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This document is a statement form for officers to declare their immovable property for a specific year. It requires details such as the officer's name, service, property location, value, and how the property was acquired. Officers of Class I and II must submit this declaration annually, providing comprehensive information about all immovable properties owned or held by them or their family members.

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Piyush Gautam
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5 views2 pages

BlankIPR(4)

This document is a statement form for officers to declare their immovable property for a specific year. It requires details such as the officer's name, service, property location, value, and how the property was acquired. Officers of Class I and II must submit this declaration annually, providing comprehensive information about all immovable properties owned or held by them or their family members.

Uploaded by

Piyush Gautam
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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STATEMENT OF I M M O V A B L E PROPERTY RETURN FOR THE YEAR ____ AS

O N __/__/____

1. N a m e of O f f i c e r (in full): _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 3. C a d r e
& Batch: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

2. S e r v i c e t o w h i c h t h e Officer b e l o n g s : 4. P r e s e n t P a y :
_______________

N a m e of N a m e & Det Cost of Present If n o t in o w n H o w acquired, Annual Remarks


District, S u b - ails construction/ Value * name, whetherby Income
Division, of Property, Acquirement state purchase, from
Taluk Housing, (and year w h e n in w h o s e lease * * , property
& Village o r Lands purchased) n a m e held mortgage,
City andOther including o f & inheritance, gift
in w h i c h Buildings l a n d in c a s e o f h o u s e his/her or
p r o p e r t y is relationship otherwise with
s i t u a t e d (full to the Govt. d a t e of
location & Servant acquisition
postal & n a m e with
address) details o f
(1) (2) (3) (4) (5) (6) (7) (8)

Signature:
Name:
Designation:
Date:
N o t e : P l e a s e r e a d t h e n o t e s o v e r l e a f b e f o r e filling u p t h e f o r m .
NOTES

1) * In c a s e w h e r e it is n o t p o s s i b l e t o a s s e s s t h e v a l u e accurately, t h e a p p r o x i m a t e v a l u e in relation t o
p r e s e n t c o n d i t i o n s m a y b e indicated.
2) ** I n c l u d e s s h o r t t e r m l e a s e s also.
3) T h e d e c l a r a t i o n f o r m is r e q u i r e d t o b e filled in a n d s u b m i t t e d b y e v e r y m e m b e r of C l a s s I a n d Class II
s e r v i c e s u n d e r r e l e v a n t provisions o f
C o n d u c t R u l e s a n d t h e first a p p o i n t m e n t t o t h e S e r v i c e a n d thereafter, a t t h e interval o f e v e r y t w e l v e
m o n t h s , giving particulars o f all
i m m o v a b l e p r o p e r t y o w n e d , a c q u i r e d o r i n h e r i t e d b y h i m o r h e l d b y h i m o n l e a s e o r m o r t g a g e , either in his
o w n n a m e o r in t h e n a m e of a n y
m e m b e r of his f a m i l y o r in t h e n a m e of a n y o t h e r p e r s o n d e p e n d e n t o n G o v e r n m e n t S e r v a n t .
4 ) T h e w o r d i n g ‘ N o C h a n g e o r N o A d d i t i o n o r A s in p r e v i o u s y e a r ’ m a y b e a v o i d e d a n d all details filled u p .
5 ) A I S Officers a r e r e q u e s t e d t o fill t h e f o r m in duplicate.

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