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    FORM 4 SSA Closure

    Uploaded by

    sunilkumarnarnolia2025

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    FORM 4 SSA Closure

    Uploaded by

    sunilkumarnarnolia2025
    24 views1 page

    Original Title

    FORM 4 SSA Closure (1)

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    Copyright:

    © All Rights Reserved
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    24 views1 page

    FORM 4 SSA Closure

    Uploaded by

    sunilkumarnarnolia2025

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    FORM – 4

    (Application for close of account)

    Jhunjhunu
    Name of the Branch__________________________ 25/09/2024
    Date___________________
    553302010022120
    Account Number_________________________

    account.
    To 2. Please Credit the amount of eligible balance in my matured account to my SB Account
    no.___________________standing at______________________(Name of Account office).
    The Manager Or
    Please issue a Demand Draft/account payee cheque
    Or
    Please pay in cash (applicable if the amount is below permissible limit).
    Sub: Application to close bank account
    *Certified, that the amount sought to be withdrawn/loan to be availed is required for the use of
    Dear Sir/Madam,
    ………………………………………who is alive and still a Minor.

    My bank’s savings account number is 553302010022120. I’m now unable


    Signature or thumb impression to keep this account going.
    of depositor/guardian
    Therefore, I respectfully ask that you terminate the account and credit the money to my cash or debit
    card. impression should be attested by a person known to Accounts office)
    (Thumb
    Thanking you, Payment Order
    (For office use only)
    Yours sincerely
    SURAJ
    Date ................................
    Payment detail
    Principal amount Rs.____________________________________
    (+) Interest due Rs. ____________________________________
    (-) Recovery of overpaid interest Rs._ ____________________
    Deduction if any Rs_____________________________________
    No............................... Signature/thumb impression of depositor/guardian
    Total Amount due Rs____________________________________

    Pay Rs.____________________(in figurers)_____________________________________(in words)


    Date
    Date Signature of Branch Manager

    Acquittance
    (to be filled by depositor)

    Received Rs ._____________(In figures)______________________ (in words) By cash/cheque/DD


    bearing
    no…………………………………….dated…………………./by transfer to Account

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