Sop Te Ae gUTELANGANA: AE 356181 siWo.122S0.....0%.crlialea2r oo mp M. PULLESHWAR SA LICENCED STAMP VENDOR No. 2004-08-1987 € RL.No. 2004-01-2020 COURT PREMISES-HUZURARP = 1 Dist. KARIMNAGAR- Cell 9030400556. FORM 26 / t (See rule 4A) a ‘ 1 AFFIDAVIT TO BE FILED BY THE CANDIDATE ALONGWITH NOMINATION PAPER BEFORE THE RETURNING OFFICER FOR ‘BY-ELECTION TO MEMBER OF LEGISLATIVE ASSEMBLY, TELANGANA FROMBI- HUZURABADCONSTITUENCY, KARIMNGAR DISTRICT, ELANGANA i _ PART-A 4 EATALA JAMUNAW/o of EATALARAJENDAR, Aged 56 Years, Resident fpf H.No: 9-72(new) corresponding to old No:9-77/1,Kamalapur village and Mandal ‘of Hanamkonda District (Warangal Urban Dist), TELANGANA, a candidate at the election, do hereby solemnly affirm and state on oath as under:~ » Brent¥ (1) Lam a candidate set up by BHARATIYA JANATA PARTY. (2) My name is enrolled in 31- Huzurabad, Telangana (Name of the constituency and the State), at Serial No. 87 in Part No. 262 (3) My contact Mobile number is 9959024411 and my email id (if any) is NIL. My Social media Accounts Ly Son a i (4) Details of Permanent Account Number (PAN) and status of filing of Income Tax return: SI Names PAN The financial Total income year for which | shown in Income-tax No. the last return (in Income-tax Rupees)for the last five return has | years completed as on been filed Agricultural income) 1. | Self(Eatala Jamunay — [AAEPES726F | 2015-16 (i) [Rs.85.77.977- 2016-17 (ii) [Rs.1,10,57,954/- 2017-18 {iii)/Rs.1,08,57,780/- 2018-19 (iv) |Rs.1,21,69,428/- 2019-2020 {v) |Rs.1,33,40,372/- 2. | Spouse (EatalaRajendar) |AACPE7633B | __2015-16 (i) _[Rs.35,32,6507- 2016-17 _{i) IRs.59,95,122/- 2017-18 [Gii))Rs.57,67,053/- 2018-19 [iv)|Rs.24,58,321/- 2019-2020 |(v)|Rs. 30,16,592/- HUF(if Candidate is ‘ot applicable Not applicable (i) (Not applicable Karta’ Coparcener) fi) [Not applicable iii) Not applicable v)|Not applicable () Not applicable Dependent No.1 jot applicable Not applicable i) [Not applicable fi) Not applicable iii)Not applicable fv) Not applicable (W)Not applicable3] Dependent No.2 (ot applicable Not applicable i) Not applicable ii) Not applicable ii) Not applicable iv) Not applicable (W) Not applicable 6 | Dependent No3 jot applicable Not applicable (i) [Not applicable ii) Not applicable ‘ot applicable iv) Not applicable ()Not applicable ‘Note: It is Mandatory for PAN holder to mention PAN and in case of no PAN, it should be clearly stated “No PAN Allotied” (5) Pending eriminal eases (declare that there is no pending criminal case againstme. (Tick this alternative if there is no criminal case pending against the Candidate and write NOT APPLICABLE against alternative (i) below) OR ae esa tthe Fable-elowy Table (@) | FIRNo. With [Not Applicable [Not Applicable jot Applicable concerned () | Case No. with [Not Applicable [Not Applicable fot Applicable Name of the Court (e) _| Sections) of [Not Applicable [Not Applicable jot Applicable concerned ‘Acts/Codes involved (give no. of the Section eof Section of IPC, etc).@) Brief description of offence Not Applicable [Not Applicable jot Applicable ©) Whether charges have been framed (mention YES or NO) [Not Applicable | Not Applicable ot Applicable ) Tf answer against © above is YES, then give the date on which charges were framed Not Applicable | Not Applicable INot Applicable Whether any Appeal! Application for revision has been filed against the proceedings (Mention YES or NO) [Not Applicable Not Applicable (ot Applicable (© Cases of convietion (9) —_Ldectare that I have not been convieted for any eriminal offence. (Tick this alternative, If the candidate has not been convicted and write NOT APPLICABLE against alternative (ii) below) OR ot . Table @ Case No. [Not Applicable [Not Applicable Jot Applicable () ‘Name of the Court Not Applicable [Not Applicable ‘Not Applicable © Sections of ‘Acts/Codes: involved (give no. of the Section, eg Section oo...0f IPC, etc:). Not Applicable [Not Applicable jot Applicable Brief description of offence for which convicted Not Applicable /Not Applicable ‘ot Applicable res(© | Dates of orders of Not Applicable] Not Applicable fot Applicable conviction © | Punishment [Not Applicable | Not Applicable jot Appliable imposed (@ | Whether any [Not Applicable | Not Applicable Not Applicable Appeal has been filed against conviction order (Mention YES or No) (h) | Tf answer to (g) Not applicable Not applicable (ot applicable above is YES, | give details and present status of appeal (6A) I have given full and up-to-date information to my political party about all pending criminal cases against me and about all cases of conviction as given in paragraphs (5) and(6). [candidates to whom this Hem is not applicable should clearly weite NOT APPLICABLE IN VIEW OF ENTRIES IN 5(i) and 6 (i), above | Note: 1. Details should be entered clearly and legibly in BOLD letters 2. Details to be given separately for each case under different columns against each item. 3. Details should be given in reverse chronological order, i.e., the latest case to be mentioned first and backwards in the order of dates for the other case Additional sheet may be added if required. Candidate is responsible for supplying all information in compliance of Hon'ble Supreme Court's judgment in W.P (C) No. 536 of 2011. ws {i | (7) That I give herein below the details of the assets (movable and immovable ete.) of myself, my spouse and all dependents: A. Details of movable assets: Note: 1. Assets in joint name indicating the extent of joint ownership will also have to be given. | Note: 2. In case of deposit/Investment, the details including Serial Number, Amount, date of deposit, the scheme, Name of the Bank/Institution and Branch are to be given Note:.3. Value of Bonds/Share Debentures as per current market value in Stock exchange in respect of listed companies and as per books in case of non-listed companies should be given. ‘Dependent’ means parents, son(3), daughter(s) of the candidate or spouse and ny other person related to the candidate whether by blood or marriage, who ve no separate means of income and who are dependent on the candidate for * Spiga¥ their livelihood. Note: 5. Details including amount is to be given separately in respect of each investment Note: 6. Details should include the interest in or ownership of offshore assets Explanation: For the purpose of this Form, the expression “ Offshore Assets” includes, details of all deposit or investments in Foreign banks and any other body or institution abroad, and details of all assets and liabilities in foreign countries’; ‘SLNo] Description Self ‘Spouse HUF] Depend] Depend] Depend : | envo.t]entNo.2| entNos @ | Cashin hand ct Rat ee | Re.1s0000- —Rs.1,0q000 tet ra Gi) | Details of deposit in Bank [[-Canara Bank — [[-State Bank oi Roo Ro Ra) accounts (FDRs, Term Savings Account pf india = ["™ Fait Depositsand all other ROAR Secretariat types of deposits including i — savingaccounts),Deposits Bieter sevtass IRs.20,097/- with Financial Institutions, Roo Nog,, Non- Banking Financial [°4™' Companies and Deposits in Cooperativesocietiesand {Canara Bank the amount in each 's.58,84,23 1/- suchdeposit. H. Electricity Deposit Ies.89,404/- (iil) | Details of investment 1. Mutual fonds Ni cP coc Manel aa! inBonds,debentures/shares [CanaraRobeco Poe rete and Rs.20,10,653/- tunitsincompanies/Mutual |. funds and others andthe Staresin | aes: Private Limited [Rs.1,05,00,000/- Investment in |Abaya Developers FRs.43,90,642/- Investment in | jorth East project ind infra IRs.2,06,17,530/- . Investment in S VS Archwan and Dolarite IRs.4,15,137/- (iy) Dewails of investment in NSS, Postal Saving, insurance policies and piyvesiment in any Financial iments in Post office 1 Rs.5,00,000/- fet = eo! = a a ol 10,644965861 Bnor Insurance Company and the amount. (¥) | Personalloans/ advance | Personal ot police ppicable plicable applicable given to any person or [Advances entity including firm, —_Rs.23,23,86,858/- NIL company, Trust etc., and other receivables from debtors andthe Amount. (vi) | Motor [1-TSO8GZ1555 ot vot vot iat Vehicles/Airerafts/Yachts/ {lnmova) 2019 pnlizable plicable plicable bplieable s 4 fodel NIL Ships (Details of Make, ips '16,44,733/- registrationnumberete. year p Ts08GG1555 of purchase and amount) (CRV)2018 Model |Rs.20,34,380/- . TSIOENISS5 Innova Crysta 2017 | Model | RRs.12,21,495/~ ii) [Jewelry, bullion and | 1,500 grams valuable thing(s) (give fold Nil details of weight and | Rs.50,00,000/- it ot blissble pppicable pliable pliable value) (viii) | Any other assets such as NIL NIL wa value of Ppplicable bypplicable jpplicable plicable claims/interest i Ju j- Rot JNor at vot (ix)_| Gross Total Value Sree a a B. Details of Immovable Assets: Note: 1. Properties in joint ownership indicating the extent of joint ownership will also have to be indicated. Note: 2. Each land or building or apartment should be mentioned separately in this format Note:3. Details should include the interest in or ownership offshore assets Description Self Spouse HUF | dependent] Dependen] dependent No.1 _[No2 | No3 ‘Agricultural Land o fe - —— faster lease refer PRUNE feet foe frie Sieveyanummbes(s) ‘Annexure-I.aAnnexure-I.b ‘Area(total rte Lp to nil measurement in acres) ees pei Pees free REE amiatic ppb fplicable pliable i 7 at a IDetecf purchass tn farpicable fsppicable applicable applicable case of self-acquired 7 oy» ertCost of Land (in ease Rs-4,73,44,800/-JRs.5,00,000- Pa = rs of purchase) at the applicable applicable applicable applicable time of purchase Any investment on the NIL iL ox % a land by way Frnt [applicable fppicable cise of development, construction etc. Approximate market IRs. 9,78,84,000/- ,50,00,000/-)Not t Jot value fe 2somnon Te Fase fete fran ii Non-Agricultural at 7 Not naa Frroate Prints Fics fppane Location(s) Please refer Survey number(s) [Annexure-2.0 NIL Area (total measurement SS vot ot insqft.) ooo plicable bypisable fppicable i ia a repay ararh Frise Pre fief property (Yes or No) i Date of purchase in case Lice a, Erne ane of self-acquired ppl hp | property. Cost of Land (in caseof | Rs.2,00,00,000/-|NIL_ Petite - ii : r a eS purchase) at the time of me foviieatite - fropticat purchase Any investment on the NIL IL _ vot vot picable licable licable fea bene pre fsa i development, | constructionete. ‘Approximate market jRs.2,00,00,000/- NIT. a value ppplicable pplicable plicable applicable Bi [Please refer Nease refer * Not (including apartments) [Annexure-3.a Annexure-3.b FP" ict mate Pia -Location(s) -Survey number(s) Aas San ‘measurement in sq.ft.) Built-up Area (total ot iat measurement in sq.ft.) i plicable Whether inherited at or a Hicable hi licuble licable property (Yes or No) = fone a Fe Date of purchase in Please refer [Please refer ahi al < ‘ot Baas = case of self-acquired —fannexure-3.afinnexure-3.b[™ Price fr property 5 PGgst of property (in ot ‘ot a = SS of purchase) at (Rs. $0,00,000/- Rs, $5,00,000/. PPPS _frlietle fmicble prs 8 pp Gerthe time of purchase Any investment on the [Rs. IRs. development, construction etc. Ror property by way of —{1,56,00,000/- [1,00,00,000/- FP" protec Ror plicable Fpplicable market value Approximate current [Rs.3,00,00,000/- [Rs.2,50,00,000/8>) E liable able plicable liable lent partments) Location(s) ‘Survey number(s) Building lease refer [Please refer including, finnexure-4a — fannexure-4.b -—h Fn fee horlicabe ir hppicable Built up area (Total measurement in sq.ft.) Whether inh property (Yes or No) Date of purchase in case of self-acquired property ‘Area (total NIL [Please refer Ree jeasurement in sq.ft.) lannexure-4.b or plicable liebe Nar perce face Fre rie or hpticable ot or fppticable hpplicable ste = wm oh plicable Fetiabie plicable plicable Nor hoptiabie ‘Cost of property (in case of purchase) at NIL the time of purchase im at NIL cable plicable oa liable development, construction ete. ‘Any investment on the NIL Rs. Landbyway of 70,00,000/- | cronies m plicable ar abe ‘Approximate current NIL [Rs market value 0,00, at gees Fre ae lappticable (@) _| Others (suchas interest NIL inproperty) NIL vot fnpticable fn cal i hpplicable laplicable (i) _| Total of current market Rs. ORs, value of (i) to (v) above | 14,78,84,000/- |12. 5 a *s0,00,000/. pret optsae bytiatie borate (8) I give herein below the details of liabi and government:- (Note: please give separate details of name individual and amount before each item) of bank, institution, entity or jes/dues to public financial institutions ) “ Loan or duesto | [Loan with | 1 Bank/financial | Canara Bank | Housing Loan | abie | « nstitution(s) Rs.1,13,12,288 | Rs.1,95,87,600/- SNo_| Deser Self Spouse iii | depen | Depend | depen iption F | dawn | em — | dent o1 | No2_| N03 Nor Rot [Rot Rot -Canara Bank applic | applicabl | applicable | applicabl 9 pater| Name of the bank ] /- | or Financial 2.Vehicle Loan | 2,Canara Bank institution with canara | Housing Loan Amount bank Rs.1,66,54,568/- | outstanding, Rs.6,28,899/- nature of loan | 3.Vehicle Loan with canara bank Rs.17,68,014/- 4, Gold Loan with Canara | bank Rs.5,93,540/- Loan or dues to | Loan received | nil Te | hee | any other | from others Rs septic | aptiabt | anabie | ali individualsentity | 3,46,75,237/- other than mentioned | above Name(s), | Amount outstanding, _nature of loan. an othe | a cic [ei | ite | it Grandtotalof | Rs.4,89,77,978/ | Rs.3,62,42,1687- [Na [Na [Na Not iabilities applic | applicabl | applicable | applica abel e Government dues : Dues to departments dealing with Government accommodation (A) — Has the deponent been in occupation of | No accommodation provided by the Government | at any time during the last ten years before the | date of notification of the current election ? |) _Ifanswer (A ) above is YES the following declaration may be furnished namely: (i) The address of the Government accommodation : _ (Gi) There is no dues payable in respect of above government accommodation , towards Rent: . Electricity charges Water Charges and Telephone charges as on NOT APPLICABLE [ The date should be the last date of the third month prior to the month in which the election is notified or any date thereafter] pose 10 >Note: No dues certificate from the agencies concerned in respect of rent electricity charges , water charges and telephone charges for the above government accommodation should be submitted. Gi) Dues to department dealing | NIL Nil [| Nil [Nil Nil Nil swith Government transport ( including arerafts and helicopters) Belt | Spouse [HOF Deer | Depenerna? Deca Ge) __| Income Tax Dues NL [NIC PN NIL [NIL Nic | GST Dues NL [NIL [NIL [NIL [NIL Nic (i) | Monicipaliproperty ax dues NIL [NIL [NIL [NIL | NIL NIL (i)__| Any other dues NL [NL PNIL NIL NIL NIC (ii) | Grandtoial ofall Government [NIL [NIL [NIL [NIL NIL NIC dues (x) | Whether any other iabilies NIL [NIL [NIL [NIL [NIL WL are in dispute, if so , mention the amount involved and the authority before which itis, pending (9) Detail of profession or occupation: (a) Self: Business and Agriculture (b) Spouse: Agriculture (9A) Details of sources of income: (a) Self: Business, Rental and Agriculture Income (b) Spouse: Rent, Agriculture and Honorarium (c) Source of income, if any, of dependents- Not applicable (9B) Contracts with appropriate Government and any public company or ‘companies (a) details of contracts entered by the candidate: TSBCL for Rent (b) details of contracts entered into by spouse: Nil (©) details of contracts entered into by dependents : Nil (@) details of contracts entered into by Hindu Undivided Family or trust in which the candidate or spouse or dependents have interest : Nil (©) details of contracts, entered into by Partnership Firms in which candidate or spouse or dependents are partners : Nil (®) Details of contracts entered into by private companies in which candidate or spouse or dependents have share: Nil (10) My educational qualification is asunder:- Intermediate ( Give details of highest school/University education mentioning the full form of the certificate /diploma/degree course name of the school/college university and the year in which the course was completed.) " rc vPART-B (11) ABSTRACT OF THE DETAILS GIVEN IN (1) TO (10) OFPART-A: 1. | Name of the candidate SMT.EATALA JAMUNA Full postal address IH.No: 9-72(new) corresponding to Id No:9-77/1 ,Kamalapur village andl mandal of Hanamkonda District ‘Warangal Urban Dist) TELANGANA 3. | Number and name of the constituency and State [31-Huzurabad constituency 4. | Name of the political party which set up the candidate (otherwise write ‘Independent’) BHARATIYA JANATA PARTY BUP) | 5. | Total number of pending criminal cases Nil [6 | Total number of eases in which Nil |__| convicted in PAN of, ‘Year for which | Total income last shown income Tax return, i, filed (@) Candidate (E Jamuna) _“|AAEPES726F | 2019-20 Rs.1.33,403727- /(®) Spouse (Eatala Rajendar) — |AACPE7633B_ | 2019-20 IRs. 30,16,592/- (©) HUF lot Applicable Not Applicable Not Applicable (d) Dependent jot applicable _ [Not Applicable Not applicable 8__| Details of Assets and Liabilities in Rupees Description Self Spouse wuC Depends baci Pepenae biNo_ftNo2 htNo3 sets Rs.2! .21,894/- Rs.6,20,097/- lot jot vot vot AL anes '8,68,2 1,894/- Rs.6.20, 097/ vlicabl ‘oii si Immovable cor Nat Nov hee |sppticableyApolicabtAppicab)Applical T._| Purchase Price [Rs.7,23,44,800- [RS 60,00,000- Not No Not : Bee {sopticabl pica Appie plc acquired | immovable property IL. | Development [Rs-1,56,00,000/- |RS.7,70,00,0007- Not” Not BeSaee Aplicada cost of immovable propertyafter purchase(if applicable) re » BomanIML | Approximate cor Not Not Rat Cinrent market [Applicable AppticablApptiablAppticab price (a).Rs.14,78,84,000(a) Rs, 11,00,00,0007- t Deer (b). Nil assets(Tot al Value) (6) inherited assets(Total Value) v. Liabili (| Government [NIL IL ot fot Not Not dues (Total) Pplicable/ApplicablApplicab|Applicad, (ii) | Loans from [Rs.4,89,77,978/- ‘ot lot Not vot Bank, fes.3,62,42,168/- _|APPbleAplieablAplcb Appia Financial A aii Institutionsand others (Total) 10 | Liabilities that are under dispute @ | Government (Nil il ot Not Not Not dues (Total) Pplicable/ApplicablAppticab Applica Gi | Loans from Nil il ct Noe Nor Ror Bank, Financial plicable Appisbl plea Appia Institutionsand neil others(Total) TI ighest educational qualification : Intermediate (b) Rs. 1,50,00,000/- (Give details of highest School/University education mentioning the full form of the certificate/diploma/degree course, name of the School/College/University and the year in which the course was completed.) VERIFICATION |, Eatala Jamuna the deponent, above named, do hereby verify and declare that the contents of this affidavit are true and correct to the best of my knowledge and belief and no part of it is false and nothing material has been concealed there from. 1 further declare th (@ there is no case of conviction or pending case against me other than those mentioned in items § and 6 of Part A and B above; (© I,my spouse, or my dependents do not have any asset or liability, other than those mentioned in items 7 and 8 of Part A and items 8, 9 and 10 of Part B above. Verified at HUZURABAD on 04" October, 2021 rr, DEPONENT ‘Hattested // bw \e ro\7 GURRAM SRINIVAS. 4 ULM ADVOCATE € NOTARY AQ 12255 near Deus Complex HUZURABAD Goll 6440162773Note: 1. Affidavit should be filed latest by 3.00 PM on the last day of filing nominations. Note:2.A fidavitshouldbesworbeforeanOathCommissionerorMagistrateofiheFirst Class or before a Notary Public. Note: 3. All column should be filled up and no column to be left blank. If there is no information to furnish in respect of any item, either “Nil” or “Not applicable” as the case may be, should be mentioned, . 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