FROM :
Date :
To,

Auditors Address

Dear Sirs, 

Refer : Client ____________________________________________

At the request of our clients, we certify the balance and give below particulars of their accounts, investments, bill etc., as at the close of business on ___________________, as shown by our records :

1.	Current Accounts in Credit			
				
	Designation of Account		Balance	

				
2.	Overdrawn current accounts, overdraft accounts or cash credit accounts:
	
	Designation of Account	Balance	Security held	

				
3.	Loan Accounts			
				
	Designation of Account	Balance	Security held	

				
4.	Fixed, call and short deposit accounts 			
				
	Balance	Interest Accrued till the closing date	Particulars of any due date, charges or lien	
				
5.*	Investments and other Documents of Title held in Safe Custody	
			
	Designation	Face value or number of Shares held	

			
				
6.	Margin against Letter of Credit, Guarantees issued etc.	
				
	Designation		Amount	

				
7.	Bills for Collection			
				
	Designation	Amount	Due date	

				
8.	Bills discounted or purchased(including Trust Receipt facilities  import loans or export bills negotiated etc. with list of documents obtained for the same)	
				
	Name of drawee	Amount	Due date	

				
9.	Letter of Credit opened and outstanding (list of documents obtained for the same) in  favor of	
				
	Particulars	Amount not utilised	Valid upto	

				
10.	Guarantee given on behalf of  clients (and list of documents obtained for the same) in favor of	
				
	Particulars	Amount	Date of Expiry	

				
11.	Interest Accrued			

			

12.	The details of authorised signatories are:

	

We certify that the above particulars are complete and correct, and do not exclude any other obligations of _________________ to us.

Yours faithfully

Give brief description of the documents executed with you for the above facilities and in case of Securities e.g. Shares, Bonds or Title deeds. Please provide details in full.

	Use additional sheets, wherever necessary.