Affidavit of Assets to be made by a Judgment-Debtor (O. 21, R. 41(2))

In the Court of…………………

A.B.C…………….. Decree holder,

Versus

C…………Judgment-debtor

I,…………… of……………… state on oath/solemn affirmation as follows:-

1. My full name is…………….[block capitals]
2. I live at……………..
3. I am married/single/widower (widow)/divorced
4. The following persons are dependant upon me:-
5. My employment, trade or profession is that of………….carried on by me at……………….. I am a director of the following companies:-
6. My present annual/monthly/weekly income, after paying income tax, is as follows:
7. From my employment, trade or profession Rs………
8. From other sources Rs……….
9.  
10. I own the house in which I live; its value is Rs………..
11. From other sources Rs……………
12. I possess the following:- [give particulars]
13. Banking accounts;
14. Shares and stocks
15. Life and endowment policies;
16. House property;
17. Other property;
18. Other securities
19. The following debts are due to me:-
20. From…….. of…………….Rs……….
21. From……….. of……………..Rs……………

Sworn before me, etc.