Format of Net Worth Certificate
NET WORTH CERTIFICATE
We hereby certify below the position of Assets & Liabilities of the person mentioned hereunder as on 31.03.18
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
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Location with Complete Address
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Value at Cost ( ` In Lacs)
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Flat at
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Shop
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Shop
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Jewellery
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TOTAL
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(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.)
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Nature of Asset
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Particulars of Asset/ Complete Description
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Oty.
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Value at Cost ( ` In Lacs)
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PPF
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PPF Investment
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Shares
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Shares
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FDR & Bank
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FDR & Bank
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Capital investment
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TOTAL
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(C) Total Liabilities:
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Borrowed From
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Amount & Securities offered
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Purpose
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O/s as on date ( ` In Lacs)
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IDBI
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Housing
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Deposit
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Rent
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Repayment of H. Loan
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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:
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Guaranteed to
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For the Borrowings by
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Purpose
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Amount Guaranteed ( ` In Lacs)
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Term Loan
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Vehicles
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Cash Credit
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TOTAL
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For xxx ASSOCIATES
Chartered Accountants
Partner
Membership Number:
Date: