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This document appears to be a form for government employees to declare any immovable property they own or have a financial interest in. It requests details like the employee's name and role (1), location and value of properties (2-5), how they were acquired and annual income from them (6-7), and includes notes on filling out the form correctly (1-5). Government employees must submit this form annually to disclose any properties held directly or indirectly.

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Sushant Patil
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65 views

BlankIPR PDF

This document appears to be a form for government employees to declare any immovable property they own or have a financial interest in. It requests details like the employee's name and role (1), location and value of properties (2-5), how they were acquired and annual income from them (6-7), and includes notes on filling out the form correctly (1-5). Government employees must submit this form annually to disclose any properties held directly or indirectly.

Uploaded by

Sushant Patil
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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STATEMENT OF IMMOVABLE PROPERTY RETURN FOR THE YEAR ____ AS ON __/__/____ 1. Name of Officer (in full): _________________________________________________ 2.

Service to which the Officer belongs: 3. Cadre & Batch: ___________________ 4. Present Pay: _______________

Indian Administrative Service


If not in own name, state in whose name held & his/her relationship to the Govt. Servant

Name of District, SubDivision, Taluk & Village or City in which property is situated (full location & postal address)

Name & Details of Property, Housing, Lands and Other Buildings

Cost of Present Value * construction/Acquirement (and year when purchased) including of land in case of house

(1)

(2)

(3)

(4)

(5)

How acquired, whether by purchase, lease **, mortgage, inheritance, gift or otherwise with date of acquisition & name with details of person(s) from whom acquired. (6)

Annual Income from property

Remarks

(7)

(8)

Signature: Name: Designation: Date: Note: Please read the notes overleaf before filling up the form.

NOTES

1) 2) 3)

* **

In case where it is not possible to assess the value accurately, the approximate value in relation to present conditions may be indicated. Includes short term leases also.

The declaration form is required to be filled in and submitted by every member of Class I and Class II services under relevant provisions of Conduct Rules and the first appointment to the Service and thereafter, at the interval of every twelve months, giving particulars of all immovable property owned, acquired or inherited by him or held by him on lease or mortgage, either in his own name or in the name of any member of his family or in the name of any other person dependent on Government Servant.

4) 5)

The wording No Change or No Addition or As in previous year may be avoided and all details filled up. AIS Officers are requested to fill the form in duplicate.

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