Affidavit of Assets and Liabilities For Non-Agrarian Deponents
Affidavit of Assets and Liabilities For Non-Agrarian Deponents
IN THE MATTER OF :
Smt. Sadhna Kumari. ....PETITIONER
VERSUS
A. Personal Information
members.: -
Self owned house- R/O C-109, Maharani enclave, Uttam
Nagar, New Delhi- 110059.
₹ 46,6000/-
Applicant.
NO
3. If so, provide particulars thereof, along with a copy of the Order/
s passed.
Nil
NO
NO
respectively
Nil
₹ 46,6000/-
Family Members
NO
NO
relationships/previous marriage:
2 Son
expenses: ₹ 11,800/-
NO
NO
1. Name of employer:
2. Designation:
NO
in Salary slip.
If yes, submit copies of the Income Tax Returns for the periods
given below:
FDR(s)
years.
NO
NO
possession:
NO
leased:
NO
6. Details of loans taken or given by the Deponent:
during/after marriage:
NA
NA
Deponent, if any.
Annexure E
Mentioned as Above
NO
Entrepreneur
employed/work activity.
NO
employment. -
Nil
of such activity. -
Nil
Nil
Nil
7. In the case of a self-employed individual, provide the filings of the
vocational activity.
Nil
Government Employee
business/partnership?
NA
Nil
Nil
jurisdiction.:
Nil
India/foreign jurisdiction.
Nil
Nil
under any of the above headings and any other liabilities to any
from Salaries, one house property, Interest Income, Family Pension Income etc. and agricultural income upto Rs.5 thousand]
[Not for an individual who is either Director in a company or has invested in unlisted equity shares
or has any brought forward / carry forward loss under the head ‘Income from House Property’]
Address
Flat / Door / Block No A-86, Rajan Vihar Name of Premises / Building / Village
Road/ Street/Post Office Hastsal Village, Uttam Nagar Area/ Locality D. K. Mohan Garden
Are you filing return of income under Seventh proviso to section 139(1) but otherwise not required to No
Have you deposited amount or aggregate of amounts exceeding Rs. 1 Crore in one or more current
Amount 0
Have you incurred expenditure of an amount or aggregate of amount exceeding Rs. 2 lakhs for travel
Amount 0
Have you incurred expenditure of amount or aggregate of amount exceeding Rs. 1 lakh on
Amount 0
If revised/defective
Receipt number
Page 1
Acknowledgement Number : 132946710080121 Assessment Year : 2020-21
ii) Less : Allowances to the extent exempt u/s 10 (Ensure that it is included in Total Gross Salary in (ii) above) 65659
(i) Gross rent received/ receivable/ letable value during the year 0
House Property
Note : Maximum Loss from House property that can be set-off is INR 2,00,000. To avail the benefit of carry forward and set off of loss,please use ITR-2
B4 Gross Total Income (B1+B2+B3)(If loss, put the figure in negative) 557044
Whether, you have made any investment/ deposit/ payments between 01.04.2020 to 31.07.2020 for the purpose of N
Page 2
Acknowledgement Number : 132946710080121 Assessment Year : 2020-21
80C - Life insurance premia, deferred annuity, contributions to provident fund, 70637 70637
80D Deduction in respect of Health Insurance premia (Please fill 80D Schedule. 0 0
with disability -
80EEA - Deduction in respect of interest on loan taken for certain house property 0 0
80G - Donations to certain funds, charitable institutions, etc. (Please fill 80G 0 0
Total Amount 0
Page 3
Acknowledgement Number : 132946710080121 Assessment Year : 2020-21
D6 Relief u/s 89(1)(Please ensure to submit Form 10E to claim this relief) 0
D15 Details of all Bank Accounts held in India at any time during the previous year (excluding dormant accounts)
S.No. IFS Code of the Bank Name of the Bank Account Number Select Account for Refund Credit
Investment/ Deposit/ Payments for the purpose of claiming deduction under Chapter VIA
with disability -
Page 4
Acknowledgement Number : 132946710080121 Assessment Year : 2020-21
80EEA - Deduction in respect of interest on loan taken for certain house property 0 0
Total 0 0
A. Donations entitled for 100% deduction without qualifying limit, (where any row is filled by the user, all the fields in that row should become mandatory)
S No. Name of the Donee Address City or Town State Code Pincode PAN of Amount of donation Eligible
1 0 0 0 0
Total A 0 0 0 0
B. Donations entitled for 50% deduction without qualifying limit (where any row is filled by the user, all the fields in that row should become mandatory)
S No. Name of the Donee Address City or Town State Code Pincode PAN of Amount of donation Eligible
1 0 0 0 0
Total B 0 0 0 0
C. Donations entitled for 100% deduction subject to qualifying limit (where any row is filled by the user, all the fields in that row should become
mandatory)
S No. Name of the Donee Address City or Town State Code Pincode PAN of Amount of donation Eligible
1 0 0 0 0
Total C 0 0 0 0
D. Donations entitled for 50% deduction subject to qualifying limit (where any row is filled by the user, all the fields in that row should become mandatory)
S No. Name of the Donee Address City or Town State Code Pincode PAN of Amount of donation Eligible
Page 5
Acknowledgement Number : 132946710080121 Assessment Year : 2020-21
1 0 0 0 0
Total D 0 0 0 0
E. Donations (A + B + C+ D) 0 0 0 0
S No. Relevant Clause Name of Address City or Town State Code Pincode PAN of Amount of donation Eligible
under which the Donee or District the Donee Donation Donation in Total Amount
is claimed Donation
1 0 0
Total Donation 0 0 0 0
Schedule 80D
Whether you or any of your family member (excluding parents) is a senior citizen? No
Health Insurance 0
Health Insurance 0
Medical Expenditure (This deduction to be claimed on which health insurance is not claimed) 0
Parents 0
Health Insurance 0
Health Insurance 0
Medical Expenditure 0
TAX DETAILS
TDS1 Details of Tax Deducted at Source from Salary [As per Form 16 issued by Employer(s)]
S.No. Tax Deduction Account Number Name of Deductor [Col (2)] Income chargeable Total Tax Deducted [Col (4)]
SERVICES LIMITED
TOTAL 16699
TDS2 Details of Tax Deducted at Source from Income OTHER THAN Salary [As per FORM 16A issued by Deductor(s)]
Page 6
Acknowledgement Number : 132946710080121 Assessment Year : 2020-21
Sl.No. Tax Deduction Account Name of the Gross receipt which Year of tax Tax Deducted [Col (5)] TDS Credit out
Number (TAN) of the Deductor [Col (2)] is subject to tax deduction [Col (4)] of (5) claimed for
Deductor [Col (1)] deduction [Col (3)] this Year [Col (6)]
TOTAL 0
TDS3 Details of Tax Deducted at Source [As per Form 16C furnised by the Payer(s)]
S.No. Permanent Aadhaar No Name of the Gross receipt which Year of Tax Tax Deducted[Col (5)] TDS credit out of
Account of the tenant Tenant [Col (2)] is subject to tax Deduction [Col (4)] (5) claimed this
the Tenant
[Col (1)]
TOTAL 0
TCS Details of Tax Collected at Source [As per Form 27D issued by the Collector(s)]
S.No. Tax Collection Name of the Gross payment which Year of tax Tax Collected [Col (5)] TCS Credit out
Account Number of Collector [Col (2)] is subject to tax Collection [Col (4)] of (5) claimed
the Collector [Col (1)] collection [Col (3)] this year [Col (6)]
TOTAL 0
S.No. BSR Code Date of deposit Serial Number of Challan Tax paid
TOTAL 0
VERIFICATION
I, SADHNA KUMARI son/daughter of, BABU CHAND PRASAD , solemnly declare that to the best of my knowledge and belief, the information given in the
return is correct and complete and is in accordance with the provisions of the Income- tax Act 1961.I further declare that I am making this return in my capacity as
Self and I am also competent to make this return and verify it. I am holding permanent account number COLPK2247C
Date 08/01/2021
Income Tax Return submitted electronically on 08/01/2021 from IP Address 103.7.128.2 and NOT VERIFIED. Please Verify this income tax return using any one of
the below mode.
1. e-Verification option available in eFiling portal under My Account --> e-Verify Return
2. By sending the duly signed (preferably in blue ink) Form ITR-V to "Centralized Processing Centre, Income Tax Department, Bengaluru - 560500", by ORDINARY
OR SPEED POST ONLY, so as to reach within 120 days from date of transmitting the data electronically. Form ITR-V shall not be received in any other office of the
Income-tax Department or in any other manner.
Page 7
Acknowledgement Number : 981663110051221
PAN Name Date of Birth Aadhaar Number (12 digits)/Aadhaar Enrolment Id (28 digits)
COLPK2247C SADHNA KUMARI 26-Mar-1993 (If eligible for Aadhaar No.)
9xxx xxxx 0222
If revised/defective, then enter Receipt No. and Date of filing original return
(DD/MM/YYYY)
Are you opting for new tax regime u/s 115BAC ? Yes ✔ No
Are you filing return of income under Seventh proviso to section 139(1) but otherwise not required to furnish return of income? - (Tick)
Yes ✔ No
If yes, please furnish following information
[Note: To be filled only if a person is not required to furnish a return of income under section 139(1) but filing return of income due to fulfilling
one or more conditions mentioned in the seventh proviso to section 139(1)]
Have you deposited amount or aggregate of amounts exceeding Rs. 1 Crore in one or more current 0
account during the previous year?
Yes ✔ No
Have you incurred expenditure of an amount or aggregate of amount exceeding Rs. 2 lakhs for 0
travel to a foreign country for yourself or for any other person?
Yes ✔ No
Have you incurred expenditure of amount or aggregate of amount exceeding Rs. 1 lakh on 0
consumption of electricity during the previous year? Yes ✔ No
vii Income chargeable under the head 'House Property' (iii - iv - v) + vi (If loss, put B2 0
the figure in negative)
Note: - Maximum loss from House Property that can be set-off is INR 2,00,000. To
avail the benefit of carry forward and set off of loss, please use ITR-2
1 Interest from Deposit (Bank/Post Office/Cooperative Society) Interest from Deposit (Bank/Post 3,794
Office/Cooperative Society)
B4 Gross Total Income (B1+B2+B3) (If loss, put the figure in negative) B4 5,55,414
Note: To avail the benefit of carry forward and set off of loss, please use ITR-2
Part C - Deductions and Taxable Total Income (Refer instructions for Deduction limit as per Income-tax
Act. Please note that the deduction in respect of the investment/ deposit/ payments for the period 01-04-
2020 to 31-07-2020 cannot be claimed again, if already claimed in the AY 2020-21)
D10 Fee u/s 0 D11 Total Tax, Fee and Interest (D5+D7+D8+D9+D10 - D6) 0
234F
Sl. IFS Code of the Bank Name of the Bank Account Number Select Account for Refund
Credit
Schedule 80D
1 Whether you or any of your family member (excluding parents) is a senior citizen? Not claiming for Self/Family
(iii) Medical Expenditure (This deduction to be claimed on which health insurance is not 0
claimed at (i) above)
2 Whether any one of your parents is a senior citizen Not claiming for parents
(a) Parents 0
Schedule 80G: Details of donations entitled for deduction under section 80G
A. Donations entitled for 100% deduction without qualifying limit, (where any row is filled by the user, all the fields in that row should become
mandatory)
S No. Name of the Address City or State Pincode PAN of Amount of donation Eligible Amount of
- 0 0 0 0
Total A 0 0 0 0
B. Donations entitled for 50% deduction without qualifying limit (where any row is filled by the user, all the fields in that row should become mandatory)
S No. Name of the Address City or State Pincode PAN of Amount of donation Eligible Amount of
Total B 0 0 0 0
C. Donations entitled for 100% deduction subject to qualifying limit (where any row is filled by the user, all the fields in that row should become
mandatory)
S No. Name of the Address City or State Pincode PAN of the Amount of donation Eligible Amount of
1 Prime Minister? Under New Delhi 09-Delhi 110011 AAETP3993P 0 966 966 966
s Citizen Secretary
Emergency Block
Situation Fund
(PM Cares)
D. Donations entitled for 50% deduction subject to qualifying limit (where any row is filled by the user, all the fields in that row should become
mandatory)
S No. Name of the Address City or State Pincode PAN of Amount of donation Eligible Amount of
- 0 0 0 0
Total D 0 0 0 0
S No. Relevant Name of Address City or State Pincode PAN of Date of Amount of donation Eligible
Clause under
the Town or Code the Donation Amount of
which Donation Donation in Total
Donee District Donee in cash Donation
deduction is
in cash other mode Donation
claimed
- 0 0 0 0
Total Donation 0 0 0 0
BSR Code Date of Deposit (DD/MM/YYYY) Serial Number of Challan Tax paid
Total 0
Schedule TDS1 - Details of Tax Deducted at Source from Salary [As per form 16 issued by Employer(s)]
Sl.No. TAN of the Deductor Name of the Deductor Income chargeable under Total Tax Deducted
salaries
1 2 3 4
Total 14,590
Schedule TDS2 - Details of Tax Deducted at Source from Income Other than Salary [As per form 16A issued by Deductor(s)]
Sl. TAN of Name of the Gross receipt which is Year of Tax Deducted TDS Credit out of (5)
No. the Deductor subject to tax deduction tax claimed this year
Deductor deduction
1 2 3 4 5 6
Total 0
Schedule TDS3 - Details of Tax Deducted at Source [As per Form 16C furnished by the Payer(s)]
Sl. PAN Aadhaar Name of the Gross receipt which is Year of Tax Deducted TDS Credit out of (6)
No. of the Number Tenant subject to tax claimed this year
Tenant of tax deduction deduction
the
Tenant
1 2 3 4 5 6 7
Total 0
Schedule TCS - Details of Tax Collected at Source [As per form 27D issued by the Collector(s)]
Sl. Tax Name of the Gross payment which is Year of Tax Collected TCS Credit out of (5)
No. Collection Collector subject to tax claimed this year
Account tax collection collection
Number of
the
Collector
1 2 3 4 5 6
Total 0
VERIFICATION
I, SADHNA KUMARI son/ daughter of BABU CHAND PRASAD solemnly declare that to the best of my knowledge and belief, the
information given in the return is correct and complete and is in accordance with the provisions of the Income-tax Act, 1961. I further declare
that I am making this return in my capacity as Self and I am also competent to make this return and verify it. I am holding permanent
account number COLPK2247C
Place:
Date: 05-Dec-2021
If the return has been prepared by a Tax Return Preparer (TRP) give further details below:
If TRP is entitled for any reimbursement from the Government, amount thereof 0
November 12, 2021
MS. SADHNA KUMARI
A 86 RAJAN VIHAR HASTSAL VILLAGE UTTAM NAGAR WEST DELHI DELHI DELHI 110059
Tel No.:NA
Subject: Welcome to the world of YES BANK!
Dear Customer,
At YES BANK, it is our continuous endeavor to provide you with innovative financial solutions to meet all your banking needs, while offering you a
Consistent & Superior Service Experience.
We are pleased to inform you that your PERSONAL LOAN for INR 789276.00 has been disbursed on 14-Jul-2020 and your PERSONAL LOAN account
number is PLN000300652159. Please mention this account number for all your future correspondences with YES BANK.
Important information:
Please find enclosed your Loan Agreement & Repayment Schedule along with other useful information about YES BANK.
For any further assistance, please visit your nearest YES BANK branch or Call us on 1800 1200 (Toll Free from Mobile & Landlines in India). We
would be delighted to assist you.
We thank you for banking with YES BANK and assure you of our best services at all times.
YES FOR YOU!
Sincerely,
Anita Pai
Senior Group President & Chief Operating Officer
Page1
YES BANK
Repayment Schedule
Generated On (Date & Time): 12-Nov-2021 03:05:39
Customer Name MS. SADHNA KUMARI
Agreement No 1685607
Repayment Start Date 08-Aug-2020
Repayment End Date / Pre EMI 08-Jul-2025
Loan Amount 805000.00
Tenure 60 Months
Closing
Installment Amount Interest Principal
S.No. Due Date Opening Principal INR INR Principal Amount INR Amount INR INR
08-
1 Aug-2020 805000.00 17903.00 11468.00 6435.00793532.00
2 08-Sep-2020 793532.00 17903.00 9974.00 7929.00783558.00
3 08-Oct-2020 783558.00 17903.00 10074.00 7829.00773484.00
08-
4 Nov-2020 773484.00 17903.00 10175.00 7728.00763309.00
08-
5 Dec-2020 763309.00 17903.00 10276.00 7627.00753033.00
6 08-Jan-2021 753033.00 17903.00 10379.00 7524.00742654.00
7 08-Feb-2021 742654.00 17903.00 10483.00 7420.00732171.00
08-
8 Mar-2021 732171.00 17903.00 10587.00 7316.00721584.00
9 08-Apr-2021 721584.00 17903.00 10693.00 7210.00710891.00
08-
10 May-2021 710891.00 17903.00 10800.00 7103.00700091.00
11 08-Jun-2021 700091.00 17903.00 10908.00 6995.00689183.00
12 08-Jul-2021 689183.00 17903.00 11017.00 6886.00678166.00
08-
13 Aug-2021 678166.00 17903.00 11127.00 6776.00667039.00
14 08-Sep-2021 667039.00 17903.00 11238.00 6665.00655801.00
15 08-Oct-2021 655801.00 17903.00 11350.00 6553.00644451.00
08-
16 Nov-2021 644451.00 17903.00 11464.00 6439.00632987.00
08-
17 Dec-2021 632987.00 17903.00 11578.00 6325.00621409.00
18 08-Jan-2022 621409.00 17903.00 11694.00 6209.00609715.00
19 08-Feb-2022 609715.00 17903.00 11811.00 6092.00597904.00
08-
20 Mar-2022 597904.00 17903.00 11929.00 5974.00585975.00
21 08-Apr-2022 585975.00 17903.00 12048.00 5855.00573927.00
08-
22 May-2022 573927.00 17903.00 12169.00 5734.00561758.00
23 08-Jun-2022 561758.00 17903.00 12290.00 5613.00549468.00
24 08-Jul-2022 549468.00 17903.00 12413.00 5490.00537055.00
08-
25 Aug-2022 537055.00 17903.00 12537.00 5366.00524518.00
26 08-Sep-2022 524518.00 17903.00 12662.00 5241.00511856.00
27 08-Oct-2022 511856.00 17903.00 12789.00 5114.00499067.00
08-
28 Nov-2022 499067.00 17903.00 12916.00 4987.00486151.00
08-
29 Dec-2022 486151.00 17903.00 13046.00 4857.00473105.00
30 08-Jan-2023 473105.00 17903.00 13176.00 4727.00459929.00
31 08-Feb-2023 459929.00 17903.00 13308.00 4595.00446621.00
08-
32 Mar-2023 446621.00 17903.00 13441.00 4462.00433180.00
33 08-Apr-2023 433180.00 17903.00 13575.00 4328.00419605.00
08-
34 May-2023 419605.00 17903.00 13710.00 4193.00405895.00
35 08-Jun-2023 405895.00 17903.00 13847.00 4056.00392048.00
Page2
36 08-Jul-2023 392048.00 17903.00 13986.00 3917.00378062.00
08-
37 Aug-2023 378062.00 17903.00 14126.00 3777.00363936.00
38 08-Sep-2023 363936.00 17903.00 14267.00 3636.00349669.00
39 08-Oct-2023 349669.00 17903.00 14409.00 3494.00335260.00
08-
40 Nov-2023 335260.00 17903.00 14553.00 3350.00320707.00
08-
41 Dec-2023 320707.00 17903.00 14699.00 3204.00306008.00
42 08-Jan-2024 306008.00 17903.00 14845.00 3058.00291163.00
43 08-Feb-2024 291163.00 17903.00 14994.00 2909.00276169.00
08-
44 Mar-2024 276169.00 17903.00 15144.00 2759.00261025.00
45 08-Apr-2024 261025.00 17903.00 15295.00 2608.00245730.00
08-
46 May-2024 245730.00 17903.00 15448.00 2455.00230282.00
47 08-Jun-2024 230282.00 17903.00 15602.00 2301.00214680.00
48 08-Jul-2024 214680.00 17903.00 15758.00 2145.00198922.00
08-
49 Aug-2024 198922.00 17903.00 15915.00 1988.00183007.00
50 08-Sep-2024 183007.00 17903.00 16074.00 1829.00166933.00
51 08-Oct-2024 166933.00 17903.00 16235.00 1668.00150698.00
08-
52 Nov-2024 150698.00 17903.00 16397.00 1506.00134301.00
08-
53 Dec-2024 134301.00 17903.00 16561.00 1342.00117740.00
54 08-Jan-2025 117740.00 17903.00 16727.00 1176.00101013.00
55 08-Feb-2025 101013.00 17903.00 16894.00 1009.00 84119.00
08-
56 Mar-2025 84119.00 17903.00 17063.00 840.00 67056.00
57 08-Apr-2025 67056.00 17903.00 17233.00 670.00 49823.00
08-
58 May-2025 49823.00 17903.00 17405.00 498.00 32418.00
59 08-Jun-2025 32418.00 17903.00 17579.00 324.00 14839.00
60 08-Jul-2025 14839.00 14987.00 14839.00 148.00 .00
***END OF REPORT***
Page3
Page No: 1 of 2
TOTAL 13,045.00DR
S.No City Bank Id Bank Branch Cheque Sno. Cheque Date Cheque Amount Bounce Reason
No Records