shir pratik prakashbapu patil

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    INDIAN INCOME TAX RETURN V ERIFICATION FORM2 ITR-VWhere the data of the Return of Income in Benefits in Form (ITR-1 (SAHAJ), ITR-2,OTR-3, ITR-4, ITR-4S (SUGAM), ITR-5, ITR-6 transmitted electronically without digitalsignature' . (Please see Rule 12 of the Income-tax Rules, 1962)

    Assessment Year2011 - 12i4

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    Name PANPRATIK PRAKASH PATIL

    . ABPPP5827NFlat/Door/Block No Name Of Premises/Building/Village

    Form No. whichhas beenelectronicallytransmitted (fillthe code)

    PLOT NO 81/82 .

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    SHIVAJ1 HOUSING SOCIETYITR-2Road/Street/Post Office

    MADHAVNAGAR ROADArea/LocalityOPPOSITE VSSSK Ltd

    Town/City/District State Pin Status (fill thecode) INDLSANGLI MAHARASHTRA 416416

    Designation of AO (Ward / Circle) ITO WD 2(1), SANGLI/PNE/W/95/1 Original or Revised Original

    E-fi ing Acknowledgement Number 272381880090811 Date(DD/MM/YYYY) 09-08-2011

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    1 Gross total income 1 6275262 . Deductions under Chapter-V1-A 2 1150003 Total Income - 3 512526aurrent Year loss, if any 3a 04 Net tax payable 4 582015( . . . ) Interest payable 5 06 Total tax and interest payable 6 582017 Taxes Paida Advance Tax 7a 0

    b TDS 7b 60708c TCS 7cd Self Assessment Tax 7d 0e Total Taxes Paid (7a+7b+7c +71I) 7e 60708

    8 Tax Payable (6-7d)' 8 09 Refund (7e-6) 9 2510

    VERIFICATIONI, Pratik Prakash Patilon/ daughter of Prakash Patil holding permanent account number ABPPP5827Nsolemnly declare to the best of my knowledge and belief, the information given in the return and the schedules thereto which have been transmittedelectronically by me vide acknowledgement number mentioned above is correct and complete and that the amount of total income/ fringe benefit's andother particulars shown therein are truly stated and are in accordance with the provisions of the Income-tax Act, 1961, in respect of income and fringebenefits chargeable to income-tax for the previous year relevant to the assessment year 2011-12. I further declare that I am making this return in mycapacity as and I amalso competent to make this return and verify it.Sign here. ;1,..2..L1ate9-08-2011lace SangliIf the return has been prepared by a Tax Return Preparer (TRP) give further details as below:Identification No. of TRP Name of TRP Counter Signature of TRP

    .1 .n,II . cDABPPP5827NO22723818800908111564C9A7059064294A017C9085839BC386641 !,..i...E rV 1 1 2 . :14...1 , p .. . . .7. 1 1 1 FC DFor Office Use OnlyReceipt Noiled from IP address 117.200.219.158DateSeal and signature ofreceiving officialPlease furnish Form ITR-V to "Income Tax Department - CPC, Post Bag No - 1, Electron'c City Post Office, Bangalore - 560100, Karnataka", by ORDINARY POST ONLYwithin 120 days from date of transmitting the data electronically. Form ITR-V shall not be received in any other office of the Income-tax Department or in any other manner. Thereceipt of this ITR-V at ITD-CPC will be sent to you at this e-mail address [email protected]

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    DECLARATION O F ASSETS AND LIABILITIESFORM 1

    A. ASSETS AND LIABILITIES OF M EM BER

    Name of the Mem ber

    Father's Nam e

    Permanent Address

    PRATIK PRAKASHBAPU P ATIL

    Late Shri Prakashrao Vasantrao Patil

    'Shri Sai' Shivaji Housing Society,Mad havnag ar Road, Opp. VSSSK,SANGLI - 41 6416 (Maharashtra)

    Delhi Address AB-77, Shahjahan Road,New Delhi -110011

    Party affiliationndian National CongressDate of Election6 th Ma y 2 0 0 97.ate of taking oath/makingaffirmation in the House in Lok Sabha:n d Ju n e 2 0 0 9Date of taking o ath as8 th M a y 2 0 0 9Minister of State in Union Cabinet

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    DETAILS OF IMMOVABLE PROPERTIESNam e of the State, District, Sub-divisionand village in w hich property is situatedDetails of property(a ) Ag ricultural Landsand present Value

    (b)Non ag ricultural Landsand present value

    1 H ector and 63 RAt: Kavalapur, Survey No. 1836, 1839,1840, 1889Rs: 5.20 lakhsOpen Plot : Shivaji Housing S ociety PlotNo. 705000 S q ft. Rs. 12.50 lakhs

    (3)Venkatesh House

    (4) Kolhapur Kasaba Babdaity Survey No. 828/1,29/1Bungalow No. RB 5 (Tirth GardenArea)135.18 Sq. M . Rs. 29.03 lakhs(5) Property in name of W ife) Bhose Mulubai Estate, Taluka M ahabaleshwar,and presen t Value District : Satara (Maharash tra)Survey No. 24/4,Plot No. 6, Area 330.75 Sq. M. (in the Plot 95 SqM tr Built-up Area R s. 8.26 lakhs2) Pangari Nandanvan Colony, TalukaMahabaleshwar, District: Satara (Maharashtra)Survey No. 15 Plot No. C- 138 (Area 278 Sq M tr.)(in the Plot 66.50 Sq. M. Built-up Area)Rs. 8.26 lakhs

    Flat No. S-1 (City Survey N o.8665 - 44.50Sq. M. Rs. 6.83 lakhs

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    DETAILS OF MOVABLE PROPERTIES

    1 ) Cash in Hand Rs. 2 , 50 , 000 / -2 ) Cash in Wife's Hand R s . 1 , 0 0 ,0 0 0 / -3) Deposits in Banks NIL

    4) Deposits in Wife's Name Rs. 5,15,000/ -5) Shares in Sahyadri Mo tors Rs. 62 ,57,500 / - in the nam e ofwife

    Deposits in com panies Rs. 8,43,096/-Others LIC & M EDICALIM Rs. 6,43,491 /-(Yearly installment)Vehicles Ford (Fiesta) Make 2006Rs. 7,48,00 0 / -M arut i S wi ft M ake 2 0 07Rs. 5,44,0 0 0 / - ( WIFE)T ata W in g e r M a k e 2 0 0 8Rs. 6,95,00 0 / -

    8) Jewelery(self)old R s . 1 1 , 50 . 0 0 0 / -Silver Rs. 2 , 2 3 ,0 0 0 / -in name of Wife Gold R s . 1 8 , 0 0 , 0 0 0 / -Silver Rs. 1 , 56, 00 0 / -in name of Elder Son Go ld Rs. 2 , 50 , 000 / -in name of Younger Son Gold Rs. 1 , 60 , 000 / -

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    Details of Liabilities of the m ember to public Financial Institutions / Cen tralGovernment and State Government

    1) Bank L oan (for Car Loan) .Sangli

    Sangli2) Loan from Finance Co.(in the name of W ife)

    State Bank of India , Shivaji Nagar,Rs. 3,00,876/-State. Bank of India, Ganap ati Peth,Rs. 4 ,42,648/-Mahindra Finance L td. ,Rs. 96,434/-

    I have been subm itt ing the Income Tax R eturns regularly. My PA N N o. isAB PPP5827N. T he latest income tax return or the financial year 2010-2011 isenclosed.

    D E CL A R A T I O NI, Pratik Prakashbapu Patil hereby declare that the information givenabove in true and correct to the best of my k now ledg e and belief.In the event of any change in the information given above.undertake to intimate the Speak er as provided und er the rules.

    Yours faithfully,

    Date 27 t h Aug 2011Pratik Prakashbapu Patil)