AFFIDAVIT OF PERSONAL PROPERTY, INCOME AND ASSETS
Name and address of Applicant
_________________________
_________________________
_________________________
Phone Numbers
REAL ESTATE
| Address | Present fair market value | Owned |
| A) RESIDENTIAL | ||
|
Address of property (Home, etc) |
Rs xxxx lakhs | Yes |
| B) PLANTATION / FARM LAND | Rs xxxx lakhs | Yes |
OTHER ASSETS
A) FINANCIAL ACCOUNTS
- Current and Savings Bank Accounts: Rs xx lakhs
Account number: ____________
Branch: _____________ - Life Insurance: Rs xxx lakhs
B) VEHICLES
Description Present fair market value Owned
- Car type – Mid size / full size (Car make ) Rs xx lakhs Yes
C) JEWELRY, FURNITURE AND APPLIANCES
Description Present fair market value Owned
- Gold and Diamond Jewelry Rs xx lakhs Yes
- House Furniture and Appliances Rs xx lakhs Yes
INCOME FROM ALL SOURCES (Per month)
A) Net Business Income Rs xx lakhs per month
B) Net income from Salary Rs xx lakhs per month
OATH OF AFFIANT
I, Applicant Name hereby swear or affirm that the information set forth in this Affidavit of Personal Property, Income and Assets above is true, complete, and accurate.
_______________________
Signature of AFFIANT (Applicant)
Sworn to and subscribed before me this __________ Day of __________________, ____________.
____________________
Notary Public
Disclaimer
This sample is provided for your convenience and reference purpose only.
