Format of Net Worth Certificate


NET WORTH CERTIFICATE
We hereby certify below the position of Assets & Liabilities of the person mentioned hereunder as on 31.03.16
The same has been verified from the records & other details produced before us:
Name                           :
PAN                            :
Date of Birth               :
Permanent Address    :                                   Office Address:
                       
(A) Total Value of Immoveable Property:
(This includes beneficial share owned in Land, Building, Flat, Factory, Shop, House etc.)
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Nature of Property
Location with Complete Address
Value at Cost ( ` In Lacs)
Flat at
Shop
Shop
Jewellery
TOTAL
(B) Total Value of Other Assets:
(This includes Cash, Bank balance, Gold, Other Jewellery, Investment in Shares/Mutual Funds/FD’s/LIC etc, Vehicles, Capital in Business etc.)
Nature of Asset
Particulars of Asset/ Complete Description
Oty.
Value at Cost ( ` In Lacs)
PPF
PPF Investment
Shares
Shares
FDR & Bank
FDR & Bank
Capital investment
TOTAL
(C) Total Liabilities:
Borrowed From
Amount & Securities offered
Purpose
O/s as on date ( ` In Lacs)
IDBI
Housing
Deposit
Rent
Repayment of H. Loan
TOTAL
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(D) Net Worth: (A + B – C) = /- Lacs
(In words ___________________________________)
He/She is the Guarantor for various Borrowings by his/her friends / relatives / firm(s) / company(s) as detailed below:
Guaranteed to
For the Borrowings by
Purpose
Amount Guaranteed ( ` In Lacs)
Term Loan
Vehicles
Cash Credit
TOTAL
  For xxx ASSOCIATES
  Chartered Accountants
    
  Partner
  Membership Number:
  Date: 

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