Security Deposit Refund form

Sample Security Deposit Refund Application Letter/ Form For Dealer/Distributor/ Customer in word /.doc Free Format

FROM: CFA/SA …………………....…………                    TO: V.P.M. (H.O.- MUM)

                                                                             Date: …………………………….

DEPOSIT REFUND (FULL/PART)

PARTY’S NAME  : FULL ADDRESS   : PHONENO. :	…………………………………………………………………….. …………………………………………………………………….. STD Code :               Phone No.: ……………………………………………………………………..
DEPOSITOR LETTER	(TO BE ENCLOSED)
CFA INFORMATION
TOTAL DEPOSIT	Rs.		AS ON
ADD. BILLING LIMIT	Rs.		AS ON
TOTAL OUTSTANDING	Rs.		AS ON
TOTAL C/NOTE AMOUNT (Lying unadjusted)	Rs.		AS ON
ACTUAL AMOUNT TO BE REFUNDED	Rs.                                (in words) ……………………………     ……………………………
REFUND PAYABLE BY CHQ./DD	DD payable at …………………………..		*CODE NO: ……………………………
AFTER DEPOSIT REFUND :
BALANCE DEPOSIT	Rs.		AS ON
ADDL. BILLING LIMIT	Rs.		AS ON
OUTSTANDING AFTER DEPOSIT REFUNDED AMOUNT	Rs.		AS ON
C F A   S I G N A T U R E ………………………………………………………………………………………………………………
REASON FOR REFUND:		AREA SALES INCHARGE
____________         ___________       _________________ BR Mgr                          Z.M.                        V.P.M. ………………………………………………………………………………………………………… R.A. -   Checked & Verified                             Passed for Refund
* If possible give code no in case of State Bank A/c.