Lien removal on FD Request Format
Date: ___/___/_______
Customer Name: Mr. Mrs. Ms. M/s. _______________________________________
Overdraft Account No. ___________________
Customer ID: __________________________
To Axis Bank Limited
<Name & Address of the Branch>
Dear Sir / Madam,
Sub: Removal of lien marked on FD.
In reference to my/our overdraft account mentioned above, I/We have lien marked the below FDs in
favor of Axis Bank Limited. I/We request you to kindly remove the lien on the same.
FD Account No.
Type of Deposit
(RIC/MIC/QIC)
SB/CA account to be
remapped to MIC/QIC
account on lien removal
Collateral code
I/We also understand that the since the OD limit is availed against these lien marked FD receipts, the
request for lien removal may be rejected if the OD account Drawing Power goes below the Debit
balance by virtue of requested lien removal.
Revised sanction limit:-
____________
Revised ROI:- ____________
Date: _______________
Place: _______________
(Borrowers Signature)
Name:
For Bank use only:
Signature of the account holder and particulars on the application verified.
Branch Head/ Branch Operations Head Name: _________________________
Employee No.: __________
SSN No
(Signature of Branch Head/ Branch Operations Head)
: __________
Lien removal on FD and ODFD closure Request Format
Date: ___/___/_______
Customer Name: Mr. Mrs. Ms. M/s. _______________________________________
Overdraft Account No. ___________________
Customer ID: __________________________
To Axis Bank Limited
<Name & Address of the Branch>
Dear Sir / Madam,
Sub: Removal of lien marked on FD and ODFD closure
In reference to my/our overdraft account mentioned above, I/We have lien marked the below FDs in
favor of Axis Bank Limited. I/We request you to kindly remove the lien on the same.
FD Account No.
Type of Deposit
(RIC/MIC/QIC)
SB/CA account to be
remapped to MIC/QIC
account on lien removal
Collateral code
I/We wish to close my/our ODFD Account No._____________________ with you as
_____________________________ (reason for closure) and pay us the credit balance (if any) by:
Credit to our savings / current account no. ______________
I authorize the bank to debit my/our saving/ current account no __________________ in case of any
shortfall at the time closure of ODFD account.
We surrender the following unused cheques nos. from ____________ to____________
Date: _______________
Place: _______________
(Borrowers Signature)
Name:
For Bank use only:
Signature of the account holder and particulars on the application verified.
Cheques nos. from ____________ to ___________ destroyed in our presence.
Branch Head/ Branch Operations Head Name: _________________________
Employee No.: __________
SSN No
(Signature of Branch Head/ Branch Operations Head)
: __________
Premature/Partial Withdrawal of FD Lien marked Request Format
Date of Request: ___/___/_______
Customer
Name:
Mr.
Mrs.
_______________________________________
Ref: Overdraft Account No. ______________________ : Customer ID :
Ms.
M/s.
____________
To Axis Bank Limited
<Name & Address of the Branch>
Dear Sir / Madam,
Sub: Premature/Partial withdrawal lien marked to avail OD limit
Premature withdrawal
Partial withdrawal
In reference to my/our overdraft account mentioned above, I/We have lien marked the below FDs in
favor of Axis Bank Limited. I/We request you to kindly prematurely/partially withdrawal of FD.
FD Account No.
Revised sanction limit:-
Maturity Date of Term
Deposit
____________
Collateral Code
Amount of
Partial Closure
Revised ROI:- ____________
I/We authorize bank to levy premature withdrawal penalty if any. I/We also understand that the since
the OD limit is availed against these lien marked FD receipts, the proceeds of the premature
withdrawal will only be credited to my/our above referenced Overdraft account maintained with the
bank.
Date: _______________
Place: _______________
(Borrowers Signature)
Name:
For Bank use only:
Signature of the account holder and particulars on the application verified.
Branch Head/ Branch Operations Head Name: _________________________
Employee No.: __________
SSN No
(Signature of Branch Head/ Branch Operations Head)
: __________
