IN THE COURT OF _______________________________________
COMPLAINT CASE NO. ______OF ___________
IN THE MATTER OF :
____________________ ………COMPLAINANT
VERSUS
______________________ ………….RESPONDENT
AFFIDAVIT OF ASSETS, INCOME AND EXPENDITURE OF COMPLAINANT/ RESPONDENT ______________________
AFFIDAVIT
I, ___________________ W/o/D/O_________________________________________________, Aged about _________________years, Resident of ______________________________, do hereby solemnly affirm and declare as under:
PART – I
PERSONAL INFORMATION RELATING TO THE DEPONENT
PART – II
RELEVANT INFORMATION RELATING TO THE SPOUSE
PART – III
RELEVANT INFORMATION RELATING TO THE CHILDREN
PART-IV
STATEMENT OF INCOME
PART V
STATEMENT OF EXPENDITURE
(ESTIMATED EXPENDITURE IN CASE THE COMPLAINANT SHIFT TO ANOTHER HOUSE)
PART – VI
STATEMENT OF ASSETS
PART – VII
JOINT PROPERTIES OF THE PARTIES
PART – VIII
STATEMENT OF LIABILITIES
PART – IX
GENERAL INFORMATION RELATING TO THE STATUS, STANDARD OF LIVING AND LIFESTYLE
PART X
DOCUMENTS RELATING TO ASSETS, INCOME AND EXPENDITURE OF THE DEPONENT
PART A
DOCUMENTS RELATING TO PERSONAL INFORMATION
PART B
DOCUMENTS RELATING TO INCOME, ASSETS AND LIABILITIES
PART C
DOCUMENTS RELATING TO EXPENDITURE
Declaration:
1. I declare that I have made full and accurate voluntary disclosure of my income, expenditure, assets and liabilities from all sources. I further declare that I have no assets, income, expenditure and liabilities other than set out in this affidavit.
2. I undertake to inform this Court immediately upon any material change in my employment, assets, income, expenses or any other information included in this affidavit.
3. I understand that any false statement in this affidavit may constitute an offence under Section 199 read with Sections 191 and 193 of the Indian Penal Code punishable with imprisonment upto seven years and fine, and Section 209 of Indian Penal Code punishable with imprisonment upto two years and fine. I have read and understood Sections 191, 193, 199 and 209 of the Indian Penal Code.
DEPONENT
Verification:
Verified at New Delhi on this ___ day of ___________ that the contents of the above affidavit relating to my assets, income and expenditure are true to my knowledge, no part of it is false and nothing material has been concealed therefrom, whereas the contents of the above affidavit relating to the assets, income and expenditure of my spouse are based on information believed to be true. I further verify that the copies of the documents filed along with the affidavit are the copies of the originals.
DEPONENT