DECLARATION OF ASSETS AND LIABILITIES FORM 1
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1 DECLARATION OF ASSETS AND LIABILITIES FORM 1 A. ASSETS AND LIABILITIES OF MEMBER 1. Name of the Member PRATIK PRAKASHBAPU PATIL 2. Father's Name Late Shri Prakashrao Vasantrao Patil 3. Permanent Address 'Shri Sal' Shivaji Housing Society, Madhavnagar Road, Opp. VSSSK, SANGLI (Maharashtra) Delhi Address AB-77, Shahjahan Road, New Delhi Party affiliation Indian National Congress 6. Date of Election 16th May Date of taking oath making affirmation in the House in Lok Sabha: 2nd June 2009 Date of taking oath as 28th May 2009 Minister of State in Union Cabinet
2 DETAILS OF IMMOVABLE PROPERTIES (1) Name of the State, District, Sub-division and village in which property is situated (2) Details of property (a) Agricultural Lands and Cost & present Value (b) Non agricultural Lands and Cost & present value (3) Vyankatesh House (3A) Vyankatesh House 2 Hector and 9.3 R At: Kavalapur, Survey No. 1836, 1839, 1840, 1889 Present Value Rs: Lakhs Open Plot : Shivaji Housing Society Plot No Sq ft. Present Value Rs lakhs C S No 8665, Flat No, S-1, Sangli Sq Mtr. Rs Lakhs C S No. 8665, Flat No. 1, Sangli Sq. Mtr Rs Lakhs (4) Kolhapur Kasaba Bavda (5) Property in name of Wife City Survey No. 828/1, 829/1 Bungalow No. RB 5 (Tirth Garden Area) Sq M. Rs lakhs 1) Bhose Mulubai Estate, Taluka Mahabaleshwar, and present Value District : Satara (Maharashtra) Survey No. 24/4, Ploti1/4;o.6, Area 330.'75 Sq.M. (in the Plot 95 Sq M. Built-up Area) Rs lakhs 2) Pangari Nandanvan Colony, Taluka Mahabaleshwar, District: Satara (Maharashtra) Survey No. 15 Plot No. C- 138 (Area 278 Sq M.) (in the Plot Sq M. Built-up Area) Rs lakhs (6) Property in name of wife and shri.pratik P.Patil 1) G.L.R. Survey No.390/1705,House No.2420 SopariwalIa House, on Gen.Thimayya Road In Pune Cantonment Road,Pune Rs lacs
3 DETAILS OF MOVABLE PROPERTIES 1) Cash in Hand Rs. 3,45,000/- 2) Cash in Wife's Hand Rs. 1,00,000/- 3) Deposits in Banks NIL 4) Deposits on Wife's Name Rs. 5,15,000/- 5) Shares on Wife's Name Rs. 62,57,500/- (Sahyadri Motors Pvt Ltd) 6) Deposits in companies Rs. 8,43',096/- 7) Others 1 IC & MEDICAL 1M Rs. 9,91,122/- (Yearly installment) 8) Vehicles Maruti Qwift. Make 2007 Rs. 5,44,00W- ( WIFE) Tata 'Winger A/lake 2008 Rs. 6,95,000/- Mahindra Thar Make 2012 Rs. 7,02,198/- Rkoda Yeti Make 9019 Rs. 19,64,402/- Volvo Make2013 Rs.49,50,000/-,pgrr Rs.50930/-(Wife) 9) Jewelery (self) Gold Rs. 12,50.000/- Silver Rs. 2,23,000/- in name of Wife Gold Rs. 18,00,000/- Silver Rs. 1,56,000/- in name of Elder Son Gold Rs. 2,50,000/- in name of Younger Son Gold Rs. 1,60,000/-
4 Details of Liabilities of the member to public Financial institutions I Central Government and State Government 1) Barikl-Lman (for Car T,oan) State Panic of India, Heade office, Sangli Rs. 1,61,722/- State Bank of Indin, New Delhi Rs.8,74,459/- The Saraswat Co-op Bank Ltd,Delhi Rs.45,01,464/- I have been submitting the Income Tax Returns regularly. My PAN No. is ABPPP5827N. The latest income tax return of the financial year is enclosed. DECLARATION I, Pratik Prakashbapu Patil hereby declare that the information given above in true and correct to the best of my knowledge and belief. In the event of any change in the information given above, I undertake to intimate the Speaker as provided under the rules. Yours faithfully, Date:- 19st Sept 2013
5 o ITR V I.T., INDIAN INCOME TAX RETURN VERIFICATION FORM [Where the data of the Return of Income in Benefits in Form (ITR-1 (SAHAJ), ITR-2, ITR-3, ITR-4, ITR-4S (SUGAM), ITR-5, ITR-6 transmitted electronically without digital signature). (Please see Rule 12 of the Income-tax Rules, 1962) Assessment Year COMPUTATION OF INCOME PERSONAL INFORMATION AND THE DATE OF ELECTRONIC AND TAX THEREON TRANSMISSION Name PRATIK PRAKASH PATIL Flat/Door/Block No PLOT NO 81/82 Road/Street/Post Office MADHAVNAGAR ROAD Town/City/District SANGLI Name Of Premises/Building/Village SHIVAJI HOUSING SOCIETY Area/Locality OPPOSITE VSSSK Ltd State MAHARASHTRA Designation of AO (Ward / Circle) ITO WD 2(1), SANGLI Pin PAN ABPPP5827N Form No. which has been electronically transmitted Status ITR-2 Individual Original or Revised I ORIGINAL E-f ling Acknowledgement Number I Date(DD-MM-YYYY)F Gross Total Income Deductions under Chapter-Vl-A Total Income a Current Year loss, if any 3a 0 4 Net Tax Payable Interest Payable Total Tax and Interest Payable Taxes Paid a Advance Tax Ta - 0 b TDS 7b c TCS 7c d Self Assessment Tax 7d e Total Taxes Paid (7a+7b+7c +7d) 7e Tax Payable (6-7e) Refund (7e-6) 9 0 VERIFICATION I, Pratik Prakash Patti son/ daughter of Prakash Patil, holding permanent account number ABPPP5827N solemnly declare to the best of my knowledge and belief, the information given in the return and the schedules thereto which have been transmitted electronically by me vide acknowledgement number mentioned above is correct and complete and that the amount of total income/ fringe benefits and other particulars shown therein are truly stated and are in accordance with the provisions of the Income-tax Act, 1961, in respect of income and fringe benefits chargeable to income-tax for the previous year relevant to the assessment year I further declare that I am making this return in my capacity a: and I am also competent to make this return and verify it. Sign here 0\ / Jate Place Sangli If the return has been prepared by a Tax Return Preparer (TRP) give further details as below: Identification No. of TRP I Name of TRP Counter Signature of TRP For Office Use Only Receipt No Date Seal and signature of receiving official Filed from IP address N,...,. ;. =!: bo-- f a ABPPP5827N E2944CE4F465D D606A5 Please furnish Form ITR-V to "Income Tax Department - CPC, Post Bag No - 1, Electronic City Post Office, Bengaluru , Karnataka", by ORDINARY POST OR SPEED POST ONLY, 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. The receipt of this ITR-V at ITD-CPC will be sent to you at address sachinpatil@pcpatil.com
6 WANIK PRAKASH PATIL PLOT NO 81/82 SHIVAJI HOUSING SOCIETY MADHAVNAGAR ROAD OPPOSITE VSSSK Ltd SANGLI Maharashtra Prey. Yr : 01/04/2012 To 31/3/2013 A.Y. : Status : Individual - Male Resi. Status : Resident PAN/GIR : ABPPP5827N Ward Date of Birth : 08/09/1973 Due Date : 31/07/2013 Father's/Husband's Name: Prakash - Patil COMPUTATION OF TOTAL INCOME Particulars Rs. Rs. Rs. Rs. Rs. I. SALARY FROM MINISTRY OF COAL 3RD FLOOR SHASTRI BHAWAN RAJENDRA PRASAD ROAD,NEW DELHI,Delhi (TDS deducted RS /-) Deductions : Tax on Employment II INCOME FROM HOUSE PROPERTY Rented Properties 1. Vyanketashwara Apartment Vishrambag Maharashtra Rent Received Repair & Collection Charges 2. Kasaba Bawada kolhapur Maharashtra Rent Received Repair & Collection Charges III. INCOME FROM OTHER SOURCES FD's with banks (Bank Interest) Other Income (General Inssurance Commission) GROSS TOTAL INCOME DEDUCTION UNDER CHAPTER VIA Life Insurance Premium (Salary) Deduction u/s 80C (Rs restricted to Page 1 of 3
7 NAME : PRATIK PRAKASH PATIL Y. : u/s 80D Deduction in respect of Medical Insurance Premia Rs u/s 8OTTA Deduction in respect of interest on deposites in savings account Rs TOTAL INCOME [Exempt Income as per annexure : Rs ] Add : Agricultural Income TOTAL INCOME WITH AGRICULTURAL INCOME INCOME-TAX ON TOTAL INCOME Less : Tax on Agricultural Income TAX WITHOUT SURCHARGE Tax Payable Education 3% TAX PAYABLE + EDUCATION CESS Less : Tax Deducted at Source - Salary (TDS) u/s 194D Add : Interest u/s 234 B Rs x 4% u/s 234 C(I) Rs x 3 x 1% 3576 u/s 234 C(II) Rs x 3 x 1% 7155 u/s 234 C(III) Rs x 1 x 1% Less : Self Assessment Tax - 31/07/2013; Drawn On : STATE BANK OF INDIA, Sangli; Paid Into : STATE BANK OF INDIA ( ), Sr. No. : NET TAX + INTEREST PAYABLE NIL Income Claimed Exempt u/s 10/Others/Gifts SrNo. Particulars Amount 1) Allowances of Member of Parliament Total Page 2 of 3
8 : PRATIK PRAKASH PATIL : TAX DEDUCTED AT SOURCE Details UTN No TAN Section Date Income TDS Amount The New India Assurance Co.Ltd. PNEN04093F 194D31/03/ The New India Assurance Co Ltd KLPT01728G 194D31/03/ Total List of Documents/Statements attached with this Return 1) TDS Certificates 2 nos. 2) Self Assessment Challans 1 nos. Page 3 of 3
DECLARATION OF ASSETS AND LIABILITIES FORM 1
DECLARATION OF ASSETS AND LIABILITIES FORM 1 A. ASSETS AND LIABILITIES OF MEMBER 1. Name of the Member PRATIK PRAKASHBAPU PATIL 2. Father's Name Late Shri Prakashrao Vasantrao Patil 3. Permanent Address
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