Whereas, I.. (aged... years..), s/o................ r/o.............., district.............. am desirous of securing a sum of Rs.. (rupees..) as financial assistance from .... Bank (...branch).
And whereas, the aforesaid bank is willing to grant me the above. Amount as financial assistance for purposes of ;
I am, therefore, making this declaration under section 6 (1) of the U. P. Agricultural Credit Act, 1973 and bind myself as well as my heirs and legal representatives by the following conditions, namely :
(1) That I am an agriculturist as defined by section 2 (b) of the U. P. Agricultural Credit Act, 1973.
(2) That I am the bhumindhar/**** 1 /asami/Government lessee/ owner of the land or other immovable property specified below or I have the following interest in the land or other immovable property specified below......
(3) That I hereby create a charge on the said land or interest therein or other immovable property in favour of the aforesaid bank for securing financial assistance from such bank.
(4) That I shall repay the amount of financial assistance to the bank together with interest @...........................................percent per annum, in the following manner
(5) That if I fail to make payment in the manner stated above, the property charged may be proceeded against and I shall be liable for the costs as well as other charges and expenses of the bank, and for the costs, if any, that the bank may have to incur for recovering the sums due.
(6) That I shall spend and utilize the amount of financial assistance only for the purposes hereinbefore mentioned.
(7) That the contents of this declaration are true to my personal knowledge and no part of it is false or incorrect.
Description of the land or interest therein or other immovable property charged in favour of the bank
Name of Village Name of pargana and tahsil Name of district Survey No. City Survey No. Boundaries Area Plot no. Plot hissa SouthEast North - West Hectares Assessment Approximate value Encumbrances Remarks if Rupees Paise Nature Amount any IN WITNESS WHEREOF, I, Sri......... Here under set my hand this..........day of in the year one thousand nine hundred and.....
WITNESSES
Signed and delivered by the above named in the presence of
(1)
(2)
Signature of Declarant.
FORWARDER with compliments of the Sub-Registrar with a request to record the particulars of the charge created under the declaration in his office./b
Manager/Agent,
.Bank,
Place.
Returned with complements to the Manager/Agent..... Bank. The charge created under the declaration has been duly filed.
Sub-Registrar
1