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 Sai' Shivaji Housing Society, Madhavnagar Road, Opp. VSSSK, SANGLI (Maharashtra) 4. 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: Date of taking oath as Minister of State in Union Cabinet 2nd June th May 2009
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 present Value 2 Hector and 93 R At: Kavalapur, Survey No. 1836, 1839, 1840, 1889 Rs: 5.20 lakhs (It is an ancestral land and the same was quoted in earlier submission, however there was error in the area which is now rectified.) (b) Non agricultural Lands and present value Open Plot : Shivaji Housing Society Plot No Sq ft. Rs lakhs (3) Venkatesh House (3A) Venkatesh House 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 Babda (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, Plot No.6, Area 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
3 DETAILS OF MOVABLE PROPERTIES 1) Cash in Hand Rs. 1,00,000/- 2) Cash in Wife's Hand Rs. 1,00,000/- 3) Cash at Banks Rs. 2, 69,067/- 4) Deposits in Wife's Name Rs. 5,15,000/- 5) Shares in Sahyadri Motors Rs. 62,57,500/- in the name of wife Deposits in companies Rs. 8,43,096/- 6) Others Premium of Life Insurance, Pension Plan and Endowment Plus etc. Rs. 10,03,224/- (Yearly installment) Vehicles Ford (Fiesta) Make 2006 Rs. 7,48,000/- Maruti Swift Make 2007 Rs. 5,44,000/- ( WIFE) Tata Winger Make 2008 Rs. 6,95,000/- Mahindra Thar Make 2012 Rs. 7,02,198/- Skoda Yeti Make 2012 Rs. 19,64,402/- Old Mercedes Benz Make 1983 Rs. 45,000/- (it is - not in use condition and was remained to be quoted in earlier submission, now rectified) Old Army Jeep Rs. 35,000/- (It was transferred from father and is not in use, hence was remained to be mentioned in earlier submission, now rectified.)
4 8) 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/-
5 Details of Liabilities of the member to public Financial Institutions / Central Government and State Government 1) Bank Loan (for Car Loan) State Bank of India, Shivaji Nagar, Sangli Rs. 2,03,892/- State Bank of India, Ganapati Peth, Sangli Rs. 3,73,307/- State Bank of India, New Delhi Rs.16,58,680/- 2) Loan from Finance Co. Mahindra Finance Ltd., Rs. 78,139/- Note : The above referred position of assets and liabilities are as on 31/03/2012. I have been submitting the Income Tax Returns regularly. My PAN No. is ABPPP5827N. The latest income tax return or 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. Date: - 30th August 2012
6 PRATIK PRAKASH PATIL Prev. Yr : 01/04/2011 To 31/3/2012 A.Y. : PLOT NO 81/82 Status : Individual - Male SHIVAJI HOUSING SOCIETY Resi. Status : Resident MADHAVNAGAR ROAD PAN/GIR : ABPPP5827N OPPOSITE VSSSK Ltd Ward SANGLI Date of Birth : 08/09/1973 Maharashtra Due Date : 31/07/2012 Father"s/Husband"s Name: Prakash - Patil COMPUTATION OF TOTAL INCOME Particulars Rs Rs Rs 1 SALARY FROM MINISTRY OF COAL 3RD FLOOR SHASTRI BHAWAN RAJENDRA PRASAD ROAD, NEW DELHI,Delhi INCOME FROM HOUSE PROPERTY Rented Properties 1. Vyanketashwara Apartment Vishrambag Maharashtra Rent Received Repair & Collection Charges Kasaba Bawada kolhapur Maharashtra Rent Received Repair & Collection Charges INCOME FROM OTHER SOURCES Bank Interest Other Income (General Inssurance Commission) GROSS TOTAL INCOME DEDUCTION UNDER CHAPTER VIA Life Insurance Premium (Salary) Deduction u/s 80C u/s 80D Deduction in respect of Medical Insurance Premia 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
7 Less : Self Assessment Tax -31/07/2012, State bank of India, , Sr no NET TAX PAYABLE NIL Income Claimed Exempt u/s 10/Others/Gifts SrNo. Particulars Amount 1) Allowances of Member of Parliament Total TAX DEDUCTED AT SOURCE Details TAN Section Date Income TDS Amount New India Assurance Co.Ltd. PNEN D 31/03/ The New India Assurance Co Ltd KLPT D 31/03/ The New India Assurance Co Ltd KLPT D 31/03/ Total List of Documents/Statements attached with this Return 1) Self Assessment Challans 0 nos'.
8 INDIAN INCOME TAX RETURN VERIFICATION FORM Assessment Year O ITR-V [Where the data of the Return of Income in Benefits in Form (TTR-1 (SAHAJ), ITR-2, ITR-3, W. ITR-4, ITR-4S (SUGAM), ITR-5, ITR-6 transmitted electronically without digital signature]. (Please see Rule 12 of the Income-tax Rules, 1962) PERSONAL INFORMATION AND THE DATE OF ELECTRONIC TRANSMISSION Name PRATIK PRA.KASH 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 Pin, PAN ABPPP5827N Form No. which has been electronically transmitted Designation of AO (Ward / Circle ) ITO WD 2(1), SANGLI/PNE/W/95/1 Original or Revised Original Status 1TR-2 1NDL COMPUTATION OF INCOME AND TAX THEREON E-filing Acknowledgement Number Date(DD-MM-YYYY) Gross Total Income Deductions under Chapter-VI-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 7a 0 b TDS 7b c TCS 7c 0.- d Self Assessment Tax 7d e Total Taxes Paid (7a+7b+7c +7d) 7e Tax Payable (6-7e) Refund (7e-6) 9 0 VERIFICATION Pratik Prakash Patil gon/.daughter.of Prakash Path, 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 Inccime-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 as and I am also competent to make this return and verify it. Sign here Date Place Sangli If the reti rn Preparer (TRP) give further details as below: Identification No. ot itt.t. Name of TRP Counter Signature of TRP For Office Use Only Receipt No Filed from IP address Date Seal and signature of receiving o ffi cial 1111 will...7 Illi. 1-5 '",f..., 1;,.), 1.4. wil ill M ABPPP5827N FBC6B008D E2DB6C2FD9B3B4D998CD21A8 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.corn
INDIAN INCOME TAX RETURN VERIFICATION FORM
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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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