This equitable Mortgage is made the ________. Day of ____,20____ between A.B, aged ___ of the one part and B.B aged  ___ etc of the other part.
Whereas the said B. has advanced to the said A.A the sum of Rs._____ only, Now in consideration of such advances aggregating the aforesaid sum of Rs.___ only. A.A has on this day of ____ 20__ deposited with the said B_______ the deeds and documents pertaining to the _______(description of the property ), with the repayment of the mortgaged money the documents shall be returned to the A.A

Dated this on ____ day of __ 20___

Authorised Signature