The Branch Manager,
_____________ (Bank Name)
_____________ (Branch Name)

Date: __/__/____ (Date)

Subject: Application for issuance of Loan Account Statement from ________ to _________ (date)

Respected Sir / madam,

I, ___________(Name) hold a ____________ (type of loan account) account in your bank bearing account number _______. I am writing this letter to request you to kindly issue me Loan account statement of my ________ (type of loan account) account number _______ (account number) from __/__/_____ to __/__/____ (date) or till date. I want my loan statement for __________ (income tax/concilation/audit/personal/any other reason).

I request you to kindly issue the loan statement at the earliest. I am authorizing to debit charges from the account for statement issuance (if any).

Yours truly,

_________ (Name)
_________ (Customer ID)
_________ (Account number)
_________ (Contact Number)

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