FORM - XIII [See note under rule 7] FORM OF MORTGAGE BY DEPOSIT OF TITLE DEED This indenture, made this the ______________________ day of _________________19, between Sri_____________________________ ______________________Son of ________________________________ at present employed as ________________________________ in the office of ____________________________________________ at present employed as (hereinafter called the Mortgagor which expression shall included his heirs and other legal representatives) and the Governor of Andhra Pradesh (hereinafter called the Mortgagee which expression shall include his successors in office). Whereas the Mortgagor has applied to the Mortgagee for a loan of Rs._________________ for purpose of purchasing a house site / house / flat in _____________________________as per the rules relating to the payment of advances to the Government employees for house building purposes (hereinafter called the said Rules). And whereas the Mortgagee has sanctioned the loan in G.O.Ms.No._______________________ dated _____________. And whereas the Mortgagee has passed orders in Prods No.______________ dated __________________ permitting the Mortgagor to deposit his 'title' deeds to secure repayment of the loan granted to him; Now this indenture witnesses as follows :- (1) The title deed mentioned in the Schedule hereto relating to the house/house site at _______________________________ purchased in the name of the Mortgagor Sri/Smt._______________________________________ including the building to the constructed thereon has been delivered to the Mortgagee with intent to create an equitable mortgage upon all the rights, title and interest of the Mortgagor in the said immovable property and all accessions there to secure due repayment on all demands of all moneys which may fall due to the Mortgagee from the Mortgagor on account of 'the' advance or Rs.______________ sanctioned to him together with interest thereon and any costs incurred by the Mortagagee in connection with the recovery thereof. (2) It is agreed by the Mortgagor that the advance of Rs.___________ sanctioned in ________________________ date ___________ shall be recovered in ______________________________ monthly installments of Rs______________________ each and interest at __________ shall be charged and recovered in __________________________ installments (3) It is further agreed by the Mortgagor that the installments and other amounts due 'on' account of the advance shall be repayable at ___________________________ and that suits or other legal proceeding for enforcement of the recovery of the advance or for adjudication of other disputes arising out of or connected with the said agreement shall be instituted in courts of competent jurisdiction in the State of Andhra Pradesh and in no other court. SECHEDULE House / Land situated in _________________________________ _______________________ as bounded on the (1). East (2). South (3). West (4). North (here enter details of title deed deposited with the Government of Andhra Pradesh in terms of this Memorandum or Mortgage by deposit of title deed). In witness whereof the Mortgagor has hereunto has signed this Memorandum on this __________________ day of __________________. (Mortgagor) 1st Witness :_____________________________________________________ Address :_____________________________________________________ _____________________________________________________ Occupation :_____________________________________________________ 2nd Witness :_____________________________________________________ Address :_____________________________________________________ _____________________________________________________ Occupation :________________________________