving License No. EPIC (Voter Card) No. Passport No. Electricity\Telephone Bill(Consumer No.) Other (please specify) Occupation Employed Income (As per Income Tax Financial year Self Employed Income ( Rupees) Returns, Form-16, Salary Slips, Balance sheets etc.) Total Average Income Qualification/Designation Employer Business Name and Address Pin Code Telephone No. (with STD code ): Fax: Yrs. in present occupation Name of 2 nd Year Months Date of Retirement Employee No. Applicant / Co-Applicant Father’s/Husband’s Name Current Residential Address Pin Code Telephone No. (with STD code ): Mobile No. 1 Whether Current Address is Email ID: Self Owned Family Rented Provided by employer/leased Permanent Residential Address Pin Code Telephone No. (with STD code ): Mobile No. 1 Email ID: Date of Birth DDMMYYYY Age: ( Sex Male Female Marital Status Single Married Number of Dependants Children Others KYC Details PAN Card No. Divorced Year Months) Widow/Widower AADHAAR Card No. Driving License No. EPIC (Voter Card) No. Passport No. Electricity\Telephone Bill(Consumer No) Other (please specify) Occupation Employed Income (As per Income Tax Financial year Self Employed Income ( Rupees) Returns, Form-16, Salary Slips, Balance sheets etc.) Total Average Income Qualification/Designation Employer Business/ Name and Address Pin Code Telephone No. (with STD code ): Yrs. in present occupation Year Months Date of retirement Fax: Employee No rd Name of 3 Applicant/ Co-applicant Father’s/Husband’s Name Current Residential Address Pin Code Telephone No. (with STD code ): Mobile No. 1 Whether Current Address is Email ID: Self owned Family Rented Provided by employer/leased Permanent Residential Address Pin Code Telephone No. (with STD code ): Mobile No.1 Email ID: Date of Birth DDMMYYYY Age: ( Sex Male Female Marital Status Single Married Number of Dependants Children Others KYC Details PAN Card No. Divorced Year Months) Widow/Widower AADHAAR Card No. Driving License No. EPIC (Voter Card) No. Passport No. Electricity\Telephone Bill (Consumer No.) Other (please specify) Occupation Employed Self Employed Income (As per Income Tax Financial Year Income (Rupees) Returns, Form-16, Salary Slips, Balance sheets etc.) Total Income Average Income Qualification/Designation Employer Business/ Name and Address Pin Code Telephone No. (with STD code ): Yrs. in present occupation Year Months Fax: Date of Retirement Loan Amount Requested Employee No. Term: Monthly Expenditure Rs. Installment you & co-applicants can pay (per month): Details of property (tick) Purchase Construct st Signature of 1 applicant Signature of 2 nd applicant Signature of 3 rd applicant st Name of 1 Guarantor Father’s/Husband’s name Address Extension Years Repair/Renovation Pin code Telephone No. (with STD code ): Mobile No. 1 Name of 2 nd Email ID: Guarantor Father’s/Husband’s name Address Pin code Telephone No. (with STD code ): Mobile No. 1 Email ID: rd Name of 3 Guarantor Father’s/Husband’s name Address Pin code Telephone No. (with STD code ): Mobile No. 1 Loan Details Email ID: Estimate of Requirement of funds Estimate of sources to meet requirement of funds 1. Land Cost Rs 7. Loan amount requested from bank Fixed Rate Rs Adjustable Rate Rs 2. Total purchase 8. Savings from Bank Rs price/construction cost Rs 3. Incidental cost (if any) 9. Disposal of Investments e.g. Stamp duty, (fixed deposit/shares etc) Rs registration charges Rs 4. Other cost 10. Amount already spent (please specify) Rs (Source………………………..) Rs 5. Market Value of 11. Provident fund Rs Property Rs 6. Loan outstanding 12. Other (specify……………….) Rs (for refinance) Rs A. Total requirement B. Estimate of sources of funds Rs. of funds Rs. Note: “A” which is the total requirement of funds, should equal estimate of sources, “B” which indicates the sources from where the cost will be met. It is important that you indicate in details the sources from where the cost will be met in order to help us process your application faster. FINANCIAL INFORMATION Savings, Investment, etc. Bank Name and Branch Account No. Bank Name and Branch Account No. Total Saving in Banks Immovable property with current value (land, house etc.) 1. 2. st 1 Applicant nd 2 Applicant rd 3 Applicant 3. Current balance in Provident Fund Other assets (vehicles, etc.) 1. 2. Loans Availed/Liabilities Source of Loan Outstanding Amount EMI Term st 1 applicant Employer Bank Credit Society nd 2 applicant Employer Bank Credit Society rd 3 applicant Employer Bank Credit Society Details of Property Please tick ( ) 1.To be purchased 2.To be constructed 4.To be repaired/renovated 5. Purchase of Land Area of Land/Plot/Flat/House ………….. Sq. Mt OR ……………….. Sq. Ft. Built up area ………….. Sq. Mt OR ……………….. Sq. Ft. Address Plot No. Flat No. Floor No. 3.To be extended House No. Building No. Survey No. Street Name Colony/Land Mark Ward Name Village : Taluka District : Pin code DECLARATION: I/we declare that all the particulars and information given in the application form are true, correct and complete and that they shall form the basis of any loan the bank may decide to grant me/us. I/we have had no insolvency against me/us nor have i/we ever been adjudicated insolvent and further confirm that i/we have read the brochure and understood the contents. I/we are aware that fees paid me /us is non refundable. I am /we are aware that the bank offers loans under variable interest rate of option. I/we agree that the bank may take up such references and make such enquiries in respect of this application, as it may deem necessary. I/we undertake to inform the bank regarding any change in my/our occupation employment and to provide any further information that the bank require. I/We also undertake to authorize my/our employer(s) to deduct equated monthly installments from my/our salary and remit the same to the bank directly every month. The bank may make available any information contained in this form and other documents submitted to the bank and information pertaining to the loan to any institution or body. The bank may seek / receive information from any source / person to consider this application. I/we further agree that my/our loan shall be governed by rules/norms of the bank which may be in force from time to time and the bank shall be entitled to reject my/our application without giving any reason thereof. _____________________ st Signature of 1 Applicant Paste recent Photograph of st 1 Applicant With across Signature ______________________ Signature of 2 nd Applicant Paste recent Photograph of nd 2 Applicant With across Signature _____________________ rd Signature of 3 Applicant Paste recent Photograph of rd 3 Applicant With across Signature GUARANTOR’S FORM Mr./Mrs._________________________________________,Mr./Mrs.________________________________________and Mr./Mrs.________________________________________ have applied for housing loan of Rs______________ (in words Rupees___________________________________________________________________________________________) I/we am/are ready to stand as guarantor/s for said loan, if the applicant/s fail/s to repay loan and other dues as per payment schedule, it will be my/our responsibility to pay the same. My/our information is/are as under: st Name of 1 Guarantor Father’s /husband’s Name Address Pin code Telephone No. (with STD code ): Mobile No.1 KYC Details Email ID: PAN Card No. AADHAAR Card No. Driving License No. EPIC (Voter Card) No. Passport No. Electricity\Telephone Bill(Consumer No.) Others (please specify) Occupation No. of years in occupation Income Details of Assets Details of Liabilities Particulars House/Flat Vehicles 1. 2. Investments Employee Provident fund/PPF Deposit (FD/RD/SB A/c LIC/Insurance Policies Shares /Mutual Fund etc Assets of Business Agriculture land Particulars Housing Loan Vehicle Loan Personal loan Others (Loans if any) Net worth Whether guarantee given to anybody? Yes/No If yes, The loan Amount Rs.______________________________ Date: Description Value Total (A) Description Value Total (B) (A-B) If yes, outstanding loan Rs._____________________ Place: Name: Signature:_______________________________ Paste recent Photograph of st 1 Guarantor With across Signature GUARANTOR’S FORM Mr./Mrs._________________________________________,Mr./Mrs._______________________________________and Mr./Mrs.________________________________________ have applied for housing loan of Rs______________ (in words Rupees__________________________________________________________________________________________) I/we am/are ready to stand as guarantor/s for said loan, if the applicant/s fail/s to repay loan and other dues as per payment schedule, it will be my/our responsibility to pay the same. My/our information is/are as under: nd Name of 2 Guarantor Father’s /husband’s Name Address Pin code Telephone No. (with STD code ): Mobile No.1 KYC Details Email ID: PAN Card No. AADHAAR Card No. Driving License No. EPIC (Voter Card) No. Passport No. Electricity\Telephone Bill(Consumer No.) Others (please specify) Occupation No. of years in occupation Income Details of Assets Details of Liabilities Particulars House/Flat Vehicles 1. 2. Investments Employee Provident fund/PPF Deposit (FD/RD/SB A/c LIC/Insurance Policies Shares /Mutual Fund etc Assets of Business Agriculture land Particulars Housing Loan Vehicle Loan Personal loan Others (Loans if any) Net worth Whether guarantee given to anybody? Yes/No If yes, The loan Amount Rs.______________________________ Date: Description Value Total (A) Description Value Total (B) (A-B) If yes, outstanding loan Rs.____________________ Place: Name: Signature:_____________________________ Paste recent Photograph of nd 2 Guarantor With across Signature GUARANTOR’S FORM Mr./Mrs._________________________________________,Mr./Mrs.________________________________________an d Mr./Mrs.________________________________________ have applied for housing loan of Rs_____________(in words Rupees__________________________________________________________________________________________) I/we am/are ready to stand as guarantor/s for said loan, if the applicant/s fail/s to repay loan and other dues as per payment schedule, it will be my/our responsibility to pay the same. My/our information is/are as under: rd Name of 3 Guarantor Father’s /husband’s Name Address Pin code Telephone No. (with STD code ): Mobile No.1 KYC Details Email ID: PAN Card No. AADHAAR Card No. Driving License No. EPIC (Voter Card) No. Passport No. Electricity\Telephone Bill(Consumer No.) Others (please specify) Occupation No. of years in occupation Income Details of Assets Details of Liabilities Particulars House/Flat Vehicles 1. 2. Investments Employee Provident fund/PPF Deposit (FD/RD/SB A/c LIC/Insurance Policies Shares /Mutual Fund etc Assets of Business Agriculture land Particulars Housing Loan Vehicle Loan Personal loan Others (Loans if any) Net worth Whether guarantee given to anybody? Yes/No If yes, The loan Amount Rs.______________________________ Date: Description Value Total (A) Description Value Total (B) (A-B) If yes, outstanding loan Rs.____________________ Place: Name: Signature:_________________________ Paste recent Photograph of rd 3 Guarantor With across Signature
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