FORM – 2 (Application for Pre-mature closure of account)

Payment Order (For office use only)

Name of P.O.__________________________ Date_____________________
Date ……….........................
Account Number_______________________ Scheme __________________ Payment detail
Eligible Balance in the account : Rs.__________________________________
1. I/we hereby submit pass book/deposit receipt and apply for pre mature (+) Interest due : Rs.__________________________________
closure of my/our above mentioned account having balance of (-) Recovery of overpaid int. : Rs.__________________________________
Rs._________________(In figures)__________________________________ (-) Penalty Amount, if any : Rs.__________________________________
_______________________________ (in words) Total Amount due : Rs.__________________________________
2. Please Credit the amount after deduction of applicable penulty to my SB Pay Rs.____________(in figurers) ________________________________________ (in words)
Account no.________________________ standing at ________________
________________ Post Office Or Please pay in cash (applicable if the amount Signature of Postmaster
is below permissible limit) or Please issue an account payee cheque. Acquittance (to be filled by depositor)
3. I/We hereby declare that the conditions under which the account can be
closed before maturity have been complied with. Necessary documents as Received Rs .___________(In figures)______________________________________________
applicable are attached as under:- (in words) By cash/ by tfr. to Account No__________________ /by cheque no _____________
(i). dated___________________
(ii). Place:
Date:
Signature or thumb impression of account holder(s)/guardian
Signature/thumb impression of account holder(s)/guardian
(Thumb impression should be attested by a person known to Post office)

FORM – 2 (Application for Pre-mature closure of account)

Payment Order (For office use only)
Name of P.O.__________________________ Date_____________________
Date ……….........................
Account Number_______________________ Scheme __________________ Payment detail
Eligible Balance in the account : Rs.__________________________________
1. I/we hereby submit pass book/deposit receipt and apply for pre mature (+) Interest due : Rs.__________________________________
closure of my/our above mentioned account having balance of (-) Recovery of overpaid int. : Rs.__________________________________
Rs._________________(In figures)__________________________________ (-) Penalty Amount, if any : Rs.__________________________________
_______________________________ (in words) Total Amount due : Rs.__________________________________
2. Please Credit the amount after deduction of applicable penulty to my SB Pay Rs.____________(in figurers) ________________________________________ (in words)
Account no.________________________ standing at ________________
________________ Post Office Or Please pay in cash (applicable if the amount Signature of Postmaster
is below permissible limit) or Please issue an account payee cheque. Acquittance (to be filled by depositor)
3. I/We hereby declare that the conditions under which the account can be
closed before maturity have been complied with. Necessary documents as Received Rs .___________(In figures)______________________________________________
applicable are attached as under:- (in words) By cash/ by tfr. to Account No__________________ /by cheque no _____________
(i). dated___________________
(ii). Place:
Date:
Signature or thumb impression of account holder(s)/guardian
Signature/thumb impression of account holder(s)/guardian
(Thumb impression should be attested by a person known to Post office)