Receipt by a Creditor specifying Detail of Apportionment by Shiva.

Receipt by a Creditor specifying Detail of Apportionment

RECEIVED with thanks from A.B. of . . . . . . . . , the sum of Rupees. . . . . . . . . . . . . (Rs. . . . . . . . . ) only which has been credited as stated below towards the pronote (or mortgage or bond), dated . . . . . . . , executed by the said A.B. in my favour.

(i)   Towards interest from . . . . . . . . to . . . . . . . . , the sum of Rs . . . . . . . . . . .
and
(ii)   Towards principal the sum of?       Rs . . . . . . . . . . . . . . .
Total Received?                              Rs . . . . . . . . . . . . . . .

Dated and delivered at . . . . . , this day . . . . . . . . of . . . . . . . , 20 . . .

Witness:                                                                       . . . . . . . . . . .

Stamp.

Sd. C.D.

Creditor.