Government of Karnataka e-stamp

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1 INDIA NON JUDICIAL Government of Karnataka e-stamp ZI 5.17E-). Certificate No. Certificate Issued Date Account Reference Unique Doc. Reference Purchased by Description of Document Description Consideration Price (Rs.) First Party Second Party Stamp Duty Paid By Stamp Duty Amount(Rs.) : IN-KA L : 15-Apr :51 PM : NONACC (BK)! kakscub08/ BANGALORE4/ KA-BA SUBIN-KAKAKSCUB L : RAMESH YADAV R V : Article 4 Affidavit AFFIDAVIT : 0 (Zero) RAMESH YADAV R V NA RAMESH YADAV R V : 50 (Fifty only) -4441id. OT Please write or type below this line "FORM - 26 ( See rule 4A )

2 Affidavit to be filed by the candidate alongwith nomination paper before the Returning Officer for election to Vidhana Sabha (name of the House) from Shaltinagar-/g3 constituency (Name of the constituency). PART A I RAMESH YADAV.R.V, Son of Sri. R.Venkatesh, Aged 38 years, Resident of No.387, Cross, Bangiappa Garden, 6th Cross, Lakshmi Road, Bangalore (mention full postal address), a candidate at the above election, do hereby solemnly affirm and :7nate on oath as under:- I am a candidate set up by Karnataka Janatha Paksha (K J P) (**name of the political party)/**am contesting as an Independent candidate. (**strike out whichever is not applicable) (2) My name is enrolled in Shantinagar, Bangalore, Karnataka (Name of the constituency and the State, at Serial No 194 in Part No 112 (3) My contact telephone number(s) is/are , and my id (if any) is - - Details of Permanent Account Number (PAN) and status of filing of income Tax return : SI. 1 No. 1 Names PAN I The financial year for which the last Income - Tax return has been filed Self ii AOFPRO021P Spouse _ 3. Dependent 1 ' 1 Dependent 2 Dependent 3 [ No. of Correctionsie/ Total Income shown in Income-Tax return (in Rupees) j

3 I arr.liarn not accused of any offence(s) punishable with imprisonment for tw_i years or more in a pending case(s) in which a charge(s) has/have been framed by the court(s) of competent jurisdiction. If the deponent is accused of any such offence(s) he shall furnish the following information: - (i) The following case(s) is/are pending against me in which charges have been framed by the court for an offence punishable with imprisonment for two years or more: - (a) (b) (a) ' Case/First Information Report No./Nos. together with I NAcomplete details of concerned Police Station / District / State Section(s) of the concerned Act(s) and short description of NAthe offence(s) for which charged Name of the Court, Case No. and date of order taking NAcognizance Court(s)which framed the charge(s) I NA- Date(s) on which the charge(s) was/were framed. j NA- Whether all or any of the proceeding(s) have been ina-. stayed by any Court(s) of competent jurisdiction (a) (c) No. of Cor eclions The following case(s) is/are pending against me in which cognizance has been taken, by the court [other than the cases mentioned in item (i) above] :- Name of the Court, Case No. and date of order taking NAcognizance : The details of cases where the court has taken cognizance, NAsection(s) of the Act(s) and description of the offence(s) for which cognizance taken Details of Appeal(s) /Application(s) for revision (if NA-, any) filed against the above order(s)

4 4- have been/have not been convicted of an offence(s) [other than any offence(s) referred to in sub-section (1) or sub-section (2), of section 8 of the Representation of the People Act, 1951 (43 of 1951)] and sentenced to imprisonment for one year or more. If the deponent is convicted and punished as aforesaid, he shall furnish the following information : In the following cases, I have been convicted and sentenced to imprisonment by a court of law : (a) (c) (d) I The details of cases, Section(s) of the concerned Act(s) and NAdescription of the offence(s) for which convicted Name of the Court(s), Case No. and date(s) of order(s). NA- Punishment imposed NA- Whether any appeal was/has been filed against the NAconviction order. If so, details and the present status of the appeal : That I give herein below the details of the assets (movable and immovable e:c.) of myself, my spouse and all dependents : A. Details of movable assets : Note: 1. Assets in joint name indicating the extent of joint ownership will also have to be given. Note: 2. In case of deposit/investment, the details including Serial Number, Amount, date of deposit, the scheme. Name of the Bank/Institution and Branch are to be given Note: 3. Value of Bonds/Share Debentures as per current market value in Stock exchange in respect of listed companies and as per books in case of non-listed companies should be given. Note: 4. Dependent here has the same meaning as assigned in Explanation (v) under section 75A of the Representation of the People Act: Note: 5. Details including amount is to be given separately in respect each investment. No. of Corrections f4p

5 . Description Self Spouse i Dependent Dependent Dependent 2 j3 ; Cash in hand 50,000/- N L / AO 1, (ii) Details of deposit in Bank accounts (FDRs, Term Deposits and all other types of deposits including saving accounts), Deposits with 70,00,000/- A/ L Alit Ai L Financial Institutions, Non- Banking Financial Companies and Cooperative societies and the amount in each such deposit (m) Details of L investment in A/I L Bonds, debentures / shares and units n companies / Mutual funds and others and the amount Details of L Investment in NSS, le L Al/e_ Postal Saving, Insurance policies and investment in any Financial instruments in Post Office or insurance Company and the amount Personal loans / L advance given to At/ any person or entity including firm, company, Trust, etc., and other receivables from debtors and the amount _Noof Corrections

6 6 Moto): Vehicles IvIahindra. /Aircrafts/Yachts Rexton, /Ships (Details of Model Make, registration 2013 number etc. year Rs. of purchase and 25,00,000/- amount) jewellery, bullion 2,00,000/- and valuable thing(s) (give details of weight and value) (viii) Any other assets L such as value of claims / interest Gross Total Value 97,50,000/- A/ / C L Ai/ L N 1\1 B Details of Immovable Assets Note: 1. Properties in joint ownership indicating the extent of joint ownership will also have to be indicated. Note: 2. Each land or building or apartment should be mentioned Separately in this format. T Description Self Spouse Dependent l Dependent 2 Dependent 3 Agricultural Land. Location(s) Survey number(s) Area (total measurement acres) Whether inherited property (Yes or No) Date of purchase in case of self-acquired property Cost of Land (in case of purchase) at the time of purchase Any investment on the land by way of f`i L N L. N I L ^t1 ni I i L N I L development, construction, etc i Na. of Corrections 4 t,-- NI L N L 1\i I L_ NiL h( L

7 Approximate current market value Non- Agricultural Land: Location(s) Survey number(s) Area. (total measurement in s_q_41) Whether inherited property (Yes or No) Date of purchase in case of self-acquired property Cost of Land (in case of purchase) at the time of purchase NI L?'UL Nic N/L N IL_ I L I t_ Any investment on the land by way of. development, construction, etc Approximate current market value Ii Commercial Buildings (including apartments) -Locations -Survey number(s) Area (total measurement in sq.ft) Built-up Area (total measurement in sq.ft.) Whether inherited property (Yes or No) No _ NL_ N IL NO_ L

8 (6 Date of purchase in case of self-acquired _property Cost of property (in case of purchase) at the time of purchase Any investment on the property by way of development, construction, etc Approximate current market value v) Residential Buildings (including apartments) - Locations - Survey number(s) k( NI L L NiL KUL 1\1/1._ IVIZ Area (total measurement in sq.ft) Built up area (total measurement in _sq.ft) Whether inherited property (Yes or No) Date of purchase in case of self-acquired Lproperty Cost of property (in case of purchase) at the time of purchase Any investment on the land by way of development construction etc ki IL_ ~fi L NI L. No. of C9rrecOons t,)17 IN I L NI L N I L Nip N I 1_ 14/ L N 1 1-_ N/

9 . 1.,pproximate current market value Others (such as interest in 4_property) (vi) I Total of current market value of (i) to (v) above t\i(l MIL (H (8) I give herein below the details of liabilities/dues to public financial institutions and government:- (Note: please give separate details of name of bank, institution, entity or individual.?. -rld amount before each item).. Si.No Description -1-Self ± Spouse Dependent 1 Loan or dues to j Car Loan, Bank / financial Union! institutions(s) Bank of 1 1 Name of the i India Bank or financial institution, OD A/c, amount Union outstanding, Bank of Nature of Loan India Any other L liability / Grand total of 60,71,344/- liabilities (ii) Government dues : tv Ic_ Dues departments dealing with government accommodation! Dues in department dealing with _supply of water Dues to department ( L dealing with supply of electricity No. of Corrections (L AHL Dependent Dependent 2 3 A/IL / L

10 Dues to department Al I L Al 1_ dealing with supply of telephones mobiles Dues to department Ik/ L dealing with government transport (including aircrafts and helicopters) nc o me tax dues 7\-/ / L. /10 t Al 1 L. /A) j Wealth tax dues./\/,/ L Service tax A/ / L 8 I L dues AHL, I /0/ t N) 1 L- 10 L Municipal /! Property Tax 111/L dues 1\(/ N I L Sales Tax dues ikt I L._ ij / L A) I L._ Any other dues (Ai/ c_ A.//L. A/ Grand total of Nit all Government dues (iv) Whether any ather liabilities Ai/L Ai/L /VOL AUL e dispute, so, mention the amount involved and the authority before which it is pending to (9) Details of profession or occupation - (a) (b) Self : Real Estate Spouse : Not Applicable (10) My educational qualification is as under: - (MA) Kannada, Bangalore Open University (Give details of higher School/University education mentioning the full form o± the certificate / diploma / degree course, name of the School/College/University and the year in which the course was completed.) No. of Corrections Di

11 PART - B ABSTRACT OF THE DETAILS GIVEN IN (1) TO (10)0F PART-A: Name of the candidate Full postal address Number and name of the constituency and State Name of the political party which set up the candidate (otherwise write "Independent" Shri. RAMESH YADAV R.V. No.387, 2nd Cross, Bangiappa Garden, 6th Cross, Lakshmi Road, Bangalore Shantinagar, Bangalore, Karnataka Karnataka Janatha Paksha ( K J P) (i) Total number of pending cases where charges have been framed by the Court for offences punishable with imprisonment for two years or more. (ii) Total number of pending cases where the court(s) have taken cognizance [other than the cases mentioned in item (i) abovj Total number of cases in which convicted and sentenced to imprisonment for one year or more [except for offences referred. to in subsections (1), (2) or (3) of section 8 of Representation of the People Act, 1951]. (a) PAN of Year for which last income Tax return filed Candidate AOFPRO021P (ID) Spouse (c) Dependents Details of Assets & Liabilities in Rupees Description! Self Spou Dependent 1 se ; Moveable Assets (Total Value) 97,50,000/ a i L Ally Total Income shown Depen! Depend. dent 2 ent 3 Aril No. of Corrections ty)

12 Immovable Assets 2- L. Purchase Price of self-acquired immovable property II Development / construction cost of immovable property after purchase (if applicable) Approximate Current market price of (a) Self acquired assets (Total Value) (b) Inherited assets (Total Value) Liabilities Government dues (Total) (11) Loans from 60,71,344/- Bank, Financial Institutions & others (Total) Liabilities that are under dispute (i) Government dues (Total) Loans from Bank, Financial Institutions and others (Total) AfI c AIL Ai I L AI/C NI Ki L N L A/ AI/L Alit A// 1\1 Al Ai/ LI Ail L highest educational qualification: (Give details of highest school/university education mentioning- the full form of the certificate / diploma course, name of the school/college/university and the year in which the course was completed.) No. of Corrections spx}/ 0 AI-1J 1.3 5( CP 30,195...k, (f) <e.

13 VERIFICATION I, the deponent, above named, do hereby verify and declare that the contents of this affidavit are true and correct to the best of my knowledge and belief and no part of it is false and nothing material has been concealed therefrom. 1 further declare that:- (a.) (b) There is no case of conviction or pending case against me other than those mentioned in items 5 and 6 of Part A and B above; I, my spouse, or my dependents do not have any asset or liability, other than those mentioned in items 7 and 8 of Part A and items 8, 9 and 10 of Part B above.,=t,f,ed at Bangalore this the 15th day of April No. of Corrections 1414/ DEPONENT SWORN TQ BEFOG ME Syed Masood Ahmed, B.Sc., L.L.B. NOTARY (GOVT. OF INDIA) 14, Wellington Street, Richmond Town Bangalore APR 2013 Notary SI. No Book No.) WI/ Page... Date NOTARY STAMPS ARE NOT ISSUED From Effect

FORM 26 (See rule 4A)

FORM 26 (See rule 4A) Please affix your recent passport size photograph here Affidavit to be filed by the candidate alongwith nomination paper before the returning officer for election to... (name of the