Affidavit of Assets to be made by a Judgment-Debtor (O. 21, R. 41(2))
In the Court of.....................
A.B.C................. Decree holder,
Versus
C............Judgment-debtor
I,............... of.................. state on oath/solemn affirmation as follows:-
1. My full name is................[block capitals]
2. I live at.................
3. I am married/single/widower (widow)/divorced
4. The following persons are dependant upon me:-
5. My employment, trade or profession is that of.............carried on by me at.................... I am a director of the following companies:-
6. My present annual/monthly/weekly income, after paying income tax, is as follows:
a. From my employment, trade or profession Rs.........
b. From other sources Rs..........
7.
a. I own the house in which I live; its value is Rs...........
b. From other sources Rs...............
8. I possess the following:- [give particulars]
a. Banking accounts;
b. Shares and stocks
c. Life and endowment policies;
d. House property;
e. Other property;
f. Other securities
9. The following debts are due to me:-
a. From........ of................Rs..........
b. From........... of.................Rs...............
Sworn before me, etc.
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