Amendment status not verified — confirm the current text below against the official source.
I give herein below the details of my liabilities/ overdues to public financial institutions and Government dues :- (Note :- Please give separate details for each item). 4 J 1 2 , 1 H E r t Q O r t lV l VjTAzEIE 1 1 1 3 , E A 1 IN zA k /lv E 7 1 1 N ./VJX i , r u u . z . o , ........< SI. No. Description Name and address of Bank/Financial Institution (s) Department (s) Amount Outstanding as on 1 3 2 (a) (i) Loans from Bank (ii) L oans from Financial Institutions. (iii) Government dues (Other than incom e tax and w ealth tax) (No. Due Certificate to be enclosed in case holding or having held any public office). (b)(i) Incom e tax including surchage (A lso indicate the assessm ent year upto which income tax return filed. Give also perm anent A ccount Num ber (PAN). (ii) Wealth Tax (Also indicate the assessment year upto which wealth tax return filed. (iii) Sale tax only in case of Proprietory business). (iv) Property Tax.