Download Application for the Grant of Solvency Certificate

APPLICATION FOR THE GRANT OF SOLVENCY CERTIFICATE 1. Name of the applicant ...................................................................................................... 2. Father's/Husband's Name................................................................................................ 3. Permanent Address ........................................................................................................... 4. Temporary Address .......................................................................................................... 5. Total Amount for which the solvency Certificate is required ....................................... ........................................................................................................................................... 6. Purpose for which the solvency Certificate is required ................................................. ........................................................................................................................................... 7. Occupation of the applicant ............................................................................................. 8. If applicant is the Govt. servant what is his salary (Total) per month (Attach Salary Certificate) 9. Property/owned by the applicant residential/commercial building .............................. ........................................................................................................................................... 10. Property/MCD No. ........................................................................................................... 11. Area of Plot ....................................................................................................................... (i) Total annual rental value; House tax assessed .......................................... (ii) Whether the property is free from all encumbrances, if not state the nature of encum­brance alongwith an affidavit ................................................................................. (iii) Present market value of the property ..................................................................... (iv) Receipt showing payment of house tax ................................................................. 12. AGRICULTURAL LAND (i) Name of the owner/Bhumidar ................................................................................ (ii) Share of each owner/Bhumidar .............................................................................. (iii) Total area of land..................................................................................................... (iv) Whether the land is free from all encumbrances, if not the nature of encumbrances ............................................................................................................................... (v) Copy of the latest revenue record in support of the verification ......................... ............................................................................................................................... (vi) Present market value of the land ............................................................................ 13. In case the sureties are business men, they should produce copy of the latest income-tax together with receipt of payment of Income-tax ............................................................ 14. Details of Bank Account if any: (i) Saving Bank Account No. with credit ................................................................... (ii) Current Bank Account No. with last credit ........................................................... DECLARATION I, declare that the statements made above in columns 1 to 14 of the application form are true to the best of my knowledge and nothing has been concealed there from. (Signature of the applicant) Place:.......... Name in BLOCK letters Date:.......... Shri/Smt............ ..