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    Assets Form

    Uploaded by

    Msaleem
    The document is a declaration of income and assets form from the Government of Punjab. It requests information about an individual's basic details, income sources, expenses, assets, investments, and liabilities to declare for the financial year. The form includes 14 sections requesting specifics about income, expenses, immovable assets, moveable assets, assets held as attorney, assets disposed of, investments, bank accounts, total assets, and liabilities.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Assets Form

    Uploaded by

    Msaleem
    29 views4 pages
    The document is a declaration of income and assets form from the Government of Punjab. It requests information about an individual's basic details, income sources, expenses, assets, investments, and liabilities to declare for the financial year. The form includes 14 sections requesting specifics about income, expenses, immovable assets, moveable assets, assets held as attorney, assets disposed of, investments, bank accounts, total assets, and liabilities.

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    Uehd

    Original Title

    Assets_Form

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    The document is a declaration of income and assets form from the Government of Punjab. It requests information about an individual's basic details, income sources, expenses, assets, investments, and liabilities to declare for the financial year. The form includes 14 sections requesting specifics about income, expenses, immovable assets, moveable assets, assets held as attorney, assets disposed of, investments, bank accounts, total assets, and liabilities.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    29 views4 pages

    Assets Form

    Uploaded by

    Msaleem
    The document is a declaration of income and assets form from the Government of Punjab. It requests information about an individual's basic details, income sources, expenses, assets, investments, and liabilities to declare for the financial year. The form includes 14 sections requesting specifics about income, expenses, immovable assets, moveable assets, assets held as attorney, assets disposed of, investments, bank accounts, total assets, and liabilities.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 4

    GOVERNMENT OF PUNJAB

    PUNJAB LAND RECORS AUTHORITY


    BOARD OF REVENUE ,LAHORE.

    DECLARATION OF INCOME AND ASSETS


    Financial Year Ending on 30th June __________

    1 Name

    NIC No.

    N.T.No.

    2 Basic Pay Scale Occupation Group/


    Service/Department

    Present Position Held

    3 Present Residential Address

    Phone (R) Mobile

    4 Income Salary Rental income Agrl income


    (During the Rs. Rs. Rs.
    financial year)
    Other sources (dividend, profit, prize money, gift, loan etc.) Total
    Rs. Rs.

    5 Expenses Utilities (Electricity, Total Household


    (Approx.) Gas, Telephone etc.) expenses
    Rs. Rs.

    6 Private Foreign Traveling Country/Countries Period of stay Approx. expenses


    (Self, Spouse & Children) visited From __ to __ Rs.
    During F.Y._________

    7 Children's Education Name(s) of children Educational institutions


    attended during F.Y.
    (inland & abroad) _________

    8 Club Membership Name of Club(s) Membership No.

    1/4
    ASSETS & LIABILITIES

    9. Immoveable Assets (Agri & Non-Agri lands, House properties, Commercial & Industrial
    properties, Open plots of all types)

    Identification & nature of Asset(s) Mode of acquisition/year Cost of acquisition


    a)
    b)
    c)
    d)
    e)
    f)
    g)
    h)
    i)
    j)
    k)
    l)
    m)

    10. Moveable Assets (Cash in hand, Motor vehicles, Jewellery, Household items,
    Equipment, Business capital etc.)
    Identification & nature of Asset(s) Mode of acquisition/year Cost of acquisition
    a) w
    b)
    c)
    d)
    e)
    f)
    g)
    h)
    i)
    j)
    k)
    l)
    m)

    11. Assets held as Attorney


    Identification & nature of Asset(s) Nature of Power of Attorney Name & Address of
    (Revocable/Irrevocable) the Legal Owner
    a)
    b)

    2/4
    12. Assets disposed off during the year
    Identification & nature of Asset(s) Date of disposal Amount received as
    sale proceed (Rs.)
    a)
    b)
    c)
    d)

    13. Investments (Bonds, Shares, Certificates, deposits/Advances, Loans granted etc.)


    Details of Bonds held Investments
    Bond No.(s) Denomination Rs. Rs.
    a) Rs.
    b) Rs.
    c) Rs.
    d) Rs.

    14. Bank Accounts (Current, Saving, Deposit A/c & F.C. A/cs)
    A/c No. & Bank Branch Year of opening Main source of deposits Balance on 30.6. (Rs.)
    a)
    b)
    c)
    d)

    15. Total Assets (9 –14) Rs.____________________

    16. Liabilities (Departmental/Bank loans, over drafts, Mortgages secured, private loans etc.)
    Outstanding liabilities (A) Liabilities paid off during the year (B)
    a) Rs. Rs.
    b) Rs. Rs.
    c) Rs. Rs.
    d) Rs. Rs.

    (15-16(A)) Net worth Rs.__________________


    As on 30.6.__________

    Net worth declared previously Rs.__________________


    As on 30.6.__________

    Signature__________________________
    Name ____________________________
    Designation ________________________
    Name of the Organization/Deptt._________
    __________________________________
    Place _____________________________
    Date _____________________________

    3/4
    INSTRUCTIONS

    1. If the space provided in the form is found inadequate or some explanation is


    required, a separate page may be attached/annexed.
    2. All assets should be valued at cost and in the cases of assets acquired through gift
    name, address of the donor and donees relationship with him is to be declared.
    3. Income declared at Serial 4 must include income earned by the spouse & children as
    well.
    4. Information requested must be complete. No column should be left blank. Columns
    which are not applicable should be crossed.
    5. All assets owned by the officer & his family members (Family as defined in Rule
    3(1)(c) of Conduct Rules 1964) should be declared. Assets acquired by major children
    dependents & others where funds have been provided by the officer are also to be
    declared.
    6. Assets owned partly or acquired on “Hire purchase Agreement” or installment
    should also be declared.
    7. If any exact figure cannot be inserted an estimated/approx figure may be given.
    8. Sale proceeds of assets disposed off during the relevant financial year must be
    declared under the head “other sources” (Serial 4).
    9. If there is no change in Assets over the previous year (for which the declaration had
    been filed) relevant columns (Serial 9, 10, & 11) may be marked “As Before”.
    10. At Serial 11 assets held by others as attorney on behalf of declarant, his spouse or
    dependent children are also to be declared.
    11. Expenses against utilities (Serial 5) should include bills paid against all meters (Gas &
    Electricity installed on the residence) and telephone connections (including Mobile) in use
    of the officer, spouse & dependent children.
    12. Notwithstanding the applicability of any other law for the time being in- force, this
    declaration is being filed under Conduct Rule 1964 and any breach thereof (including
    concealment of assets or giving wrong information) is punishable under RSO 2000.

    *******

    4/4

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