AFFIDAVITS
OF ASSETS AND LIABILITIES OF THE HUSBAND AND THE WIFE IN EVERY MAINTENANCE
PROCEEDINGS INTERIM MAINTENANCE
ENCLOSURE
I
Affidavit
of Assets and Liabilities for Non-Agrarian Deponents
I _________, d/o _______ or s/o , aged about
______years, resident of , do hereby solemnly affirm and declare as under:
A.
Personal Information
1. Name :
2. Age/Sex :
3.
Qualifications
(Educational and Professional) :
4. Whether the Applicant is staying in the
matrimonial house / parental home / separate residence. (Please provide the
current residential address of matrimonial home or place of residence and
details of ownership of residence, if owned by other family member.)
5. Date of marriage :
6. Date of separation :
7. General monthly expenses of the Applicant (rent,
household expenses, medical bills,
Transportation, etc.) :
B.
Details of Legal Proceedings and Maintenance being paid
1. Particulars of any ongoing or past legal
proceedings with respect to maintenance or child support between the Applicant
and Non-Applicant.
2. Whether any maintenance has been awarded in any
proceeding arising under the D.V. Act, Cr.P.C., HMA, HAMA, etc.? If yes,
provide details of the quantum of maintenance awarded in the
3. If so, provide particulars thereof, along with a
copy of the Order/s passed.
4. Whether the Order of maintenance passed in
earlier proceedings has been complied with. If not, arrears of maintenance.
5. Whether any voluntary contribution towards
maintenance has been made/ will be made in the
future? If yes, provide details of the same.
C.
Details of dependant family members
1. Details of Dependant family members, if any.
a. Relationship with dependants :
b. Age and sex of dependant/s :
2. Disclose if any independent source/s of income of
the dependants, including interest income,
assets, pension, tax liability on any such income
and any other relevant details.
3. The approximate expenses incurred on account of
the dependant.
D.
Medical details if any, of the Deponent and/or dependant family members
1. Whether either party or child /children is
suffering from any physical / mental disability, or any other serious ailment.
If yes, produce medical records.
2. Whether any dependant family member has serious
disability, requiring continuous medical
expenditure. If yes, produce disability certificate
and approximate medical expenditure incurred on such medical treatment.
3. Whether either party or child/children or any
other dependent family member is suffering from
life-threatening diseases, which would entail
expensive and regular medical expenditure? If yes,
provide details of the same along with summary of
previous details of hospitalization/medical
expenses incurred.
E.
Details of Children of the parties
1. Number of children from the existing marriage /
marital relationship/ previous marriage
2. Name and age of children
3.
Details of the parent who has the custody of the children.
4. Expenditure for maintenance of dependent
children.
a. Towards food, clothing and medical expenses b.
Towards expenses for education, and a summary of general expenses c. Towards
expenses, if any, of any extra educational, vocational or professional/
educational course, specialized training or special skills programme of
dependent children.
d. Details of any loan, mortgage, charge incurred or
instalment plan (being paid or payable), if any, on account of any educational
expenses of children.
5. Whether any voluntary contribution by either of
the parties is being made towards these
educational expenses. If yes, provide details of the
same. Also provide an estimate of any additional contribution that may be
required.
6. Whether any financial support is being provided
by a third party for the educational expenses of the children?
F. Details of
Income of the Deponent
1. Name of employer :
2. Designation :
3. Monthly income :
4. If engaged in Government Service, furnish latest
Salary Certificates or current Pay Slips or proof of deposit in bank account,
if being remitted directly by employer.
5. If engaged in the private sector, furnish a
certificate provided by the employer stating the designation and gross monthly
income of such person, and Form 16 for the relevant period of current
employment.
6. If any perquisites, benefits, house rent
allowance, travel allowance, dearness allowance or any other service benefit is
being provided by the employer during the course of current employment.
7. Whether assessed to income tax?
If yes, submit copies of the Income Tax Returns for
the periods given below :
(i) One year prior to marriage
(ii) One year prior to separation
(iii) At the time when the Application
for maintenance is filed
8. Income from other sources, such as rent,
interest, shares, dividends, capital gains, FDRs, Post
Office deposits, mutual funds, stocks, debentures,
agriculture, or business, if any, along with TDS in respect of any such income.
9. Furnish copies of Bank Statement of all accounts
for the last 3 years.
G.
Assets (movable and immovable) owned by the Deponent
1. Self-acquired property, if any :
2. Properties jointly owned by the parties after
marriage :
3. Share in any ancestral property :
4. Other joint properties of the parties (accounts/
investments/ FDR/ mutual funds, stocks,
debentures etc.), their value and status of
possession :
5. Status of possession of immovable property and
details of rent, if leased:
6. Details of loans taken or given by the Deponent
7. Brief description of jewellery and ornaments of
parties acquired during /after marriage
8. Details of transfer deeds or transactions of
alienation of properties previously owned by the
applicant, executed during the subsistence of the
marriage. Also provide brief reasons for such sale or transaction, if any.
H.
Details of Liabilities of the Deponent
1. Loans, liabilities, mortgage, or charge
outstanding against the Deponent, if any.
2. Details of any EMIs being paid.
3. Date and purpose of taking loan or incurring any
such liability:
4. Actual amount borrowed, if any, and the amount
paid upto date of filing the Affidavit:
5. Any other information which would be relevant to
describe current liabilities of the Deponent.
I.
Self-employed persons / Professionals / Business Persons / Entrepreneur
1.
Brief description of nature of business/profession/vocation/self-employed/work
activity.
2. Whether the business/profession/ self-employment
is carried on as an individual, sole proprietorship concern, partnership
concern, LLP, company or association of persons, HUF, joint family business or
any other form? Give particulars of Applicants share in the
partnership/business/ professional association/self- employment. In case of
partnership, specify the share in the profit/losses of the partnership.
3. Net Income from the business/profession/
partnership/self-employment.
4. Business/partnership/self-employment liabilities,
if any, in case of such activity.
5. In case of business of company, provide brief
details of last audited balance sheet to indicate profit and loss of the
company in which such party is in business in the company.
6. In case of a partnership firm, provide details of
the filings of the last Income Tax Return of partnership.
7. In case of self-employed individual, provide the
filings of the last Income Tax Return from any such
professional/business/vocational activity.
J. Information
provided by the Deponent with respect to the income, assets and liabilities of
the other Spouse
1. Educational and professional qualifications of
the other spouse:
2. Whether spouse is earning? If so, give
particulars of the occupation and income of the spouse.
3. If not, whether he/she is staying in his/her own
accommodation, or in a rented accommodation or in accommodation provided by
employer/business/partnership?
4. Particulars of assets and liabilities of spouse
as known to the deponent, alongwith any supporting documents.
K. Details of
Applicant or the other Spouse, in case parties are Non-Resident Indians,
Overseas Citizens of India, Foreign Nationals or Persons living abroad outside
India.
1. Details of Citizenship, Nationality and current
place of residence, if the Applicant or other spouse is residing abroad outside
India, temporarily or permanently.
2. Details of current employment and latest income
in foreign currency of such applicant/spouse,
duly supported by relevant documentation of
employment and income from such foreign employer or overseas institution by way
of employment letter or testimonial from foreign employer or overseas
institution or latest relevant bank statement.
3. Details of household
and other expenditure of such applicant/spouse in foreign jurisdiction.
4. Details of tax liability of applicant/other
spouse in foreign jurisdiction.
5. Details of income of applicant/other spouse from
other sources in India/foreign jurisdiction.
6. Details of expenses incurred or contribution made
on account of spousal maintenance, child
support or any other educational expenses, medical
treatment of spouse or children.
7. Any other relevant detail of expenses or
liabilities, not covered under any of the above headings and any other
liabilities to any other dependant family members in India or abroad.
DECLARATION
1. I declare that I have made a full and accurate
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 as stated in
this affidavit.
2. I undertake to inform this Court immediately with
respect to 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, apart from being contempt of Court, may
also 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, 1860.
DEPONENT
VERIFICATION
Verified
at ___on this _____day of _____ that the contents of the above affidavit are
true to my personal 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 on the basis of record. I further verify that the copies of
the documents filed along with the affidavit are the copies of the originals.
DEPONENT
ENCLOSURE
II
DETAILS
FOR AFFIDAVIT FOR AGRARIAN DEPONENTS
1. Total extent of the rural land/s owned, or the
specific share holding in the same land:
2. Jamabandis / Mutations to show ownership
3. Location of the land owned by the party.
4. Nature of land : whether wet land or dry land.
5. Whether such land is
agricultural land or non-agricultural land:
6. Nature of
agriculture / horticulture :
7. Nature of crops cultivated during the year :
8. If rural land is not cultivable, whether the same
is being used for business, leasing or other
activity :
9. Income generated during the past 3 years from the
land.
10. Whether any land is taken on lease /battai (or
any other term used for a lease in the local area of the concerned jurisdiction
where rural /agricultural land is located.)
11. (a) Whether owner of any livestock, such as
buffaloes, cows, goats, cattle, poultry, fishery, bee keeping, piggery etc.,
the number thereof and Income generated therefrom?
(b) Whether engaged in dairy farming, poultry, fish
farming or any other livestock activity.
12. Loans, if any obtained against the land. Furnish
details of such loans.
13. Any other sources of income :
14. Liabilities, if any
15. Any other relevant information:
DECLARATION
1. I declare that I have made a full and accurate
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 as stated in
this affidavit.
2. I undertake to inform this Court immediately with
respect to 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, apart from being contempt of Court, 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,1860.
DEPONENT
VERIFICATION
Verified
at ___on this ___day of_____that the contents of the above affidavit are true to
my personal knowledge, no part of it is false and nothing material has been concealed
there from. I further verify that the copies of the documents filed along with
the affidavit are the copies of the originals.
DEPONENT
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