Statement of stock under Pledge to Indian Overseas Bank, Chakan Branch As at the close of Business on

Borrower’s Name: M/s Address of Godown

Market rate/
Balance as Withdrawal
Particulars Deposits for Unit of Purchase Adv.
per last Total For the Stock on date Valuation Valuation
of stock The month weight rate rate
statement month

I / We hereby certify that the above statement of stocks, which are fully insured against fire is a true and correct statement under minimum values held by me/ us
under pledge to the Indian Overseas Bank and the stocks are at any and all times under sole lien to the Indian Overseas Bank for any or all advances outstanding on
my / our account and I / We also certify that all stocks in the godown are my / our own bonafide property. I / We am / are aware that on the strength of this
declaration the advance is made by the bank. Should the bank wish at any time to carry out a detailed weighment and / or valuation of the goods it is at liberty to do
so at our expenses and I / We agree to accept the result of such weighment and / or valuation

Value of Stock Rs.

Value of Book debts : Less : Creditors for Purchase Rs:
Less : Aged > days : ----------------------------
------------------- Paid Stock Rs.

Date: Stamp & Signature of Borrower