‘e-Stamp 2 IN-apa14o7174082650W 29-Apr-2024 02:21 PM 1 NEWIMPACG (SV) ap18105004/ AP.VKP/ AP-VKPlapbolamu 27002308001 O10 1G R ‘SUBIN-APAP1E10500451706721578791W KOTHAPALLI GEETHA WIFE OF P RAMA KOTESWARA RAO smears Consideration Price) i 2 Fist Party 1 KOTHAPALLI GEETHA WIFE OF P RAMA KOTESWARA RAO. 4 2 5 Second Party 2 Not Applicable 3 aisBy ForWhom) + KOTHAPAL_1 GEETHA WIFE OF P RAMA KOTESWARA RAO i 3 mp Duty Amounts): 100 fo i So Da eee ‘(One Hundred only) Pease waite or type below tis ine 3 Form 26 (See rule 44) AFFIDAVIT TO BE FILED BY THE CANDIDATE ALONG WITH NOMINATION PAPER BEFORE THE RETURNING OFFICER FOR ELECTION TO HOUSE OF PEOPLE (LOK SABHA) FROM THE 01 ARAKU (ST) CONSTITUENCY (NAME OF THE CONSTITUENCY) PART A I, KOTHAPALLI GEETHA, wife of Paruchuri Rama Koteswara Rao Aged 53 Years. resident of Door No 78-12-2, Flat No G-1, Santhi Residency, Syamala Nagar, Rajamahendravaram, East Godavari, Andhra Pradesh 533103 (Mention full postal address), a candidate at the above election, do hereby solemnly affirm and state on oath as under: -(1) 1am a candidate set up by BHARATIYA JANATA PARTY (name of the political party) / (*am-contesting-as-an-Independent-candidate). (**strike out whichever is not applicable) (2) My name is enrolled in 50, RAJAHMUDRY CITY ASSEMBLY CONSISTUENCY, ANDHRA PRADESH (Name of the Constituency and the state), at Serial No. 388 in Part No 144. (3) My contact Telephone number(s) is/are 9908169999 and my e-mail id is kothapalligeetha@gmail.com and my social media account(s) (if any) is/are (i) Facebook account ID: Kothapalli Geetha (ii) X 1D: @Geethak_MP (i (4) Details of Permanent Account Number (PAN) and status of filing of Income Tax return: “The financial year for | Total income shown in Income Tax Return (in sino Names PAN which the last Income-| eupees forthe last five tax return has been_| Financial Years completed Sed (as on 31* March) ‘Astessment Year | "20192020 © | Rs6,00,000 Assesment Year |g ec "3020-2021 | Rss.so.000- | sat “Assesment Year : Kothapalli Geetha ARTPGI2486 30212022, Gi} Rs.6,50,0001- “Assessment Year z tememesetr | Givy| R5.6,34,730/ “Assesment Year | Nese | | Rseo9sz4- | Assessment Year 7 Seren @ | RsA,30,000" Assessment Year ‘seen en | Rs5.50,000/- py Assesment Year 2 | Parachuri Hama Kotswara | AAAPREDISA ore | Rs5.35,000. “Astesament Year seament Year | Gy) R55,50,000/ “Assessment Year Seagate” | ©] Rs5,50,000%- HUF (Uf Candidate is : : 2 Not Applicable | Not Applicable Not Applicable iaesiceaeiey 0 po cy | Not Anpicab Pood js): Tape ea ons TinosNot Applicable | (i) | Not Applicable | Not Applicable [Not Applicable Dependent 1 Not Applicable | Not Applicable Not Applicable Not Applicable | (iv)| Not Applicable Not Applicable | (v)| Not Applicable Note: Its mandatory for PAN holder to mention PAN and in case of no PAN. it should be clearly stated “No PAN allotted”. 5) Pending criminal cases 0 je ee ; nese an : OR (ii) The following criminal cases are pending against me Y (if there are pending criminal cases against the candidate, then tick this alternative and score off alternative (i) above, and give details of all pending cases in the table below) Table FIR No. With name and address a Not Not ® — NotApplicable | applicable | Applicable of the Police Station Concerned CC NO. 143772017 Additional Metropolitan | CRLA'No. Deiails of investment tal Gv) NSS. Postal Saving Insurance Policies and NIL am investment in any financial yyy Personal loansiAdvance fven to any person or ntty including firm, [Loan Given to Spouse company, ‘Trust Ete Not Applicable eas aceaaear anal ins ind. Other Receivables rom debtors and. the mount. Hyundai Verna Car "2017 Model Vehicle No DL 3680, fotor VehilesAircrafis! Rena 1suzu MoTors pia pvr itp [NIL] NIL achtsShips (Details of Seas aT 2024 Modal Vehicle fake, Registration number oa oot No APSBVESG79 sc. year of Purchase of Vehicle No APS9NR6GT9 aes ‘mount 23.63, 900-(iy Toherited from parents. [LPlatinum Bracelet 40 gm: lecklace set 112 gms 1,00,000/- 7.40,880/- ‘Waist chain 121 gms Aisi. Bangles 12 no's 132 gms 8,73,11801- Stoned Chain $74 gms, -48,00,000/- . Kankan 1 no's S2 gms, 43,980 I. Plain Chains 3 no's 130 gms Necklace with Studs 108 gms. JRs-8,59,950/- 7,144201- Kada 65 gms. IRs.4,29,975/- | Long chain 42 gms | fis2.77.830/- [7. Long Chain $6 gms. [Rs.3,70,440/- [8.6 Small chains 126 gms. [Rs.8.33.490/- Jewelry, bullion and Valuabl . Mangala Harams 263 gms. ing(s) (give details of ML veight and Value) pais i10. Bangles 24 - 280 gms Rs.18,52,200/ | NIL |11.Mango Necklace (antique) 323 1Rs.21,36,645 12. Karrings 29 gms 191,835 13. chains 72 JRs.1,96,648)- 114. Dandavanki 2 - 165 gms. IRs.4,76,2801- Diamond Bangles 2 Nos 42 ems. 13.65,000/ 16. Diamond, Necklace 120 gms 35,50,000/- (Viti]Any other assets as such as alve of elaimsvinterest NIE xa. ‘ross Total Value Rs.2,87,77,247/- Rs.6,86,89,706/- mu | NIL vi aa AKHAPATNAM PRADES: INDIA 212. 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 of offshore assets. PRAC INDIA S.No] Description Sel Spouse | HUF | Dependeni-1 Kothapalli Geetha 7 o gricultural Land Location(s) 1. Burugupudi Revenue Village Survey number(s) Korukonda Mandal, East Godavari Dist Surve No. 824/2=| yy | NIL| NIL Ac 2.00 Cents Total Ac 2.00 Cents. 2. S.No 606/2 606/3 Nimmakayala Kothapalli Village, Andhra Pradesh ‘Area (total measurement in 1, Total Acres 2.00 Cents ni | NIL| NIL acres) 2. Total Acres 3.07 Cents ether inherited property 1. NO NIL | NL] NIL (Wes or No) 2. YES (Inherited) Date of purchase in case of self - 1. 26072072 wit | NIL} NIL acquired property |>_ Not Applicable ‘Cost of Land (in = 7 | case of purchase) at] 1 Rs.1.0,00,000/- NIL [NIL] NIL the time of 2. Not Applicable purchase ‘Any Investment om the land by way of development, NL | NIL] NIL construction ete. MILs ‘Approximate f ax urrent market |) Rs 1-20,00,000 ni | NIL] NIL / &, fale 2. Rs.1,50,00,000/- = \z --) = a Ss Ot NY visa S ANI13. [Non-Agrieultural Land ILacation(s) NIL NIL NIL NIL [survey number(s) Area (otal measurement in 39, a se NIL NIL NIL NIL %) Whether inherited property NL NIL ML wm. (ves or No) Date of purchase incase of sel acquired property NIL NIL NIL NIL ‘Cost of Land (in ease of purchase) at the time of NL NIL NIL NIL purchase ‘Any Investment on the land by roa ce aE way of development, NIL |_construeton ete. ‘Approximate curreat market value NL NIL NIL NIL @ NIL NIL NIL NIL Location(s) vey number(s) rea ((otal measurement insq- ny NIL NIL NIL NIL [Bailtup Area otal smcasurement in sq.ft) NIL NIL. NIL NL Whether inherited Property (Yes or No) NIL NIL NIL NILDate of purchase in ease of self-acquired NIL wen} own Property: Cost of property Gi ai of purchase) at he time of purchase NIL NIL | NIL NIL, “Any Investment om the property by way of development, construction ete. NIL ‘NIL NIL ‘NIL Approximate current market value | Nit wa | wu NIL GY | Resienta Bttings {including apartments): -Location (s) . i “Mturugepudi Revenue Village survey number(s) ae 7a Cents and 433/24 = Ac 1.16 ‘Cents Total Ac 2.10 Cents ue NIL NO Door No. #2-184 “Thimmapuram Vilage, ‘Addateegala Mandal (Area (Total measorement i 3. R) NL [ Ni] NI Built up Area (Total measurement nsf) i a ‘Whether inherited 7 1. No property 2 Yes Ancestral ns (Wesor Noy Inherited) Daicof purchase in case of elf- acquired 10 me el al See 2 Not Applicable Cost of property Gi case of purchase) at the Beara a [eT ime of purchase “Any Investment onthe land by way of od development construction ete. ‘Approximate current market value we |e] oN Ww) (ters (uch as interest in property) NIL we [xn © | ota oreurrent market value of) to) above wi [mo Rs.6,97,00,000/-7 15. ive herein below the details of liablities/dues to public financial institutions and government: (Note: Please give separate details of name of bank, institution, entity, individual and amount before each item) [Pescription [Ser spouse HUF [Dependent-1 ls. eee (0 [Loan or dues to i (Bank/Financiat | : ICICI Credit Card Institution’) Rs 2.8684, 2.Anis Bank Credit Card fame of Bank or Financial Institution) 5 RS201S28. ‘mount outstanding, Nature ofloan | "Ra agi7i, 7 NIL. NIL. NIL. 4.80 Cre Card R33.965658, | SaIndasind Cre Card ROASTS. [Loan or dues to any other individuals) lemtty other than mentioned above. Parachart Rama Koteswara Rao | _ Loan from Third lees.ason.00/- Party and Corporate | NIL IL [Name(s), Amount outstanding, nature [Personal Loan Rs. 6,1230,876)- loan ny other lability NIL NIL NIL NIL (Grand Total ofiaittes Rs5,6423386- | Rs.6,1230,876- | NIL NIL16. i Government Dues: Dues to departments dealing with Government accommodation (A) Has the Deponent been in occupation of accommodation provided by the Government at any time during the last ten years before the date of notification ofthe eurent election? (B) Ianswer to (A) above is YES, the following declaration ‘may be furnished namely. (The address of the Government accommodation (i) There is no dues payable in respect of above Government accommodation, towards- (@) Rents (b) Electricity charges. (©) Water charges; and YES MP |AccoMoDaTIon 2014-2019 \2-403, MS FLATS (@) Telephone Charges paid as on ...... (Date) NEW DELHI [the date shouldbe the last date ofthe third month prior to the month in which the election 1s notified or any | _-NO DUES date thereafter] SUBMITTED Note- ‘No Dues Cerificate’ from the agencies | FROM ‘concerned in respect of rent, electricity charges, water | LOKSABHA ‘charges and telephone charges for the above |SECRETARIAT- ‘Government accommodation should be submitted, Dues to department «dealing with Government ‘transport (including NIL NIL NL | NIL NIL sirrafts and helicopters) seit Spouse | HUF | Dependent -1 | Dependent - 2 (hy) | Income Tax dues ‘NIL NIL. NIL. ‘NIL Sham NIL NIL NIL. NIL NIL. SastetealRreves || -NIL NIL NIL NIL NIL. ‘Any other dues NIL NIL NIL NIL NIL Grand total ofall - eee NIL NIL NIL NIL NIL (i) | Whether any other liabilities are in dispute, Hescmention tie NIL NIL NIL NIL NIL ‘amount involved and ‘the authority before which itis pending.17, 9) Details of profession or occupation: (a) Self— Ex. Member of Parliament, Politician (b) Spouse -Business (9A) Details of source(s) of income: (a) Self Personal savings/investments and inheritance. Pension from Loksabha (b) Spouse - Br ess (©) Source of income, if any. of dependents — Not Applicable (9B) Contracts with appropriate Goverment and any public company or companies (a) Details of contracts entered by the candidate - Not Applicable, (b) Details of contracts entered into by spouse - Not Applicable. ) Details of contracts entered into by dependents - Not Applicable. (d) Details of contracts entered into by Hindu Undi ided Family or trust in which the candidate or spouse or dependents have interest - Not Applicable. (©) Details of contracts, entered into by Partnership Firms in which candidate or spouse ‘or dependents are partners - Not Applicable. (P Details of contracts, entered into by private companies in which candidate or spouse or dependents have share - Not Applicable. 10) My educational qualification is as under: 1. Bachelor of Arts (BA) — 1989 2. Bachelor of Education (B. ED) - 1990 3. Master of Arts (M.A) Public Administration Andhra University-1994 (Give details of highest School / University education mentioning the fall form of the certificate/ diploma/ degree course, name of the School /College/ University and the year in which the course was completed). INDIE‘ 18... PART-B 11ABSTRACT OF THE DETAILS GIVEN IN (1) TO (10) OF PART - A: 1. Name ofthe candidate ‘Smt. KOTHAPALLI GEETHA, Door No 78-12-2, Flat No G-1, Santhi Residency, Syamala Nagar, Zi [ren Pastel acireee Rajamahendravaram, Fast Godavari, Andhra Pradesh $33103, 3. Number and name of the constituency and State | 01 - Araku (ST) Parliamentary Constituency, Andhra Pradesh Name of the political party which set up the 4 BHARATIVA JANATA PARTY candidate (otherwise write ‘Independent’) 5. Total number of pending criminal cases wo L | | 6 [Fotat Number of cases in which convicted Not Applicable PAN of Year for which las Total Income Shown Income Tax Return filed 7. |l@) Candidate ARTPGIZEG “AY 2023-24 RS.6,99, 534 [() Spouse ‘AAAPRGISA “AY 2023-24 Rs5,50,000- (@ HUF ‘Not Applicable Not Applicable ‘Not Applicable [@) Dependent ‘Not Applicable ‘Not Applicable ‘Not Applicable i, Petals of Assets and Liabilities (including offshore assets) in rupees Description seit Spouse HUF _|Dependent-1|Dependent-2 [Dependents m Moveable Assets (otal value) Not Not Not Not Rs. 28777247 | RS68689,706!- | ponicabic| Applicable | Applicable | Applicable B. Tmmovable Assets mi = Tee i Rs. 6.97,00,000/- | Not Applicable | nppicabic| Applicable | Applicable | Applicable | Purchase Price of self-acquired Not Not No Not immovable property| 6395.00.00 | Not Apoicable | appicabic| applicable | Applicaie | Applicable I | Devetopmentconst ruction cost of immovable propert xo | not Not Not after purchase if R*13200000/- | NotAppticeble | spiciwie| appiablc | Applicable | Applicable applicable) a ANDHRA PRA. ane19... “Approximate Curren|RS-6,97,00,000- Not Applicable Market Price not | Now Not Not Apple] Aplable | Appabie | appcane @) settscquired pasar on000 ot Applicable assets (Total iia ot Not Not Not Value) Japtcabte| Apple | Appeasie | Appesbe 1.170.000 se appcane (b)tnnerited assets Aplic (Tout Value) ror | Not Not Not Aplable| Apphable | Apple | Apleabe 3] tabites Rrss.64.23,386- fs 61230876 | now Not Not Not ppicbte|_appieble | Apptcale | Apleble © | Goverment dae cain rata) | ee wef Not Not ot Avot] panic | _appatle | Appieabe | Loans from Bank, Financial Institutions le ne a andothers (Total) | RaS6423356/- | Rs. 6.230876. |Aptsbe| Appesble | Applicatle | Appt To. | | ibiles tat are under dispute [overoment dues (Fa Not Not noo | nox Not Not vote | appicatie —|apptinte| Appianie | Amplee | Appesbe (i fans from Bank, Financial ; Not Nat Not | Not ot Not fae ‘Applicable Applicable | Applicable| Applicable | Applicable | Applicable otal) il. |Highest educational qualificatio }- Master of Arts (MLA) Public Adi I. Bachelor of Arts (BA) Andhra University — 1989 Bachelor of Education (B.ED)~ Andhra University - 1990 istration - Andhra University 1994 ANDHRA PRAD” Inn IAPATNAM OverVERIFICATION 1, 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 that, (@) there is no case of conviction or pending case against me other than those mentioned in items Sand 6 of Part A and B above, (&) 1, 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 Visakhapatnam on this day of 24" April 2024 DEPONENT Note: 1. Affidavit should be filed latest by 3.00 PM on the last day of filing nominations. Note: 2. Affidavit should be sworn before an Oath Commissioner or Magistrate of the First Class or before a Notary Public. Note: 3. All columns should be filled up and no column to be information to furnish in respect of any item, either “Nil” or “Not applicable” the case may be, should be mentioned. Note 4. The affidavit should be either typed or written legibly and neatly. Note: 5 Each page of the Affidavit should be signed by the deponent and the Affidavit should bear on each page the stamp of the Notary or Oath Commissioner or Magistrate before whom the Affidavit is sworn. i ATTESTED | +4¥ COMMISSIUN EXPIRE? ray Foy Gu 8-07 207» A HAPATNAM. RA PRADES! INDIA N, RAVI SEKHAR, B.com., Bi G sabwovare & NOTARY Regs. “No. 26-5-82, PRASAD G, Sya5i201Y BOWDARAROAD MISAKHAPATNAM-530 00: -530001 ell 9077606145, ansesazeq: