IN THE COURT OF…………………… , …………………. COURT, …………………. DV NO. ……. OF 20..
IN THE MATTER OF:
ABC …COMPLAINANT Versus
XYZ …RESPONDENTS AFFIDAVIT
I, ………. , wife of ………….., daughter of …………., 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
PART – VISTATEMENT OF ASSETS
PART – VII
STATEMENT OF LIABILITIES
PART – VIII
GENERAL INFORMATION RELATING TO THE STATUS, STANDARD OF LIVING AND LIFESTYLE
PART – IX
DOCUMENTS RELATING TO ASSETS, INCOME AND EXPENDITURE
Declaration:
1. I solemnly declare and affirm that I have made full and accurate voluntary disclosure of my income, expenditure, assets and liabilities from all sources. I further declare and affirm 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, expenditure or any other information included in this affidavit.
3. I understand that any false statement made 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 ____________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 there from, 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 true copies of the originals.
DEPONENT