Day of July 1961, at ..........., by Occupation I ............ Resident of ....... Telephone No......., Office
Day of July 1961, at ..........., by Occupation I ............ Resident of ....... Telephone No......., Office
Day of July 1961, at ..........., by Occupation I ............ Resident of ....... Telephone No......., Office
AFFIDAVIT
Place Where land or building is Ancestral or self If Extent of Market Whether whether
situated acquired/belonging encumbere land in Acres Value in any agricultur
in individual d to what Rupees case/suit al or non
name / in joint extent) before agricultur
names (if any al and
ancestrals/in joint compete weather
names,specify nt comes in
share thereof) authority ceiling
in area
respect
of the
immovab
le
property
is
pending
PLACE: PATNA
VILLAGE:
TALUKA :
POLICE STATION:
REGISTRATION:
SUB- DISTRICT:
DISTRICT:
SURVEY NO.:
PLOT NO:
DOOR NO :
KHATIAN NO:
BOUNDED BY :
NORTH :
SOUTH :
EAST :
WEST :
b. LIQUID ASSETS
c. GOVERNMENT SECURITIES
d. SHARES
OTHER INVESTMENT
LOAN & ADVANCES
i. LIABILITIES
3. That I undertake and declare further to notify to the State bank Of India,
Patna City Branch, any Change, weather by way of increase or diminution, in
the assets/liabilities as detailed above every year by way of presenting
audited balance sheet for the period.
Deponent:
Date: