Application No.______Loan No______
A.P STATE CO-OP BANK LTD.______Branch / APPLICATION FOR
HOUSING LOAN
1. HOUSING LOANAPPLICATION FOR INDIVIDUALS
(Please furnish all particulars in block letters and tick ( / ) boxes wherever applicable) / /
Account No. (for office use)
2. PERSONAL INFORMATION OF THE APPLICANT(S)
Surname / Name
Name in full of Applicant
Father’s Name
Name in full of Co-Applicant
Father’s Name
Relationship of co-applicant with the applicant
PARTICULARS / Applicant / Co-applicant
- Present Residential Address : (House No., Road No., Locality, City, PIN, District, State)
- Office/Business address : (Name,House No., Road No., Locality, City, PIN, District, State)
- Permanent Residential Address : (House No., Road No., Locality, City, PIN, District, State)
4. House/flat being
purchased/constructed is
for self occupation/letting
out
5. Address for
correspondence (tick
appropriate box) /
Present Residential Address /
Office Address /
Permanent Address
6. E.mail
7. Date of Birth
8. Age / Years Months / Years Months
9. Telephone Number
(Office & Residence) / Office / Residence / Office / Residence
10. Mobile No. / Fax No. / Mobile / Fax / Mobile / Fax
11. Sex /
Male Female /
Male Female
- Marital Status (Please also tick single if no living spouse)
- Residential proof
Resident
a) Tel.Bill
b) Elecy.Bill
c) Gas Bill
d) Ration Card /
Resident
a) Tel.Bill
b) Elecy.Bill
c) Gas Bill
d) Ration Card
- Particulars of identification proof, enclosed
a) Voter ID No.
b) Passport No.
c) P A N No.
d) /
a) Voter ID No.
b) Passport No.
c) P A N No.
d)
3. OTHER INFORMATION OF THE APPLICANT
PARTICULARS / APPLICANT / CO-APPLICANT
1. No. of dependents /
Children Others /
Children Others
2. Educational /
Professional
qualifications
- I.T. Returns/ Form No. 16 enclosed
Yes No /
Yes No
- Present Residence Status* (tick appropriate head)
provided / Parental / * owned / Rented / Company
provided / Parental
4. FINANCIAL / INCOME INFORMATION
PARTICULARS / APPLICANT / CO-APPLICANT
- Sources of income (income proof) : (Please tick and enclose supporting document)
Salary Certificate / Income Tax Returns / Salary Certificate / Income Tax Returns
[
- Gross salary / income P.M.
- Net salary / income p.m.
- Other income as per IT return (indicate source) p.m.
5. No. of years in
present employment
6. Annual income as
per IT return
7. Expected monthly /
annual rental income
from the proposed flat
/ house, if let out
5. EMPLOYMENT DETAILS OF THE APPLICANT(S)
PARTICULARS / APPLICANT / CO-APPLICANT
- Name of the employer
- Name of the Department
- Designation & Employee No. (if available)
- Date of retirement
- Remaining Service
6. DETAILS OF IMMOVABLE PROPERTY TO BE CONSTRUCTED / PURCHASED
- Address of the property – House No. / Plot No. Road, Area, City, PIN code.
- Landmark for identification of property
- Tick Type / Category of the seller and mention full name of the seller
Housing Soc/ Board / Private Builder / Individual
- Purpose (Mention whether for purchase of new flat / house, resale flat / house, construction of new house, extension of house / flat, renovation of existing flat / house etc.)
Outright purchase
of new flat / house /
Resale flat / House and age thereof /
Construction
of flat / new house/ extension/ renovation
- Present stage of construction and expected time of completion
- Existing / proposed built up area of the flat / house
- Existing / proposed carpet area of the flat / house
- Area of land / undivided share of land (in r/o flat)
- Rate per Square Foot
b) for land
- In case of construction by builder, details of ventures already completed by builder (to be ascertained by applicant)
b)No. and names of ventures and their locations already completed and handed over
c)Time taken for completion and handing over in each case
7. LOAN REQUEST
Cost of property (Rs.) / Amount (Rs.) / Sources of funds (Rs) / Amount (Rs.)
1. Cost of land / 1. Amount already invested.
2. Cost of construction / flat / house / 2. Savings in Bank (A/C No. and name of the Bank)
3. Cost of amenities / service charges / 3. Disposal of investments / property-Brief details
4. PF refundable / non-refundable loans
4. Miscellaneous / 5. Others (specify)
5. Cost of stamp duty / registration / 6. Loan applied for
Total Cost * (should tally with funds) / Total Funds * (should tally with total cost)
8. DETAILS OF FINANCIAL WORTH OF THE APPLICANTS
Particulars / Applicant / Co-applicant
Details
(Account No., Bank, Br., Etc) / Amt. (Rs. in lakhs) / Bank’s assessment
(Rs. in lakhs) / Details
(Account No.,Bank, Br., Etc) / Amt.
(Rs. in lakhs) / Bank’s assessment
(Rs. in lakhs)
1. Savings in Bank (Savings Bank + Fixed Deposits)
2. Immovable property (details like Sy.No. / Bldg No. / tax receipts etc.)
3. Current PF balance (your contribution)
4.Investment in NSCs / Shares / debentures./ bonds, mutual funds, etc. (current market value)
5. Jewellary / Gold ornaments
6. LIC/Postal life etc.
7. Total assets *
* (Enclose sheets, if required, for details)
9. ADDITIONAL DETAILS OF BANK ACCOUNTS OF ITEM NO. 8.1 ABOVE
Name of the a/c holder / Type of a/c / Name of the Bank and branch / A/C No.
DETAILS OF EXISTING LOANS (FROM APCOB OR OTHER BANKS)
APPLICANT
Purpose / Name of creditors (Bank /NBFC
/ Employer – Name & a/c no. & date of sanction) / Loan Amt.
(Rs. In lacs) / EMI / Mode of re-payment / Security
Charged (details in annexure)
1. Housing Loan
2. Car Loan
3. REML
4. Personal & others
(Please specify)
5. Total liabilities of
1st applicant **
CO-APPLICANT
1. Housing Loan
2. Car Loan
3. REML
4. Personal & others
(Please specify)
5. Total liabilities of
2nd applicant **
11. PROPOSED / PREFERRED REPAYMENT
1. Mode of Repayment
Salary recovery by employer / Salary A/C & standing instruction at Branch / Post-dated cheques
2. Moratorium period requested (Moratorium will be included in the
overall repayment period) / / Months
i)For construction of house, purchase of flat / house on installment basis from Govt. / Public Agency / Builder / housing society, etc., maximum moratorium permitted is 18 months from the date of first disbursement or till 2nd month after completion of construction, whichever is earlier,
ii)For other purposes, one month after the date of full disbursement.
12. REFERENCES (AT LEAST TWO) – Names, Addresses & Telephone Nos.
1
2
13. D E C L A R A T I O N
I / We hereby apply for a loan from APCOB to the extent indicated in the Loan Request Section of this application form. I / We declare that the foregoing particulars and information furnished in this application form are true, accurate and complete and that they shall form the basis of any loan APCOB may decide to sanction to me / us. I / We confirm that I / We have / had no insolvency proceedings against me / us. Nor have, I / We been adjudicated insolvent. I / We further confirm that I / We have read the terms and conditions and understood the contents therein.
I / We agree that APCOB may at its discretion conduct discreet inquiries in respect of this application. I / We undertake to inform as to any change in my / our occupation / employment, residential address and to provide any further information that the Bank may require. APCOB will be at liberty to take such action as it may deem necessary if my / our above statements are found to be untrue. I / We agree that APCOB shall have the sole discretion to reject / reduce loan amount / our loan application without assigning any reason thereof. I / We further agree that my / our loan transactions shall be governed by the rules of APCOB which may be in force from time to time. The information furnished in this application form is correct and I am liable for criminal / legal action in case the information is found to be false.
Place :______
Date :___/___/_____ Applicant’s signature Co-applicant’s signature
15. FOR OFFICE USE ONLY (At branch)
Processing/ Advocates ‘s and valuer’s fee collected and credited to HO/ Sundry Creditors A/c (CLPC) / Signature/s of the applicant/s obtained in our presence and verified with originals and sent to HO / Name & Signature (Branch)