LUC Form

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Date Of LUC

Month

Day

Year

Entity Name

Address

Prop Name

Risk Officer

Loan Product

Loan Purpose

Loan Amount

Disbursement Date

Month

Day

Year

Bank Statement Review:

Date

Month

Day

Year

Payee

Amount

Reason

Date 1

Month

Day

Year

Payee 1

Amount 1

Reason 1

Date 2

Month

Day

Year

Payee 2

Amount 2

Reason 2

Date 3

Month

Day

Year

Payee 3

Amount 3

Reason 3

How much of the loan amount has been used?

How will the remaining amount be used and by when?

Percentage of amount used:

Intended Purpose (in %age)

None Intended Purpose (in %age)

If amount was not used for Intended Purpose, what was it used for?

For Asset Purchase Loan:

Is the purchased asset new or old?

New

Old

Comment

Is the hypothecation label been applied?

Yes

Comment 1

Machine Details (Sl. No., Make, Type)

Comment 2

For Working Capital Loan:

If raw materials purchased, verified physically?

Yes

Verified Purchase Bills for Raw Materials Purchase?

Yes

Receivable Data:

Company Name

Receivables

Company Name 1

Receivables 1

Company Name 2

Receivables 2

Payable Data:

Company Name 3

Payables

Company Name 4

Payables 1

Company Name 5

Payables 3

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LUC Form

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