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e rlekxo3 toca 152 Za.)..r@etx 2003

amot 09 -05-2003d 4.,,nd .t.).)E3_,tennd. n.zr twzr d

Government of Karnataka tx-8pz-4.) mebi

Document Sheet

t.raeodd mrta tnz;:?o %eng z3e3 : 2/—

Registration and Stamps Department

mrik,I.:,;. o.1.74)de dx'spnri This sheet can be used for any document

L3 a~eix~a zadcttszt4 CYc7.1Z0 mtSgszi tmcnjot em.),

Date of execution Total stamp duty paid Rs.

A Details of movable Assets

Si. No. Description Self Manjunath

Spouse's Name : Sushma Manjunath

2

Dependent- 1 Name Aditi. M

3

Dependent - 2 Name : Prapti. M

4 a. Cash Rs. 40,000 in

Hand 1) Rs. 18,000

In Hand Not Applicable

Not Applicable

Not Applicable

b. Deposits in Banks, Financial Institutions And Non Banking Financial companies

Rs. 1,50,000/- S.B.H. in Basaveshwara- Nagar Branch C. A/c. No. 62029967791 Proprietor City Engineers Rs. 5,000/- S.B. A/c. No. 62122371919 in S.B.H. Basaveshwara Nagar Branch.

Rs. 30,000/-S.B. A/c. No. 52116531887 In S.B.H Basaveswara nagar Branch.

Not Applicable

c. Rs. 40,000/-S.B. A/c. No.

Canara Bank B.B.M.P Extension counter, B.B.M.P, H.0

,-,

d. Bonds, Debentures And Shares in Companies

Nil Nil Not Applicable

Not Applicable

e Other Financial instruments NSS, Postal Savings, LIC, Policies etc.

Nil Nil Not Applicable

Not Applicable

f Motor Vehicles (details of make, etc.

Car- Maruthi Alto KA-02, MC-3959 Model : 2008 Approx. Value 2,30,000/-

2) Honda Activa KA-02 HA-3744 Model 2007 Approx 28,000/-

Nil Not Applicable

Not Applicable

g Jewellery (give details of weight and value

a) 318 grams Pledged to SBH, Basaveshwara Nagar Rs. 3,00,000/-

100 Grams Rs. 1,50,000/-

Not Applicable

Not Applicable

h. Other Income

From Rent Rs. 2,40,000/- Per annum

Not Applicable

Not Applicable

Not Applicable

dmilem maskthqtmE-1.3t xlnrcici tldet too iSoq 152 x..r@e,.v 2003 amoti 09-05-2003d qind

tizeocIrt =Kra o tw.nai : dz. 2/ —

Registration and Stamps Department

m4o.tq cdtez-3r1 emoiroMz3t.N:1.) This sheet can be used for any document

c:Aemq zattr:JAJNE3mc

Date of execution

mtSgzi tmc5-&,.) o

Total stamp duty paid Rs.

tnrd Government of Karnataka

dm_ge=

Document Sheet

B. Details of Immovable Assets.

SI. No. Description Self Manjunath

1

Spouse's Name : Sushma Manjunath

2

Dependent- 1 Name Aditi. M

3

Dependent -2 Name : Prapti. M

4

i) Non 1) House Propety bearing 1) Vacant site Agricultural No. 926, 2nd 'A' Cross, 1 st No. 151 C, Raja Not Not Land Location (s) Survey Number (s)

Block, 3 KI Stage, Basaveshwar nagar, Bangalore — 79

Rajeshwari Nagara Sub Area, Mallathahalli

Applicable Applicable

Extent (Total Measuring 800 Sq. Village Measurement) Ft.Approx Value Measuring Current Market value

Rs. 30,00,000/- 2,200 Sq. Ft. Approx. Value —

2) Commercial vacant site bearing No. 266, WCR, 1 St

40,00,000/-

Stage, 4 th Phase, Shivanagar, Bangalore — 10, Measuring 980 Sq.Ft. Approx. Value — 45,00,000/- (In dispute)

3) Factor shed bearing No. 4&5 Assesment No. 128, katha no. 218/4- 230/5, magadi road, Machohalli village Measuring 11,200 Sq.Ft. Apppox. Vaue — 90,00,000/-

5. That I give herein below the details of my liabilities / over dues to public financial institutions and government dues :-

Si. No.

Description Name and address of Banlc/Financial Institutions (s) / Department (s) Amount Outstanding as on 28-02-2010

1

Name and address of Banlc/Financial Institutions (s) / Department (s) Amount Outstanding as on 28-02-2010

2

Name and address of Bank/Financial Institutions (s) / Department (s) Amount Outstanding as on 28-02-2010

3

Name and address of Banlc/Financial Institutions (s) / Department (s) Amount Outstanding as on 28-02-2010

4

a) (i) Loans from

Bank

Loans from Financial Institutions

Bangalore

Manjunath Personal Loan Rs. 9,38,000/- S.B.H. Basaveshwaran Agar Branch, Bangalore 2) House Loan Rs. 1,25,000/-from S.B.H Basaveshwara Nagar Branch,

- Nil -

- Nil -

- Nil -

- Nil -

- Nil -

- Nil -

- Nil - ii)

mtS,;c1 tncm_d o Ebe_)4

Total stamp duty paid Rs. t:M_Vezzqz.dttea4 mc)

Date of execution

cigaile= waoctq tImFtzt Et-ordal o4 eccq 152 tmtro,etn 2003

CMcti 09-05-2003d tend n'DF12 trard

Government of Karnataka

tve2grez.) m-4

Document Sheet

trzeoz;ft1 mite .).Dzz?)o %tnal Registration and Stamps Department

me,,o.=?o.1.1z4g3c p e rt troolzefl2,D4ti,) This sheet can be used for any document

23 e3 : W 2/-

iii) Government Dues - Nil - - Nil - - Nil - - Nil -

a) dues to departments dealing with government accommodation.

- Nil - - Nil - - Nil - - Nil -

b) dues to departments dealing with supply of water

- Nil - - Nil - - Nil - - Nil -

c) dues to departments dealing with supply of electricity

- Nil - - Nil - - Nil - - Nil -

d) dues to departments dealing with telephones

- Nil - - Nil - - Nil - - Nil -

e) dues to departments dealing with government transport (including aircrafts and helicopters)

- Nil - - Nil - - Nil - - Nil -

f) Other dues, if any - Nil - - Nil - - Nil - - Nil -

Si. No.

Description Details of Assesmnent Amouunt outstanding As on 20-c11

1 a

Details of Assesmnent Amouunt outstanding As on 9--6(.(f)

2

Details of Assesmnent Amouunt outstanding As on 7-01 1 1 ,

3

Details of Assesmnent Amouunt outstanding As on 20 1 ,';( !I

4

b) (i)

Incom Tax including surcharge ( Also indicate the assessment Year upto which Income Tax Return filed. Give also permanent Account Number (PAN)

ILA.----4---- -- Man'unath Sushma

Nil Nil Paid upto Assessment Year 2°o9 - It:TAN No. AGOPG9477H

Manjunath Paid upto Assessment Year

"DD9 - ttPAN No. AIPPM0970L

ii) Wealth Tax (Also Inidicate the assessment year upto which Wealth Tax return filed)

Nil Nil Nil Nil

iii) Sales Tax (Only in case of proprietary business)

Paid upto February 20 t i . of City Engineers. Proprietor Manjunath.

Paid upto February ,n_. DO of City Furniture. Proprietrix Sushma Manjunath.

Nil Nil