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Affidavit of Assets and Liabilities For Non-Agrarian Deponents

Sadhna Kumari has filed a maintenance petition against her husband Sandeep Kumar. She provides details of her assets, income, expenses, and dependents. She owns her home and has a monthly income of ₹50,475 as a data entry operator for a public sector company. She spends ₹46,600 monthly on household and living expenses for herself and her two sons. She seeks maintenance from her husband to support herself and their children.

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0% found this document useful (0 votes)
1K views31 pages

Affidavit of Assets and Liabilities For Non-Agrarian Deponents

Sadhna Kumari has filed a maintenance petition against her husband Sandeep Kumar. She provides details of her assets, income, expenses, and dependents. She owns her home and has a monthly income of ₹50,475 as a data entry operator for a public sector company. She spends ₹46,600 monthly on household and living expenses for herself and her two sons. She seeks maintenance from her husband to support herself and their children.

Uploaded by

adarsh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 31

IN THE HON’BLE COURT OF PRINCIPAL JUDGE, FAMILY COURT,

DWARKA COURT, DELHI


MAINTENANCE PETITION NO. _____ OF 2021

IN THE MATTER OF :
Smt. Sadhna Kumari. ....PETITIONER

VERSUS

Sh. Sandeep Kumar and Ors. ....RESPONDENTS

AFFIDAVIT OF ASSETS AND LIABILITIES FOR NON-


AGRARIAN DEPONENTS

I, Sadhna Kumari, W/O Shri Sandeep Kumar R/o C-109, Maharani

Enclave, Uttam Nagar, New Delhi, 110059, do hereby solemnly affirm

and declare as under:

A. Personal Information

1. Name: Smt. Sadhna Kumari


2. Age/Sex: 29 years/ Female

3. Qualifications (Educational and Professional): 12th Passed

4. Whether the Applicant is staying in the matrimonial house/

parental-home/separate residence. Please provide the current

residential address of the matrimonial home or place of residence

and details of ownership of residence, if owned by other family

members.: -
Self owned house- R/O C-109, Maharani enclave, Uttam
Nagar, New Delhi- 110059.

5. Date of marriage: 05/05/2009

6. Date of separation: April, 2022

7. General monthly expenses of the Applicant (rent, household

expenses, medical bills, transportation, etc.):

₹ 46,6000/-

B. Details of Legal Proceedings and Maintenance being paid

1. Particulars of any ongoing or past legal proceedings concerning

maintenance or child support between the Applicant and Non-

Applicant.

Application filled case under DV Act before the Hon’ble


Court of MM, Dwarka Court, New Delhi.

2. Whether any maintenance has been awarded in any proceeding

arising under the D.V. Act, Code of Criminal Procedure, HMA,

HAMA, etc.? If yes, provide details of the quantum of

maintenance awarded in the proceedings.

NO
3. If so, provide particulars thereof, along with a copy of the Order/

s passed.

Nil

4. Whether the Order of maintenance passed in earlier proceedings

has been complied with. If not, arrears of maintenance.

NO

5. Whether any voluntary contribution towards maintenance has

been made/will be made in the future? If yes, provide details of


the same.

NO

C. Details of Dependant Family Members;

1. Details of Dependant family members, if any. : 2 son

a. Relationship with dependants: Mother

b. Age and sex of dependant/s: Male and 11 & 9 years old

respectively

2. Disclose if any independent source/s of income of the dependants,

including interest income, assets, pension, the tax liability on any

such income and any other relevant details.

Nil

3. The approximate expenses incurred on account of the dependant.:

₹ 46,6000/-

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.

NO

2. Whether any dependant family member has a serious disability,


requiring continuous medical expenditure. If yes, produce a

disability certificate and approximate medical expenditure

incurred on such medical treatment.


NO

3. Whether either party or child/children or any other dependent

family members suffering from life-threatening diseases, which

would entail expensive and regular medical expenditure? If yes,

provide details of the same along with the summary of previous

details of hospitalisation/medical expenses incurred.

NO

E. Details of Children of the Parties

1. Number of children from the existing marriage/marital

relationships/previous marriage:
2 Son

2. Name and age of children:

Ishan & Ilesh

3. Details of the parent who has custody of the children.:

Sadhna Kumari ( Mother)

4. Expenditure for maintenance of dependant children.: ₹46,600/-

a.Towards food, clothing and medical expenses: ₹ 19,000 /-

b.Towards expenses for education, and a summary of general

expenses: ₹ 11,800/-

c.Towards expenses, if any, of any extra educational, vocational or

professional/educational course, specialised training or special

skills programme of dependent children: ₹ 9,900/-

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: NIL

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.

NO

6. Whether any financial support is being provided by a third party

for the educational expenses of the children?

NO

F. Details of Income of the Deponent

1. Name of employer:

EESL( Energy Efficiency Service Limited )

A Joint Venture of PSUs under the Ministry of Power

2. Designation:

Data Entry Operator I

3. Monthly income: ₹ 50,475/-

4. If engaged in Government Service, furnish latest Salary

Certificates or current Pay Slips or proof of deposit in the bank

account, if being remitted directly by the employer.:

Yes, Employer is the JV of PSUs under the Ministry of

Energy, GOI and salary slip is annexed herein as Annexure A

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.:

NO

6. If any perquisites, benefits, house rent allowance, travel

allowance, dearness allowance or any other service benefit is being

provided by the employer during current employment.:

Conveyance Allowance, LTC and other Allowances mentioned

in Salary slip.

7. Whether assessed to income tax?: Yes

If yes, submit copies of the Income Tax Returns for the periods

given below:

(i) One year before marriage : NA

(ii) One year before separation : Annexed herein as Annexure


B

(iii) At the time when the Application for maintenance is filed:

Annexed herein as Annexure C

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.

FDR(s)

9- Finished copies of Bank Statement of all accounts for the last 3

years.

Annexed herein as Annexure D

G. Assets (Movable and Immovable) Owned by the Deponent

1. Self-acquired property, if any:


C-109, Maharani Enclave, Uttam Nagar, New Delhi, 110059

2. Properties jointly owned by the parties after marriage:

NO

3. Share in any ancestral property:

NO

4. Other joint properties of the parties (accounts/investments/FDR/

mutual funds, stocks, debentures etc.), their value and status of

possession:

NO

5. Status of possession of immovable property and details of rent, if

leased:

NO
6. Details of loans taken or given by the Deponent:

Bank Name Loan Amount Tenure Interest

Yes Bank ₹ 8,05,000 60 Months 11.99% p.a

HDFC BANK ₹ 6,00,000 60 Months 11.00% p.a

7. Brief description of jewellery and ornaments of parties acquired

during/after marriage:

NA

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.

NA

H. Details of Liabilities of the Deponent

1. Loans, liabilities, mortgage, or charge outstanding against the

Deponent, if any.

Bank Name Loan Amount Tenure Interest Date Purpose

Yes Bank ₹ 8,05,000 60 Months 11.99% p.a 14/07/2020 Personal L

HDFC BANK ₹ 6,00,000 60 Months 11.00% p.a 15/07/2020 Personal L

2. Details of any EMIs being paid:

Both of the Loan Accounts statement (Latest) is annexed as

Annexure E

3. Date and purpose of taking a loan or incurring any such liability:

Mentioned as Above

4. Actual amount borrowed if any, and the amount paid up to date of

filing the Affidavit:


NA

5. Any other information which would be relevant to describe the

current liabilities of the Deponent.

NO

I. Self-Employed Persons/Professionals/Business Persons/

Entrepreneur

1. Brief description of nature of business/profession/vocation/self-

employed/work activity.

Government Employee working as a Data Operator

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 Applicant's
share in the partnership/business/professional association/self-

employment. In the case of a partnership, specify the share in the

profit/losses of the partnership.

NO

3. Net Income from the business/profession/partnership/self-

employment. -

Nil

4. Business/partnership/self-employment liabilities, if any, in case

of such activity. -

Nil

5. In the case of business of a company, provide brief details of the


last audited balance sheet to indicate profit and loss of the

company in which such parities in business in the company.

Nil

6. In the case of a partnership firm, provide details of the filings of

the last income Tax Return of the partnership.

Nil
7. In the case of a self-employed individual, provide the filings of the

last IncomeTax Return from any such professional/business/

vocational activity.

Nil

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:


Graduate

2. Whether a spouse is earning? If so, give particulars of the

occupation and income of the spouse.

Government Employee

3. If not, whether he/she is staying in his/her accommodation, or

rented accommodation or accommodation provided by employer/

business/partnership?

Yes, Staying in my accommodation.

4. Particulars of assets and liabilities of the spouse as known to the

deponent, along with any supporting documents.

NA

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.:

Nil

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 institutionally by way of employment letter

or testimonial from a foreign employer or overseas institution or


latest relevant bank statement.
Nil

3. Details of household and other expenditure of such applicant/

spouse in the foreign jurisdiction.

Nil

4. Details of tax liability of applicant/another spouse in the foreign

jurisdiction.:

Nil

5. Details of income of applicant/other spouse from other sources in

India/foreign jurisdiction.

Nil

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.

Nil

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.


Nil

Emp. Name: SADHNA KUMARI Organization:EESL UAN Number: 100326690077


Emp. ID: 10000114 Department: HUMAN RESOURCE & ADMIN (# # # # PAN Number: COLPK2247C
Pay Period: 01.01.2022 - 31.01.2022 Designation: DATA ENTRY OPERATOR I Bank A/C: 008591800087354
Hiring Date Master Basic DA Rate Next Incr. Earnings - Deductions + Adjustment = Take Home Pay
24.11.2016 31,680.00 29.40 01.10.2022 58,988.17 - 8,513.00 + 0.00 = 50,475.17

Earnings Deductions Leave Quota


Basic Pay 31,680.00 Ee PF contribution 4,836.00 Earned Leave 139.00
Conveyance Allow 3,076.13 Income Tax 677.00 HPL Leave 112.00
LTC 4,612.61 Instalment Amt Multi Lo 3,000.00 Casual Leave 12.00
Other Allowances 323.14 Restricted Holiday 2.00
Professional Updation 3,076.13
HRA X City Revised 7,603.20
VDARevised 8,616.96

Working Days/Approved Absences


Calendar Days 31.00
Work Days 21.00
Absence Paycut 0.00
LoP 0.00
Earned Leave 0.00
Casual Leave 0.00
HPL 0.00
RH 0.00
Paternity Leave 0.00
CCL 0.00
Study Leave 0.00
HD CL (Pre-Lunch) 0.00
HD CL (Post-Lunch) 0.00
Leaves (Only for FT) 0.00

Total 58,988.17 Total 8,513.00

Perks Any other Income/Sec-10 ns Form-16 Summary


Loan Bal.Multi Loan 47,300.00 Agg of Chapter VI 134926.00 Gross Salary 707,769.25
Annual Perk 9,187.61 Balance 707,769.00
Std Deduction 50,000.00
Aggrg Deduction 50,000.00
Incm under Hd Salary 657,769.00
Gross Tot Income 657,769.00
Agg of Chapter VI 134,926.00
Total Income 522,843.00
Tax on total Income 17,068.60
Tax payable and surcharge 17,752.00
Tax deducted so far 15,722.00
Income Tax 677.00

**This is a system generated form, no signature required.**


Acknowledgement Number : 132946710080121 Assessment Year : 2020-21

ITR-1 SAHAJ INDIAN INCOME TAX RETURN


[For individuals being a resident (other than not ordinarily resident) having total income upto Rs.50 lakh, having Income

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’]

(Refer instructions for eligibility)

PART A GENERAL INFORMATION

Name SADHNA KUMARI

PAN COLPK2247C Date of Birth (DD/MM/YYYY) 26/03/1993

Mobile no 91 - 9716353524 Email Address [email protected]

Aadhaar Number 902517640222

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

Town/ City/ District West Delhi State DELHI

PIN Code 110059 Country INDIA

Nature of Employment Public Sector Undertaking

Filing Section 139(1)-On or before due date

Are you filing return of income under Seventh proviso to section 139(1) but otherwise not required to No

furnish return of income? If yes, please furnish following information

Have you deposited amount or aggregate of amounts exceeding Rs. 1 Crore in one or more current

account during the previous year?

Amount 0

Have you incurred expenditure of an amount or aggregate of amount exceeding Rs. 2 lakhs for travel

to a foreign country for yourself or for any other person?

Amount 0

Have you incurred expenditure of amount or aggregate of amount exceeding Rs. 1 lakh on

consumption of electricity during the previous year?

Amount 0

If revised/defective

Receipt number

Date Of Filing Of Original Return (DD/MM/YYYY)

If filed in response to notice u/s 139(9)/142(1)/148 or order u/s 119(2)(b)-

Unique Number/Document Identification Number (DIN)

Date of such notice/Order

Part B Gross Total Income

Page 1
Acknowledgement Number : 132946710080121 Assessment Year : 2020-21

B1 (i) Gross Salary(ia + ib + ic) 672703

(a)Salary as per section 17(1) 665061


Salary / Pension

(b)Value of perquisites as per section 17(2) 7642

(c)Profits in lieu of salary as per section 17(3) 0

ii) Less : Allowances to the extent exempt u/s 10 (Ensure that it is included in Total Gross Salary in (ii) above) 65659

S.No. Nature of Exempt Allowance Description ( If Any Other selected) Amount

1 Sec 10(13A)-Allowance to meet expenditure incurred on house rent 59462

2 Any Other In house Medical Treatment 6197

(iii) Net Salary(i-ii) 607044


Salary / Pension

(iv) Deductions u/s 16 (iva + ivb + ivc) 50000

(a) Standard Deduction u/s 16(ia) 50000

(b) Entertainment allowance u/s 16(ii) 0

(c) Professional tax u/s 16(iii) 0

(v) Income chargeable under the Head "Salaries"(iii - iv) 557044

B2 Type of House Property

(i) Gross rent received/ receivable/ letable value during the year 0
House Property

(ii) Tax paid to local authorities 0

(iii) Annual Value (i – ii) 0

(iv) 30% of Annual Value 0

(v) Interest payable on borrowed capital 0

(vi) Arrears/Unrealized Rent received during the year Less 30% 0

(vii)Income chargeable under the head ‘House Property’ (iii – iv – v) + vi 0

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

B3 Income from Other Sources 0

S.No. Nature of Income Description ( If Any Other selected) Amount

Less: Deduction u/s 57(iia) (Applicable for family pension only)

B4 Gross Total Income (B1+B2+B3)(If loss, put the figure in negative) 557044

Part C - Deductions and Taxable Total Income

Whether, you have made any investment/ deposit/ payments between 01.04.2020 to 31.07.2020 for the purpose of N

claiming any deduction under Part B of Chapter VIA? [Yes/No]

Section Amount System Calculated

Page 2
Acknowledgement Number : 132946710080121 Assessment Year : 2020-21

80C - Life insurance premia, deferred annuity, contributions to provident fund, 70637 70637

subscription to certain equity shares or debentures, etc.

80CCC - Payment in respect Pension Fund,etc. 0 0

80CCD(1) - Contribution to pension scheme of Central Government 0 0

80CCD(1B) - Contribution to pension scheme of Central Government 0 0

80CCD(2) - Contribution to pension scheme of Central Government by employer 0 0

80D Deduction in respect of Health Insurance premia (Please fill 80D Schedule. 0 0

This field is auto-populated from schedule 80D.)

80DD - Maintenance including medical treatment of a dependent who is a person 0 0

with disability -

80DDB - Medical treatment of specified disease - 0 0

80E - Interest on loan taken for higher education 0 0

80EE - Interest on loan taken for residential house property 0 0

80EEA - Deduction in respect of interest on loan taken for certain house property 0 0

80EEB - Deduction in respect of purchase of electric vehicle 0 0

80G - Donations to certain funds, charitable institutions, etc. (Please fill 80G 0 0

Schedule. This field is auto-populated from schedule.)

80GG - Rent paid 0 0

80GGA - Certain donations for scientific research or rural development (Please 0 0

fill 80GGA Schedule. This field is auto-populated from schedule.)

80GGC - Donation to Political party 0 0

80TTA - Interest on deposits in savings Accounts 0 0

80TTB- Interest on deposits in case of senior citizens 0 0

80U-In case of a person with disability- 0 0

Total Deductions (a+b+c+d+e+f+g+h+i+j+k+l+m+n+o+p+q+r+s) 70637 70637

Note:Total deductions under chapter VI A cannot exceed GTI.

Total Income (B4-C1) 486410

Exempt income (For reporting Purposes)

S.No. Nature of Income Description ( If Any Other selected) Total Amount

Total Amount 0

Part D - Computation of Tax Payable

D1 Tax Payable on Total Income(C2) 11821

D2 Rebate u/s 87A 11821

D3 Tax payable after Rebate 0

D4 Health and Education Cess @4% on (D3) 0

Page 3
Acknowledgement Number : 132946710080121 Assessment Year : 2020-21

D5 Total Tax &Cess 0

D6 Relief u/s 89(1)(Please ensure to submit Form 10E to claim this relief) 0

Balance Tax After Relief (D5-D6) 0

D7 Interest u/s 234A 0

D8 Interest u/s 234B 0

D9 Interest u/s 234C 0

D10 Fee u/s 234F 0

Total Interest and Fee Payable ( D7 + D8 + D9 + D10) 0

D11 Total Tax, Fee and Interest ( D5 + D7 + D8 + D9 + D10- D6) 0

D12(i) Total Taxes Paid 16699

D12(i) Total Advance Tax Paid 0

D12(ii) Total Self Assessment Tax Paid 0

D12(iii) Total TDS Claimed 16699

D12(iv) Total TCS Claimed 0

D12(v) Total Taxes Paid(D12[(i) + (ii) + (iii) + (iv)]) 16699

D13 Amount payable (D11 –D12)(if D11 > D12) 0

D14 Refund(D12 - D11)(if D12 > D11) 16700

Part E – Other Information

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

1 YESB0000085 Yes Bank Ltd 008591800087354

SCHEDULE DI - Details of investments

Investment/ Deposit/ Payments for the purpose of claiming deduction under Chapter VIA

Section Eligible amount of deduction Deduction attributable to investment/

during FY 2019-20 (As per Part C- expenditure made between 01.04.2020

Deductions and taxable total income) to 31.07.2020 (Out of Col No.2)

80C - Life insurance premia, deferred annuity, contributions to provident fund, 0 0

subscription to certain equity shares or debentures, etc.

80CCC - Payment in respect Pension Fund,etc. 0 0

80CCD(1) - Contribution to pension scheme of Central Government 0 0

80CCD(1B) - Contribution to pension scheme of Central Government 0 0

80CCD(2) - Contribution to pension scheme of Central Government by employer 0 0

80D Deduction in respect of Health Insurance premia 0 0

80DD - Maintenance including medical treatment of a dependent who is a person 0 0

with disability -

Page 4
Acknowledgement Number : 132946710080121 Assessment Year : 2020-21

80DDB - Medical treatment of specified disease - 0 0

80E - Interest on loan taken for higher education 0 0

80EE - Interest on loan taken for residential house property 0 0

80EEA - Deduction in respect of interest on loan taken for certain house property 0 0

80EEB - Deduction in respect of purchase of electric vehicle 0 0

80G - Donations to certain funds, charitable institutions, etc.(Please fill 80G 0 0

Schedule. This field is auto-populated from schedule.)

80GG - Rent paid 0 0

80GGA - Certain donations for scientific research or rural development (Please 0 0

fill 80GGA Schedule. This field is auto-populated from schedule.)

80GGC - Donation to Political party 0 0

Total 0 0

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 Donee Address City or Town State Code Pincode PAN of Amount of donation Eligible

or District the Donee Donation Donation in Total Amount of

in cash other mode Donation Donation

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

or District the Donee Donation Donation in Total Amount of

in cash other mode Donation Donation

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

or District the Donee Donation Donation in Total Amount of

in cash other mode Donation Donation

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

or District the Donee Donation Donation in Total Amount of

in cash other mode Donation Donation

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

Schedule 80GGA:Details of donations for scientific research or rural development

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

deduction in cash other mode Donation of

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

Self & Family 0

Health Insurance 0

Preventive Health Checkup 0

Self & Family (Senior Citizen) 0

Health Insurance 0

Preventive Health Checkup 0

Medical Expenditure (This deduction to be claimed on which health insurance is not claimed) 0

Whether any one of your parents is a senior citizen No

Parents 0

Health Insurance 0

Preventive Health Checkup 0

Parents (Senior Citizen) 0

Health Insurance 0

Preventive Health Checkup 0

Medical Expenditure 0

Eligible Amount of Deduction 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)]

(TAN) of the Deductor [Col (1)] under Salaries [Col (3)]

1 DELE05552B ENERGY EFFICIENCY 255287 16699

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

Number of Deduction [Col (3)] Year [Col (6)]

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

IT Details of Advance Tax and Self Assessment Tax Payments

S.No. BSR Code Date of deposit Serial Number of Challan Tax paid

[Col (1)] (DD/MM/YYYY)[Col (2)] [Col (3)] [Col (4)]

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 NEW DELHI

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

INDIAN INCOME TAX RETURN


[For individuals being a resident (other than not ordinarily
resident) having total income upto Rs.50 lakh, having Income
from Salaries, one house property, other sources (Interest etc.), Assessment
ITR-1
and agricultural income upto Rs.5 thousand] Year
SAHAJ
[Not for an individual who is either Director in a company or has 2021 - 22
invested in unlisted equity shares or in cases where TDS has
been deducted u/s 194N or if income-tax is deferred on ESOP]
(Refer instructions for eligibility)

PART A GENERAL INFORMATION

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

Mobile No. Email Address Address:


+ 91 9716353524 [email protected] A-86, Rajan Vihar, Hastsal Village, Uttam Nagar, D. K. Mohan Garden,
West Delhi, D. K. Mohan Garden S.O, 09-Delhi, 91-India, 110059

Filed u/s (Tick) ✔ 139(1)-On or before due date, Nature of employment-


[Please see 139(4)-Belated, 139(5)-Revised, Central Govt. State Govt.
instruction] 119(2)(b)- After Condonation of delay ✔ Public Sector Undertaking
Pensioners Others
Or Filed in 139(9), 142(1), 148, 153A, Not Applicable (e.g. Family Pension etc.)
response to notice 153C
u/s

If revised/defective, then enter Receipt No. and Date of filing original return
(DD/MM/YYYY)

If filed in response to notice u/s 139(9)/142(1)/148/153A/153C or order u/s 119


(2)(b)- enter Unique Number/Document Identification Number (DIN) & Date of
such Notice or Order

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

PART B GROSS TOTAL INCOME Whole- Rupee ( ) only

B1 i Gross Salary (ia+ib+ic) i 6,80,293

a Salary as per section 17(1) ia 6,70,170

b Value of perquisites as per ib 10,123


section 17(2)

c Profit in lieu of salary as per ic 0


section 17(3)
ii Less allowances to the extent exempt u/s 10 ii 78,673
(Ensure that it is included in salary income u/s 17(1)/17(2)/17(3) )

a Sec 10(13A)-Allowance to meet 55,323


expenditure incurred on house
rent

b Any Other Any Other 6,100

c Sec 10(5)-Leave Travel 17,250


concession/assistance

iii Net Salary (i - ii) iii 6,01,620

iv Deductions u/s 16 (iva + ivb+ivc) iv 50,000

a Standard deduction u/s 16(ia) iva 50,000

b Entertainment allowance u/s 16 ivb 0


(ii)

c Professional tax u/s 16(iii) ivc 0

v Income chargeable under the head 'Salaries' (iii - iv) B1 5,51,620

B2 Tick applicable option


Self-Occupied Let Out Deemed Let Out

i Gross rent received/ receivable/ lettable value during the year i 0

ii Tax paid to local authorities ii 0

iii Annual Value (i - ii) iii 0

iv 30% of Annual Value iv 0

v Interest payable on borrowed capital v 0

vi Arrears/Unrealised rent received vi 0


during the year less 30%

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

B3 Income from Other Sources B3 3,794

S.No Nature of Income Description ( If Any Other Total Amount


selected)

1 Interest from Deposit (Bank/Post Office/Cooperative Society) Interest from Deposit (Bank/Post 3,794
Office/Cooperative Society)

Less: Deduction u/s 57(iia) (in case of family pension only) 0

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)

S. Section Amount System Calculated


No.

a 80C - Life insurance premia, deferred annuity, contributions to 5a 60,269 60,269


provident fund, subscription to certain equity shares or
debentures, etc.

b 80CCC - Payment in respect Pension Fund,etc. 5b 0 0

c 80CCD(1) - Contribution to pension scheme of Central 5c 0 0


Government

d 80CCD(1B) - Contribution to pension scheme of Central 5d 0 0


Government

e 80CCD(2) - Contribution to pension scheme of Central 5e 0 0


Government by employer

f 80D Deduction in respect of Health Insurance premia (Please 5f 0 0


fill 80D Schedule. This field is auto-populated from schedule
80D.)

g 80DD - Maintenance including medical treatment of a 5g 0 0


dependent who is a person with disability

h 80DDB - Medical treatment of specified disease 5h 0 0

i 80E - Interest on loan taken for higher education 5i 0 0

j 80EE - Interest on loan taken for residential house property 5j 0 0

k 80EEA - Deduction in respect of interest on loan taken for 5k 0 0


certain house property

l 80EEB - Deduction in respect of purchase of electric vehicle 5l 0 0

m 80G - Donations to certain funds, charitable institutions, etc. 5m 966 966


(Please fill 80G Schedule. This field is auto-populated from
schedule 80G)

n 80GG - Rent paid (Please submit form 10BA to claim 5n 0 0


deduction)

o 80GGA - Certain donations for scientific research or rural 5o 0 0


development (Please fill 80GGA Schedule. This field is auto-
populated from schedule.)

p 80GGC - Donation to Political party 5p 0 0

q 80TTA - Interest on deposits in savings Accounts 5q 0 0

r 80TTB- Interest on deposits in case of senior citizens 5r 0 0

s 80U-In case of a person with disability 5s 0 0

Total Deductions (Add items 5a to 5s) 61,235 61,235

Note: Total deductions under chapter VI A cannot exceed GTI.

Total Income 4,94,180

Exempt income (For reporting Purposes)

S.No Nature of Income Description ( If Any Other selected) Total Amount

Total Exempt Income 0

PART D - COMPUTATION OF TAX PAYABLE

D1 Tax 12,209 D2 Rebate u 12,209 D3 Tax after 0


payable /s 87A rebate
on total
income

D4 Health 0 D5 Total Tax 0 D6 Relief u/s 0


and and Cess 89
education (Please
Cess ensure to
@4% on submit
D3 Form 10E
to claim
this relief)

D7 Interest u 0 D8 Interest u 0 D9 Interest u 0


/s 234A /s 234B /s 234C

D10 Fee u/s 0 D11 Total Tax, Fee and Interest (D5+D7+D8+D9+D10 - D6) 0
234F

D12 Total 14,590 D13 Amount 0 D14 Refund 14,590


Taxes payable
Paid (D11- (D12-
D12) (if D11) (if
D11>D12) D12>D11)

PART E - OTHER INFORMATION


Details of all Bank Accounts held in India at any time during the previous year (excluding dormant accounts)

Sl. IFS Code of the Bank Name of the Bank Account Number Select Account for Refund
Credit

1 YESB0000085 YES BANK LTD 008591800087354 ✔

1. Minimum one account should be selected for refund credit.


2. In case of Refund, multiple accounts are selected for refund credit, then refund will be credited to one of the account decided by CPC after
processing the return.

Schedule 80D

1 Whether you or any of your family member (excluding parents) is a senior citizen? Not claiming for Self/Family

(a) Self & Family 0

(i) Health Insurance 0

(ii) Preventive Health Checkup 0

(b) Self & Family (Senior Citizen) 0

(i) Health Insurance 0

(ii) Preventive Health Checkup 0

(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

(i) Health Insurance 0

(ii) Preventive Health Checkup 0

(b) Parents (Senior Citizen) 0

(i) Health Insurance 0

(ii) Preventive Health Checkup 0

(iii) Medical Expenditure 0

3 Eligible Amount of Deduction 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

Donee Town or Code the Donee Donation


Donation in cash Donation in other Total Donation
District
mode

- 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

Donee Town or Code the Donee Donation


Donation in cash Donation in other Total Donation
District
mode
- 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 Address City or State Pincode PAN of the Amount of donation Eligible Amount of

Donee Town or Code Donee Donation


Donation in cash Donation in other Total Donation
District
mode

1 Prime Minister? Under New Delhi 09-Delhi 110011 AAETP3993P 0 966 966 966

s Citizen Secretary

Assistance and (Funds),

Relief in PMO, South

Emergency Block

Situation Fund

(PM Cares)

Total C 0 966 966 966

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

Donee Town or Code the Donee Donation


Donation in cash Donation in other Total Donation
District
mode

- 0 0 0 0

Total D 0 0 0 0

E. Donations (A + B + C+ D) 0 966 966 966

Schedule 80GGA: Details of donations for scientific research or rural development

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

Schedule-IT Details of Advance Tax and Self-Assessment Tax payments

BSR Code Date of Deposit (DD/MM/YYYY) Serial Number of Challan Tax paid

Col (1) Col (2) Col (3) Col (4)

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

1 DELE05552B ENERGY EFFICIENCY SERVICES LIMITED 5,07,635 14,590

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:

Identification No. of TRP Name of TRP Counter Signature of TRP

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:

Customer Loan Number PLN000300652159


Loan Type PERSONAL LOAN
Date of Loan Disbursement 14-Jul-2020
Loan Amount Disbursed INR 789276.00
Rate of Interest 11.99%p.a.
Loan Tenure 60 Months
Repayment Start Date 08-Aug-2020
Repayment End Date / Pre EMI 08-Jul-2025
Equated Monthly Instalment amount INR 17903.00
Customer Email Address [email protected]

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 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

Name: SADHNA KUMARI


Address: A-86 RAJAN VIHAR HASTSAL VILLAGE
UTTAM NAGAR

City : NEW DELHI


State : DELHI
PinCode : 110059Phone : 9319601777, Mobile:9319601777 Statement Issue Dt: 07/10/2021

Statement Period: 06/07/2020 to 07/10/2021 Loan Account No.: 111834331


Name of Financier: HDFC BANK LTD UCIC: 153356240

Branch: DELHI Amount Financed: 600,000.00


Product: PERSONAL LOAN Amount Disbursed: 596,401.00
Model : PERSONAL EMI Amount(Rs): 13,045.00
Chassis No. NA Total Tenure: 60
Engine No. NA Frequency of EMI: Monthly EMIs
Regn. No. : NA Balance Prin O/s at start of Statement Period (Rs.): 0.00
Disbursal Date: 15/07/2020 112,170.41
Principal paid during statement period (Rs.):
Installment Start Date: 06/08/2020 68,809.78
Interest paid during statement period (Rs.):
Installment End Date: 06/07/2025 Total Prin & interest paid during stmt period (Rs.): 180,980.19
Interest Rate Type: Fixed Bal Prin O/S at the end of statement period (Rs): 487,829.59

Rate Of interest applied from AUG-2020 To OCT-2021 : 11.00 %

Total O/S dues as on 07/10/2021


Total EMI O/S (Rs): 13,045.00 Loan Status: Active
Total OEI O/S (Rs): 0.00 FD Collateral: N
Total CBC O/S (Rs): 0.00 Linked Agreement No(s).: No Records
Total Pymts Overdue (Rs): 13,045.00

Date Particulars Value date Cheque Sno Debit / Credit Balance

15/07/2020 Amt Financed- Payable 15/07/2020 600,000.00 CR 600,000.00 CR


15/07/2020 Due for Processing Fees From 3,539.00 DR 596,461.00 CR
Customer
15/07/2020 Due for Stamp Duty Paid To Bank 60.00 DR 596,401.00 CR
15/07/2020 Amount Paid 15/07/2020 111834331 596,401.00 DR 0.00 DR
06/08/2020 Due for Instalment Amount 1 13,045.00 DR 13,045.00 DR
07/08/2020 Payment Received 06/08/2020 869545 13,045.00 CR 0.00 DR
06/09/2020 Due for Instalment Amount 2 13,045.00 DR 13,045.00 DR
08/09/2020 Payment Received 06/09/2020 E111834331/2-1 13,045.00 CR 0.00 DR
09/09/2020 Excess Interest Refund- Payable 09/09/2020 1,649.81 CR 1,649.81 CR
09/09/2020 Amount Paid 09/09/2020 1242854969 1,649.81 DR 0.00 DR
06/10/2020 Due for Instalment Amount 3 13,045.00 DR 13,045.00 DR
07/10/2020 Payment Received 06/10/2020 E111834331/2-2 13,045.00 CR 0.00 DR
06/11/2020 Due for Instalment Amount 4 13,045.00 DR 13,045.00 DR
07/11/2020 Payment Received 06/11/2020 E111834331/2-3 13,045.00 CR 0.00 DR
06/12/2020 Due for Instalment Amount 5 13,045.00 DR 13,045.00 DR
08/12/2020 Payment Received 06/12/2020 E111834331/2-4 13,045.00 CR 0.00 DR
06/01/2021 Due for Instalment Amount 6 13,045.00 DR 13,045.00 DR
07/01/2021 Payment Received 06/01/2021 E111834331/2-5 13,045.00 CR 0.00 DR
06/02/2021 Due for Instalment Amount 7 13,045.00 DR 13,045.00 DR
08/02/2021 Payment Received 06/02/2021 E111834331/2-6 13,045.00 CR 0.00 DR
06/03/2021 Due for Instalment Amount 8 13,045.00 DR 13,045.00 DR
08/03/2021 Payment Received 06/03/2021 E111834331/2-7 13,045.00 CR 0.00 DR
06/04/2021 Due for Instalment Amount 9 13,045.00 DR 13,045.00 DR
07/04/2021 Payment Received 06/04/2021 E111834331/2-8 13,045.00 CR 0.00 DR
06/05/2021 Due for Instalment Amount 10 13,045.00 DR 13,045.00 DR
07/05/2021 Payment Received 06/05/2021 E111834331/2-9 13,045.00 CR 0.00 DR
06/06/2021 Due for Instalment Amount 11 13,045.00 DR 13,045.00 DR
08/06/2021 Payment Received 06/06/2021 E111834331/2-10 13,045.00 CR 0.00 DR
06/07/2021 Due for Instalment Amount 12 13,045.00 DR 13,045.00 DR
07/07/2021 Payment Received 06/07/2021 E111834331/2-11 13,045.00 CR 0.00 DR
06/08/2021 Due for Instalment Amount 13 13,045.00 DR 13,045.00 DR
07/08/2021 Payment Received 06/08/2021 E111834331/2-12 13,045.00 CR 0.00 DR
06/09/2021 Due for Instalment Amount 14 13,045.00 DR 13,045.00 DR
Page No: 2 of 2

Date Particulars Value date Cheque Sno Debit / Credit Balance

07/09/2021 Payment Received 06/09/2021 E111834331/2-13 13,045.00 CR 0.00 DR


06/10/2021 Due for Instalment Amount 15 13,045.00 DR 13,045.00 DR

TOTAL 13,045.00DR

List Of PDC's Cleared :

S.No City Bank Id Bank Branch Cheque Cheque Date Cheque


Sno. Amount
1 DELHI YES BANK NH1, SECTOR 27, 869545 06/08/2020 13,045.00
ATTA
2 DELHI YES BANK NH1, SECTOR 27, E111834331/2-1 06/09/2020 13,045.00
ATTA
3 DELHI YES BANK NH1, SECTOR 27, E111834331/2-2 06/10/2020 13,045.00
ATTA
4 DELHI YES BANK NH1, SECTOR 27, E111834331/2-3 06/11/2020 13,045.00
ATTA
5 DELHI YES BANK NH1, SECTOR 27, E111834331/2-4 06/12/2020 13,045.00
ATTA
6 DELHI YES BANK NH1, SECTOR 27, E111834331/2-5 06/01/2021 13,045.00
ATTA
7 DELHI YES BANK NH1, SECTOR 27, E111834331/2-6 06/02/2021 13,045.00
ATTA
8 DELHI YES BANK NH1, SECTOR 27, E111834331/2-7 06/03/2021 13,045.00
ATTA
9 DELHI YES BANK NH1, SECTOR 27, E111834331/2-8 06/04/2021 13,045.00
ATTA
10 DELHI YES BANK NH1, SECTOR 27, E111834331/2-9 06/05/2021 13,045.00
ATTA
11 DELHI YES BANK NH1, SECTOR 27, E111834331/2-10 06/06/2021 13,045.00
ATTA
12 DELHI YES BANK NH1, SECTOR 27, E111834331/2-11 06/07/2021 13,045.00
ATTA
13 DELHI YES BANK NH1, SECTOR 27, E111834331/2-12 06/08/2021 13,045.00
ATTA
14 DELHI YES BANK NH1, SECTOR 27, E111834331/2-13 06/09/2021 13,045.00
ATTA

List Of PDC's Bounced :

S.No City Bank Id Bank Branch Cheque Sno. Cheque Date Cheque Amount Bounce Reason

No Records

This is computer generated statement hence signature is not required.


HDFC BANK LTD
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