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Form G 1

The document appears to be a standardized form for money lenders to submit annual or quarterly statements of accounts, including details of loans and advances made, deposits received, outstanding balances, assets and liabilities. It requires information such as names and addresses of the money lender and branches, numbers and amounts of loans/deposits, maximum outstanding amounts, and is to be signed declaring the accuracy of the information provided.

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David Mathew
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0% found this document useful (0 votes)
68 views3 pages

Form G 1

The document appears to be a standardized form for money lenders to submit annual or quarterly statements of accounts, including details of loans and advances made, deposits received, outstanding balances, assets and liabilities. It requires information such as names and addresses of the money lender and branches, numbers and amounts of loans/deposits, maximum outstanding amounts, and is to be signed declaring the accuracy of the information provided.

Uploaded by

David Mathew
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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FORM G

[See rule 15 (3)]

STATEMENT OF ACCOUNTS FOR THE YEAR ENDING 31ST


MARCH………./QUARTERENDING………

To

Sir,

I…………son of …………on behalf of the money-lender whose


particulars are given below furnish herewith the statement of accounts of
the money lender for the year ending 31st March……/quarter ending…….

1. Name and full postal address of the money-lender :

2. Particulars of branch if any with postal address of each such branch :


3. Particulars of loans/advances:
Name of loan No. of persons to whom loan was Amount
advanced Rs.
(1) (2) (3)

(a) Against security of gold or gold


ornaments.
(b) Against promissory notes.
(c) Against fixed assets.
(d) Against other forms of security.

Nature of loan No. of persons from whom loan was Amount Rs.
received back
(1) (2) (3)

(a)Against security of gold or gold ornaments.


(b) Against promissory notes.
(c) Against fixed assets.

(d) Against other forms of security.

5. Particulars of deposits received :

Number Amount (Rs.) Form of security given


(1) (2) (3)

(a) No. of depositors/persons**


from whom deposit was received at the
beginning of the year/Quarter*:
(b) No. of depositors ** from whom deposit
wasreceived during the year/quarter*:

(c) Total:

(d) No. of depositors ** to whom deposit was

repaid during the year/quarter*:

(e) Balance number of deposits outstanding

at the end ofthe year/Quarter.*:

(f) Balance no. of depositors to whom

deposit is to be repaid at the end of the year/quarter:

6. (a) Maximum amount of money outstanding

to be redeemed on any day of the quarter/year:

(b) The date on which the maximum amount

of money was outstanding to be redeemed:

7. Value of assets at the end of the year/quarter*:

8. Total liabilities outstanding at the end of theyear/quarter*

9. Excess of assets over liabilities or

10. Excess of liabilities over assets.


DECLARATION

I ............................... son of ..........................hereby declare that to the best


of my knowledge and belief the information furnished in the above statement
is true and correct.

Place: Name

Date: Signature

Status.

NB.- The annual statement should be accompanied by the audited


statements of accounts and balance sheets as required by Sec. 9 (1).

*Strike off which is not applicable


**Here the word 'depositor' will have the meaning and connotation as
contained in section 45R and 45S of Chapter III C of the Banking Laws
Amendment Act of 1983.

**************************

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