PROFORMA

Non Judicial Stamp - Rs.10/(to be sworn before a First Class Judicial Magistrate/Nota Public/Executive
Magistrate/Commissioner of Oaths or any other person authorized to swear under Oaths
Act,1889)
AFFIDAVIT
I..........................,.,..............,.............,.............................. s o n / w if e / d a u g h t e r
of ..........,..,........,.........,............,,............... by
religion.............................................,..........by
occupation ..,............,................................................................ aged
about ..........................years, residing
at ........,.....,....................................................................................................
....,..,..,............,....................,,...........,.............,......,..........,...,.....................................
do hereby solemnly affirm and state as follows :1. That neither l nor my wife/husband/dependent sons and daughters/dependent parents
jointly Or severally own any house/flat/apartment/homestead land within the Kolkata
Municipal Corporation Area.
2. That by acquiring a flat under LIG/MlG/HIG category at B.P. Township/East Kolkata
Project, Ph.-ll from Kolkata Metropolitan Development Authority, l shall not come under
the provision of the Urban Land(Ceiling and Regulation)Act,1976 and shall not be liable
to submit any return under the said act.
3. That I am an adult Indian Citizen/Non Resident Indian.
4. That my monthly family in c o m e from all sources is Rs .,.,..............................
Statements made above are true to my knowledge and belief.

Identified by me
Advocate,

NOTE: Strike Out the portion, which is not applicable.

..........................
Deponent