OFFICE OF THE MANAGER/MANAGING DIRECTOR ..................

......................... Certified- (1) that a sum of Rs. .............................................. has been granted to Shri/Smt. .................................. r/o .................................... Tehsil .............................. District ....................................... for ...................; (2) that further a sum of Rs. ........................................... has become recoverable from the said loanee by way of interest chargeable at the rate of .........................; (3) that the said Shri/Smt. ............................................. .................. has/have not refunded either the principal or the interest recoverable from him/her and is reluctant to do so; and (4) that the total sum of Rs. ............................. (Rupees ................................... as principal and Rs. ............... ........... as Interest) has become recoverable from him/her; Now, therefore, it is requested that the said sum of Rs. ............... ................ (Rupees .......................................) along with the collection charges may kindly be recovered as arrears of land revenue 1. Schedule inserted vide H.P. Act No. 8 of 1984. 22 THE HIMACHAL PRADESH SCHEDULED CASTES AND SCHEDULED TRIBES DEVELOPMENT CORPORATION ACT, 1979 under section 26-A of the Himachal Pradesh Scheduled Castes and Scheduled Tribes Development Corporation Act, 1979. Manager/Managing Director, ......................... Bank. To The Collector, ................... District.] ___________