BEFORE THE OFFICE OF RECOVERY OFFICER,

DEBT RECOVERY TRIBUNAL-___, DELHI

RC NO. ____ OF _____

…. Certificate Holder
VERSUS
…. Certificate Debtors

AFFIDAVIT OF ASSETS FOR AND ON BEHALF OF CERTIFICATE

DEBTOR NO.

I, ________, S/o __________, R/o ______________, aged about ___ years,

Certificate No. ____, state on Oath/solemn affirmation as follows:-

1. My full name is ……………………………………. And I am

Certificate Debtor No.__ in the present recovery proceedings.

2. I say that I am presently residing at …………………… which

property belongs to ______________.

3. I say that I am .................................. (married/single/widower

(widow)/divorced.).

4. I say that the following persons are dependent upon me:

5. I say that my employment, trade or profession is that

of .....................carried on by me at .........................................

6. I am a director of the following companies:

7. My present annual/monthly/weekly income, after paying

income-tax, is as follows:

a. From my employment, trade or profession Rs………….

b. From other sources Rs………….

8. I say that I own the following properties

a. ____________, its value is Rs............... I pay as outgoings

by way of rates, mortgage, interest, etc., the annual sum

of Rs.................

b. I pay as rent the annual sum of Rs……........

9. I possess the following:

a. Banking accounts;

b. Stocks and shares;

c. Life and endowment policies;

d. House property;

e. Other property;

f. Other securities;

10. The following debts are payable by me:

a. Loan of _________ to ________;

b. Loan of _________ to ________.

11. The following debts are due to me:

a. From ___________ of Rs ___________;

b. From ___________ of Rs ___________

12. I say that the contents of the said Affidavit are true and correct

to my knowledge.

13. The Deponent has always been assisting the process of law

and is always ready and willing to render every possible

assistance in regard to these proceedings.

14. I do not have the financial capacity to satisfy the Recovery

Certificate, either in part or in toto.

DEPONENT

VERIFICATION:

I, the abovenamed deponent, do hereby verify that the contents

of the above affidavit are true and correct as per my knowledge

and belief and nothing material has been concealed therefrom.

Verified on this _____ day of , 2021 at New Delhi.

DEPONENT