Pakistan Tehreek-e-Insaf

Pakistan  Tehreek-­‐e-­‐Insaf  
Declaration  of  Taxes,  Assets,  and  Liabilities  

Financial   Declaration.     Information   provided   should   be   up   to   date   at   least   until   last   year’s  
official   returns.     (This   declaration   should   include   all   similar   information   of   dependent   children,   spouse  
and  independent  sons.    If  a  separate  form/s  are  needed  for  them  they  should  be  filled  out  also).  
1.  

Current  Liquidity  Cash  (in  hand  and  in  bank  deposits)    

Cash  at  Bank/s  
(by  Currency)  

 
Fixed Deposit

1.3 Million

Current Account

2 Lacs

2.                      Assets  (if  space  is  insufficient  add  rows)    
Particulars  
a.    IMMOVABLE  PROPERTY  -­‐  Held  within  Pakistan  (list  all)  
Open  plots,  houses,  apartments,  commercial  buildings,  under  construction  
properties,  agricultural  property,  etc.  
1. 6  Acres  Agricultutral  Land,  Malir,  Karachi  
2.  
3.  
4.  
5.  
6.  
7.  
             8.  
b.    IMMOVABLE  PROPERTY  -­‐  Held  outside  Pakistan  (list  all)  
1.  
2.  
3.  

Cash  in  Hand  
(by  Currency)  

Cost  of  Assets  (Acquisition  
Value  or  Inherited)  

4.  
c.    MOVEABLE  ASSETS  -­‐  Business  capital  within  Pakistan  

 
 
 
 
d.    MOVEABLE  ASSETS  -­‐  Business  capital  outside  Pakistan  
 
 
 
 

3.                                                                  Investments  

 

(ii)  Debentures  
(iii)  National  Investment  (Unit)  Trust  

(v)  National  Savings  Schemes  
-­‐  Defense  Savings  Certificate  
-­‐  Special  Savings  Certificate  
-­‐  Regular  Income  Certificate  

 
 
 
 
 

(vi)  Unsecured  loans  

 

(vii)  Mortgages  

 

(viii)  Any  other  

4.                                    Motor  Vehicles/  Other  Transport    
(Make,  Model,  Year  &  Registration  No.)  
i.  2006  Model  Toyota  Corolla  

iv.  

 
 

(iv)  ICP  Certificates  

iii.  

Acquisition  Value  
 

(i)  Stock  and  Shares  

ii.  

Pakistan Tehreek-e-Insaf

Name  of  business/businesses  

Current  Estimated  Value  
 
 
 
 

5.                                          Jewelry,  etc.  

Current  Estimated  Value  
 

 

 
 

 

 

 

Current  Estimated  Value  

6.              Furniture,  Fittings  &  Articles  of  Personal  Use  

 

 

 

7.              Any  other  Assets  

 

 
 

8  

Liabilities  (Details  to  be  annexed)  
Particulars  

Value  

a. Mortgages  Secured  on  Property  or  land  

 

b. Unsecured  Loans  Outstanding  

 

c. Bank  Overdraft  

 

d. Bank  Loans  

 

e. Amounts  due  under  Hire  Purchase  Agreement  

 

f.

 

House  Building  Loans  

g. Advances  from  Provident  Funds  etc.  

 

h. Other  debts  due  

 

i.

Pakistan Tehreek-e-Insaf

 

Liabilities  in  the  names  of  minor  children  (in  respect  of  
assets  standing  in  their  names)  

 

Total  

 

9.      Tax  History    (Last  three  years)  
a. NTN  No  _____________  
Assessment  Year  

Tax  payer  since:  ______________  

 

Notes  
 
 
 
 
 
 
 
 
 

 

Financial  Year  

Tax  Paid  

 

 

 

 

 

 

 

10.    Land  Revenue  Paid  during  the  last  3  years  
Financial  Year  

 
 

Total  Amount  of  Land  Revenue  Paid  

 

 

 

 

 

 

 

 

I  ______________________________________________          ID  Card  #  __________________________  

 

Pakistan Tehreek-e-Insaf

declare   that   the   above   is   true   to   the   best   of   my   knowledge   and   hereby   authorize  Pakistan   Tehreek-­‐e-­‐Insaf   to   publish  
this  data  on  the  Website  and  make  it  public  knowledge.  
 
                   ________________  
 
 
 
 
____________________________  
Date                            
 
 
 
 
 
Signature