DECLARATION OF ASSETS AND LIABILITIES FORM 1

A. ASSETS AND LIABILITIES OF MEMBER

1. Name of the Member PRATIK PRAKASHBAPU

2. Father's Name Late Shri Prakashrao Vasantrao Patil

3. Permanent Address 'Shri Sal' Shivaji Housing Society, Madhavnagar Road, Opp. VSSSK, - 416416 ()

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

Party affiliation

6. Date of Election 16th May 2009

7 Date of taking oath making affirmation in the House in Lok Sabha: 2nd June 2009

Date of taking oath as 28th May 2009 Minister of State in Union Cabinet DETAILS OF IMMOVABLE PROPERTIES

(1) Name of the State, District, Sub-division and village in which property is situated

(2) Details of property

(a) Agricultural Lands 2 Hector and 9.3 R and Cost & present Value At: Kavalapur, Survey No. 1836, 1839, 1840, 1889 Present Value Rs: 45.00 Lakhs

(b) Non agricultural Lands Open Plot : Shivaji Housing Society Plot and Cost & present value No. 70 5000 Sq ft. Present Value Rs. 25.00 lakhs

(3) Vyankatesh House C S No 8665, Flat No, S-1, Sangli - 44.50 Sq Mtr. Rs. 6.83 Lakhs

(3A) Vyankatesh House C S No. 8665, Flat No. 1, Sangli - 44.50 Sq. Mtr Rs. 7.52 Lakhs

(4) Kolhapur Kasaba Bavda City Survey No. 828/1, 829/1 Bungalow No. RB 5 (Tirth Garden Area)135.18 Sq M. Rs. 29.03 lakhs

(5) Property in name of Wife 1) Bhose Mulubai Estate, Taluka Mahabaleshwar, and present Value District : Satara (Maharashtra) Survey No. 24/4, Ploti1/4;o.6, Area 330.'75 Sq.M. (in the Plot 95 Sq M. Built-up Area) Rs. 8.26 lakhs

2) Pangari Nandanvan Colony, Taluka Mahabaleshwar, District: Satara (Maharashtra) Survey No. 15 Plot No. C- 138 (Area 278 Sq M.) (in the Plot 66.50 Sq M. Built-up Area) Rs. 8.26 lakhs

(6) Property in name of wife and shri.Pratik P.Patil 1) G.L.R. Survey No.390/1705,House No.2420 SopariwalIa House, on Gen.Thimayya Road In Pune Cantonment Road,Pune.-411001 Rs.47.56 lacs DETAILS OF MOVABLE PROPERTIES

1) Cash in Hand Rs. 3,45,000/-

2) Cash in Wife's Hand Rs. 1,00,000/-

3) Deposits in Banks NIL

4) Deposits on Wife's Name Rs. 5,15,000/-

5) Shares on Wife's Name Rs. 62,57,500/- (Sahyadri Motors Pvt Ltd)

6) Deposits in companies Rs. 8,43',096/-

7) Others 1 IC & MEDICAL 1M Rs. 9,91,122/- (Yearly installment)

8) Vehicles Maruti Qwift. Make 2007 Rs. 5,44,00W- ( WIFE) Tata 'Winger A/lake 2008 Rs. 6,95,000/- Mahindra Thar Make 2012 Rs. 7,02,198/- Rkoda Yeti Make 9019 Rs. 19,64,402/- Volvo Make2013 Rs.49,50,000/- ,pgrr Rs.50930/-(Wife)

9) Jewelery (self) Gold Rs. 12,50.000/- Silver Rs. 2,23,000/- in name of Wife Gold Rs. 18,00,000/- Silver Rs. 1,56,000/- in name of Elder Son Gold Rs. 2,50,000/- in name of Younger Son Gold Rs. 1,60,000/- Details of Liabilities of the member to public Financial institutions I Central Government and State Government

1) BariklLman- (for Car ,oan)T State Panic of , Heade office, Sangli Rs. 1,61,722/-

State Bank of Indin, New Delhi Rs.8,74,459/-

The Saraswat Co-op Bank Ltd,Delhi Rs.45,01,464/-

I have been submitting the Income Tax Returns regularly. My PAN No. is ABPPP5827N. The latest income tax return of the financial year 2012-2013 is enclosed.

DECLARATION

I, Pratik Prakashbapu Patil hereby declare that the information given above in true and correct to the best of my knowledge and belief.

In the event of any change in the information given above, I undertake to intimate the Speaker as provided under the rules.

Yours faithfully,

Date:- 19st Sept 2013 INDIAN INCOME TAX RETURN VERIFICATION FORM Assessment Year [Where the data of the Return of Income in Benefits in Form (ITR-1 (SAHAJ), ITR-2, ITR-3, ITR—V 2013 14 o ITR-4, ITR-4S (SUGAM), ITR-5, ITR-6 transmitted electronically without digital signature) . I.T., (Please see Rule 12 of the Income-tax Rules, 1962)

Name PAN PRATIK PRAKASH PATIL ABPPP5827N

THE Form No. which

C Name Of Premises/Building/Village

ND Flat/Door/Block No has been A NI SHIVAJI HOUSING SOCIETY ITR-2 PLOT NO 81/82 electronically ON RO ON transmitted CT TI ISSI Road/Street/Post Office Area/Locality M MA MADHAVNAGAR ROAD OPPOSITE VSSSK Ltd NS F ELE FOR RA T IN Status TE O State Pin

L Town/City/District Individual DA SANGLI MAHARASHTRA 416416 SONA R Original or Revised I ORIGINAL PE Designation of AO (Ward / Circle) ITO WD 2(1), SANGLI 07-2013 E-f ling Acknowledgement Number 720415770310713 I Date(DD-MM-YYYY)F31- 1 Gross Total Income 1 2338068 2 Deductions under Chapter-Vl-A 2 115000 3 3 Total Income 2223068 a Current Year loss, if any 3a 0 ME 4 588564 O N 4 Net Tax Payable 5

EO 30611 INC 5 Interest Payable F

ER 6 O 6 Total Tax and Interest Payable 619175 N TH 7 Taxes Paid

TIO Ta - 0

TAX a Advance Tax

D 7b 190907 N b TDS A 7c MPUTA c TCS

CO d Self Assessment Tax 7d 428268 e Total Taxes Paid (7a+7b+7c +7d) 7e 619175 8 Tax Payable (6-7e) 8 0 9 Refund (7e-6) 9 0 VERIFICATION

I, Pratik Prakash Patti son/ daughter of Prakash Patil , holding permanent account number ABPPP5827N

solemnly declare to the best of my knowledge and belief, the information given in the return and the schedules thereto which have been transmitted electronically by me vide acknowledgement number mentioned above is correct and complete and that the amount of total income/ fringe benefits and other particulars shown therein are truly stated and are in accordance with the provisions of the Income-tax Act, 1961, in respect of income and fringe benefits chargeable to income-tax for the previous year relevant to the assessment year 2013-14. I further declare that I am making this return in my capacity a: and I am also competent to make this return and verify it. Place Sangli Sign here 0\ / Jate 31-07-2013 If 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

I

For Office Use Only Filed from IP address 117.239.184.190 Receipt No . N ,.....,. Date ;. = • !:. 1111 • . .. bo--• f a . Seal and signature of ABPPP5827N0272041577031071322913059699E2944CE4F465D33862796040D606A5 receiving official

Please furnish Form ITR-V to "Income Tax Department - CPC, Post Bag No - 1, Electronic City Post Office, Bengaluru - 560100, Karnataka", by ORDINARY POST OR SPEED POST ONLY, within 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. The receipt of this ITR-V at ITD-CPC will be sent to you at e-mail address [email protected]

WANIK PRAKASH PATIL Prey. Yr : 01/04/2012 To 31/3/2013 A.Y. : 2013-2014 PLOT NO 81/82 Status : Individual - Male SHIVAJI HOUSING SOCIETY Resi. Status : Resident MADHAVNAGAR ROAD PAN/GIR : ABPPP5827N OPPOSITE VSSSK Ltd Ward SANGLI - 416416 Date of Birth : 08/09/1973 Maharashtra Due Date : 31/07/2013

Father's/Husband's Name: Prakash - Patil

COMPUTATION OF TOTAL INCOME Particulars Rs. Rs. Rs. Rs. Rs.

I. SALARY FROM 600000 3RD FLOOR SHASTRI BHAWAN RAJENDRA PRASAD ROAD,NEW DELHI,Delhi-110001 (TDS deducted RS. 30282/-)

Deductions : Tax on Employment -2500

597500 II INCOME FROM HOUSE PROPERTY Rented Properties 1. Vyanketashwara Apartment Vishrambag Maharashtra-416415 Rent Received 36000 Repair & Collection Charges -10800 25200 2. Kasaba Bawada kolhapur Maharashtra-416101 Rent Received 135000 Repair & Collection Charges -40500 94500

119700

III. INCOME FROM OTHER SOURCES FD's with banks (Bank Interest) 14654 Other Income (General Inssurance Commission) 1606214

1620868

GROSS TOTAL INCOME 2338068

DEDUCTION UNDER CHAPTER VIA

Life Insurance Premium (Salary) 966204

Deduction u/s 80C (Rs. 966204 restricted to -100000

Page 1 of 3 NAME : PRATIK PRAKASH PATIL Y. : 2013-2014 u/s 80D Deduction in respect of Medical Insurance Premia Rs. 24918 15000 u/s 8OTTA Deduction in respect of interest on deposites in savings account Rs. 0 0 -15000

TOTAL INCOME 2223068 [Exempt Income as per annexure : Rs. 1282000]

Add : Agricultural Income 445000

TOTAL INCOME WITH AGRICULTURAL INCOME 2668070

INCOME-TAX ON TOTAL INCOME 630421 Less : Tax on Agricultural Income 59000 TAX WITHOUT SURCHARGE 571421

Tax Payable 571421 Education Cess @ 3% 17143

TAX PAYABLE + EDUCATION CESS 588564

Less : Tax Deducted at Source - Salary (TDS) 30282 - u/s 194D 160625 -190907

397657

Add : Interest u/s 234 B Rs. 397600 x 4% 15904 u/s 234 C(I) Rs. 119200 x 3 x 1% 3576 u/s 234 C(II) Rs. 238500 x 3 x 1% 7155 u/s 234 C(III) Rs. 397600 x 1 x 1% 3976 14707 30611

428268

Less : Self Assessment Tax - 31/07/2013; Drawn On : STATE BANK OF 428268 INDIA, Sangli; Paid Into : STATE BANK OF INDIA (0004329), Sr. No. : 61561 -428268

NET TAX + INTEREST PAYABLE NIL

Income Claimed Exempt u/s 10/Others/Gifts

SrNo. Particulars Amount

1) Allowances of Member of Parliament 1282000

Total 1282000

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: PRATIK PRAKASH PATIL : 2013-2014

TAX DEDUCTED AT SOURCE

Details UTN No TAN Section Date Income TDS Amount

The New India Assurance Co.Ltd. PNEN04093F 194D31/03/13 1129493 112951 The New India Assurance Co Ltd KLPT01728G 194D31/03/13 476721 47674

Total 1606214 160625

List of Documents/Statements attached with this Return 1) TDS Certificates 2 nos. 2) Self Assessment Challans 1 nos.

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