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.)
Nature of Property
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Location with Complete Address
|
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.)
Nature of Asset
|
Particulars of Asset/ Complete Description
|
Oty.
|
Value at Cost ( ` In Lacs)
|
PPF
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PPF Investment
|
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Shares
|
Shares
|
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FDR & Bank
|
FDR & Bank
|
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Capital investment
|
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TOTAL
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(C) Total Liabilities:
Borrowed From
|
Amount & Securities offered
|
Purpose
|
O/s as on date ( ` In Lacs)
|
IDBI
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Housing
|
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Deposit
|
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:
Guaranteed to
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For the Borrowings by
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Purpose
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Amount Guaranteed ( ` In Lacs)
|
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: