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}c· R~.A-<.J £@ dt1·.IHI TELANGANA K. RAJESWA~I 2 B 91 . N~: >5S' Date.ll/0S/2019 Licenced Stamp Vendor LICENCE No.16 -II -43/2017 Sold'fl : Komatireddy Laxmi H.No.6-3-382, Near Himalaya Book World W10. : Komatireddy Rajgopal , RJo. . Beside Petrol Pump, Punjagutta For~10m Self FORM 26 HYDERABAD (SOUTH) DISTRICT (See rule 4A) Mobile No:+91-8686669973 I. ,I ,I Affidavit to be filed by the candidate along with nomination paper before the returning officer for election to Legislative Council of State from Nalgonda District - Local Authorities . Constituency

PART-A

II KOMATIREDDY LAXMI** wife of RAJGOPAL REDDY KOMATIREDDY Aged 47 years, resident of 2-19, B VELLEMLA, NARKETPALLY MANDAL, NALGONDA DISTRICT., a Icandidate at the above.election, do hereby solemnly affirm and state on oath as under:- I \~\\_, i \~ 1 SANDHI SR!NIVAS REDOV M.A., LL.B., i ADVOCATE s NOTARY • Appointed by Govt. of A.P I G.O.M.S. No. 385, Lr. No. NRi1981212011 R€3i: 7-8-74, Sri Nagar Colony, P"dnagalRoad. NLG. I Office: S.PT Market, N.A.LGONDA- 508 001 (AP)

(1) I am a candidate set up by PARTY(** name of the political party) f** am Gontestingas an Independent candidate. (** strike out whichever is not applicable)

(2) My name is enrolled in Nakrekal Assemhly(95), Telangana State (Name of the constituency and the State), at Serial No.136 in Part No 160 with EPIC No.WPI0344309

(3) My contact telephone number (s) is fare 9849211221 (Mobile), 040-23606068 (Landline) and my e-mail id is iaxmikomatireddv99(wgmail.q)111 and my social media accounts are ...

Facebook: NIL Twitter : NIL Website : NIL

(4) Details of Permanent Account Number (PAN) and status of filing of Income Tax return:

Sl. Names PAN The financial year Total income shown in for which the last Income-tax return (in Rupees) No. Income-tax return for the last five Financial has been filed Years completed (as on 31st March) 1. fK. LAXMI AKTPK2762Q FY 2017-18 i) Rs.1,17,16,370/- (FY17-18) Self FY 2016-17 I,ii) Rs. 1,16,87,710/- (FY16-17)

FY 2015-16 ~iii)Rs. 57,17,940/- (FY15-16)

FY 2014-15 iv) Rs. 72,90,100/- (FY14-15)

FY 2013-14 v) Rs. 58,40,770/- (FY13-14)

2 IKOMATIREDDY AEOPK0470J FY 2017-18 i) Rs. 34,83,550/- (FY17-18) iRAJGOPAL IREDDY FY 2016-17 ii) Rs.1,42,77,180/- (FY16-17) Spouse FY 2015-16 iii) Rs.33,51,880/- (FY15-16)

FY 2014-15 iv) Rs.32,70,320/- (FY14-15)

FY 2013-14 v) Rs. 33,33,230/- (FY13-14)

3 HUF (If Candidate is Not Applicable FY 2017-18 i) Rs. Nil/- (FY17-18) KartaiCorparcener) FY 2016-17 ii) Rs.NiI/- (FY16-17)

KOMATIREDDY AAFHK7953R FY 2015-16 iii) Rs.Nil/- (FY15-16) RAJGOPAL REDDY) spouse - FY 2014-15 iv) Rs.Nil/- (FY14-15) karta in HUF FY 2013-14 v) Rs. Nil/- (FY13-14)

4 Dependent - 1 Not Applicable Not Applicable i) Not Applicable , .>: 4f?~<;\'2J ~v- .. SANDHI SR~N!Vt',~ REDO¥ MA, Ll.B. ADVOCATE & NOTARY Appotnted by Govt. ofAP !NDIA G.O.M.S. No. 385, Lr. No. NPJ19812/2011 Resi: 7-8-74, Sri Nagar Colony, Pianagal Road i\JLG Office: S.PT. Market, NALGONDA - 508001 (AP), ..

Not Applicable ii) Not Applicable Not Applicable iii) Not Applicable

Not Applicable iv) Not Applicable

Not Applicable v) Not Applicable 5 lOependent- 2 Not Applicable Not Applicable i) Not Applicable

Not Applicable ii) Not Applicable

Not Applicable iii) Not Applicable

Not Applicable I,iv)Not Applicable

Not Applicable I'v) Not Applicable

6 lDependent- 3 Not Applicable Not Applicable i) Not Applicable

Not Applicable I,ii)Not Applicable Not Applicable I,iii)Not Applicable Not Applicable Kiv)Not Applicable

Not Applicable ~v)Not Applicable

Note: It is mandatory for PAN holder mention PAN and in case of no PAN, it is should be clearly stated "No PAN allotted".

(5) Pending criminal cases

(i) I declare that there is no pending criminal case against me• ., (Tick this alternative if there is no criminal case pending against the Candidate and write NOT APPLICABLE against alternative (ii) below) OR (ii) The following criminal cases are pending against me: NOT APPLICABLE (If there are pending criminal cases against the candidate, then tick this alternative and score off alternative (i) above, and give details of all pending cases in the Table below)

Table (a) FIR No. With name and address Not Applicable Not Applicable Not Applicable of Police Station concerned ~:;~\iJ SANDHI SB~N~V.~\SREDDY M.A., LL.B.. ADVOCATE &. NOTARY Appointed by Govt. ofA.P INDIA G.O.M.S. No. 385, Lr. No..NRI19812J2011 Re3i: 7-8-74, Sri Nagar Colony, PBnagal Road, NLG. Off;·,,, S.PT Market, NALGONDA- 508 001 IA.P) (b) Case No. with Name of the Not Applicable Not Applicable Not Applicable Court

(c) Section(s) of concerned Not Applicable Not Applicable Not Applicable Acts/Codes involved (give no. of the Section, e.g. Section .•..... of fPC, etc.).

(d) Brief description of offence Not Applicable Not Applicable Not Applicable

(e) Whether charges have been Not Applicable Not Applicable Not Applicable framed (mention YES or NO) (t) Ifanswer against (e) above is YES, Not Applicable Not Applicable Not Applicable then give the date on which charges were framed (g) Whether any Appeal! Not Applicable Not Applicable Not Applicable Application for revision has been filed against the proceedings (Mention YES or NO)

\"7\"Jr<1 SANDHI SRINIVAS REDDY M.A., LL.B.. ADVOCATE & NOTARY Appointed by Govt. of A.P INDIA G.O.M.S. No. ~85, tr. No. NRi1981212011 RB3i: 7-8-74, Sri Nagar Colony, PBnagal Road, NLG. Office: S.PT Market, NALGONDA - 508 001 (A.P)

4 (6) Cases of conviction

(i) I declare that I have not been convicted for any criminal offence. ./ (Tick this alternative, if the candidate has not been convicted and write NOT APPLICABLE against alternative (ii) below)

OR

(ii) I have been convicted for the offences mentioned below: Not Applicable

(If the candidate has been convicted, then tick this alternative and score off alternative (i) above, and give details in the Table below)

(a) Case No. Not Applicable Not Applicable Not Applicable

(b) Name of the Court Not Applicable Not Applicable Not Applicable

(c) Sections of Acts/Codes involved Not Applicable Not Applicable Not Applicable (give no. of the Section, e.g. Section ...... of IPC, etc.). (d) Brief description of offence for which convicted Not Applicable Not Applicable Not Applicable

(e) Dates of orders of conviction Not Applicable Not Applicable Not Applicable

(t) Punishment imposed Not Applicable Not Applicable Not Applicable

(g) Whether any Appeal has been NO NO NO filed against conviction order (Mention YES or No) (h) Ifanswer to (g) Not Applicable Not Applicable Not Applicable above is YES, I give details and present status of appeal

I // \_J /5 ~;\~' , SANDHIS REDDY U~ M.A., LL.B., ADVOCATE & NOTARY Appointed by Govt. of A.P iNDIA G.O.M.S. No. 385, lr, No. NRJ1981212011 RS'i: 7-8-74, Sri Nagar Colony, PBnag[:ljRoad NLG. it-.I r~(· -_ (6A) I have given full and up-to-date information to my political party about all pending criminal cases against me and about all cases of conviction as given in paragraphs (5) and (6). NOT APPLICABLE

[candidates to whom this Item is not applicable should clearly write NOT APPLICABLE IN VIEW OF ENTRIES IN 5(i) and 6 (i), above J

Note: 1. Details should be entered clearly and legibly in BOLD letters 2. Details to be given separately for each case under different columns against each item. 3. Details should be given in reverse chronological order, i.e., the latest case to be mentioned first and backwards in the order of dates for the other cases. 4. Additional sheet may be added if required. 5. Candidate is responsible for supplying all information in compliance of Hon'ble Supreme Court's judgment in W.P (C) No. 536 of2011.

(7) That I give herein below the details of the assets (movable and immovable etc.) of myself, my spouse and all dependents:

A. Details of movable assets:

Note: I. Assets in joint name indicating the extent of joint ownership will also have to be given.

Note: 2. In case of depositlInvestment, the details including Serial Number, Amount, date of deposit, the scheme, Name of the BanklInstitution and Branch are to be given

Note: 3. Value of Bonds/Share Debentures as per current market value in Stock exchange in respect of listed companies and as per books in case of non-listed companies should be given.

Note: 4. 'Dependent' means parents, sonts), daughter(s) of the candidate or spouse and any other person related to the candidate whether by blood or marriage, who have no separate means of income and who are dependent on the candidate for their livelihood.

Note: 5. Details including amount is to be given separately in respect of each investment

Note:6. Details should include the interest in or ownership of offshore assets.

Explanation,- For the purpose of this Form, the expression "offshore assets" includes, details all deposits or investments in Foreign banks and any other body or institution abroad, and details of all assets and liabilities in foreign countries';

~(:.;,,-J/}~«\'-~

l,i::::, '" ND~.l1SRtNIVAS REDO"" 6 ,,,,t!-»"k n MI..A ,LL.B... ADVOCATE 3"NOTARY A ointed by Govt. of A.P INDIA ().g.~.S. No. 385, Lr. No. NPJ~981212011 R~':i:7-3-74, Sri Nagar cOlony,~~~ag;b~~~'(~L~; ',-;"ce: S,PT Market. NALGO.. - . Self Spouse HUF !DependDepend Depen 81. No. Description K.Laxmi K.Raj2opal Reddy ent-l ent-2 dent-3 (i) Cash in hand Rs.57,650 Rs.26,645 NIL NA NA NA (ii) Details of deposit in Bank accounts (FORs, 1) S.B Alc No. 1) S.B.Alc No. NIL NA NA NA Term Deposits and all 52188949402 other types of deposits 161210100008841 State Bank of including saving Andhra Bank, India, accounts), Deposits MLAColony, Shantinagar, with Financial Hyderabad Hyderabad Institutions, Non- Rs.l,78,031 Rs.5,27,595 Banking Financial Companies and f2) S.B Alc No. 2) S.B Alc No. Cooperative societies 52208798315 018305003855 and the amount in each State Bank of ICIC Bank Ltd, such deposit. India, Khairtabad, Shantinagar, Hyderabad Hyderabad Rs.l,81,888 Rs.3,Ol,533 P) S.B Ale No. 30779540708 State Bank of India Parliament, New Delhi Rs.l,911

K4)S.B Alc No. 52209220402 State Bank of India TG Secretariat, Hyderabad Rs.3,10,974

K5)S.B Alc No. 1612101000742 60 AndhraBank Hyderabad Rs.36,318

\-S\"-I SANDHI SRINIVA~/ REDDY 7 MA, Ll.B.. ADVOCATE & NOTARY Appointed by Govt. of A.P INDIA G.O.M.S. No. 385, Lr. No. NR/1981212011 Rf.:~i:7-8-74, Sri Nagar Colony, Panagal Road, NLG. CY::'~: S.PT Market. NALGONDA - 508 001 (A.P) iii) Details of investment in Bonds, debentures/ shares and units in companies/Mutual funds and others and the amount. 1) 9,900 Equity 1 ) 1,000 Equity NIL NA NA NA Shares of Shares of Rs.l 0/- Rs.10/- each paid each paid up in up in Sushee Sushee Mining Media Pvt Ltd, Pvt Ltd, Hyderabad Hyderabad Rs.99,000/- book Rs.10,000/- book value value of Rs.99,000/- Rs. 10,000/-

~) 1,14,18,750 Equity Shares of Rs. 10/- each paid up in Sushee Infra & I Mining Limited, Hyderabad Rs.l1,41,87,5001- book value of ~.158,36,41,122/-

3) 100 Equity Shares ofRs.10/- each paid up in Sushee Ivrcl Arunachalhighw ays Ltd, Hyderabad Rs.l,OOO/-book value of Rs.l,OOO/-

4) 46,000 Equity Shares ofRs.10/- each paid up in Sushee Mining Pvt Ltd, Hyderabad Rs.4,60,000/- book value of Rs.4,60,000/-

5) 5,000 Equity Shares of Rs.10/- ~'18 SANDHI SRmNIVA~REDDY M.A.! LL.B., ADVOCATE & NOTARY Appolnted by Govt. of A.P INDIA G.O.M.S. No. 385. Lr. No. NRl19812/2011 Resi: 7-8-74. Sri Nagar Colony, P'anaga! Road. Nt(} ~ , each paid up in Spotifin Market Place Pvt Ltd, Hyderabad Rs.50,OOO/-book value of &8.50,000/-

(iv) Details of investment I) LIC of India 1) SBI Life in NSS, Postal Saving, LIC Policy Insurance Insurance policies and No.644718116 Company Ltd NIL NA NA NA investment in any Surrender Value SBI Life Policy Financial instruments Rs.20,688/- No.1KOO9429503 in Post office or RsA,OO,OOO Insurance Company 2) SBI Life and the amount. Insurance ~) SBI Life Company Ltd Insurance SBI Life Policy Company Ltd 0.1MOO4188403 SBI Life Policy Rs.5,00,000 No.IEOO1432608 Rs.6,00,000 3) SBI Life Insurance ~) SBI Life Company Ltd Insurance SBI Life Policy Company Ltd 0.IM00418850 1 SBI Life Policy Rs.5,00,000 No.1K041081203 Rs.2,00,000 ~) SBI Life Insurance Company Ltd SBI Life Policy No.lM004188609 Rs.5,00,000

5) SBI Life Insurance Company Ltd SBI Life Policy No.1M004188707 Rs.5,00,000

16) SBI Life Insurance Company Ltd I SBI Life Policy No.IM009033609 Rs.5,00,000

).Jb ,.-~\9 -,"7\..""') ~ SANDHI S iNIVAS REDf]' MA, LL.B. ADVOCATE & NOTARY Appointed by Govt, of A.P INDIA G.O.M.S. No. 385, lr, No. NRJ19812/20'l1 Resi: 7-8-74, Sri Nagar Colony, Panagal ~oad t~LG ------

7) SBI Life NIL NA NA NA Insurance Company Ltd SBI Life Policy No.lK047223105 Rs.2,OO,OOO

8) SBI Life Insurance Company Ltd SBI Life Policy No.1K047221909 Rs.1,OO,OOO

9) SBI Life Insurance Company Ltd SBI Life Policy No. 1M008965904 Rs.I0,00,000

10) SBI Life Insurance Company Ltd SBI Life Policy No. 1K047222708 Rs.2,OO,OOO

11) SBI Life Insurance Company Ltd SBI Life Policy No.5300882270 1 Rs.3,OO,OOO

12) SBI Life Insurance Company Ltd SBI Life Policy No.2B350438508 Rs.6,OO,000

\'7\? '--I SANDHI SRINIVAS REDD\' M.A.,Ll.B .. ADVOCATE & NOTARY AppOinted by Govt. of A.P INDIA G.O.M.S. No. 385, Lr. No. NRl1981212011 10 Re<:i:7-8-74, Sri Nagar Colony, P"dnagal Road, NLG. U·i,,~!?:S.PT Market, NALGONDA· 508001 (AP) (v) Personal loans! 1) Rs.88,00,000 advance given to any 1) Investment in Loan given to NIL NA NA NA person or entity Partnership K.Anil Reddy including firm, Firm Sushee company, Trust etc., Realty LLP, 2) Rs.1,80,000 and other receivables Hyderabad Loan given to from debtors and the Rs.20,0001- BSN Reddy amount. 2) Rs.l,1O,OO,OOOI- 3) Rs.3,52,50,000 Loan given to I-Loan given Sushee Media to Sushee Pvt Ltd Realty LLP

~) Rs.7,99,46,692/- Loan given to Sushee Infra & Mining Limited (vi) Motor Vehiclesl Aircrafts/Y achts/Ships (Details of Make, NIL NIL NIL NA NA NA registration number etc. year of purchase and amount) (vii) Jewellery, bullion and 3996 grams 1080 grams valuable thing(s) (give gold Jewellery gold Value NIL NA NA NA details of weight and Value Rs.35,00,000 value) Rs.I,38,17,554

20 Kgs of Silver Value Rs.6,80,850

Diamonds Diamonds 30 NIL NIL NA NA NA carat Rs.50,OO,OOO (viii) Any other assets such as value of NIL NIL NIL NA NA NA claims/interest (ix) Gross Total Value Rs.162,02,27,428 Rs.12,99,72,023 NIL NIL NIL NIL

Note: offshore assets Nil for self, spouse

B. Details of Immovable Assets:

Note: I. Properties injoint ownership indicating the extent of joint ownership will also have to be indicated.

Note: 2. Each land or building or apartment should be mentioned separately in this format

Note:3. Details should include the interest in or ownership of offshore assets.

SANDHI ~epend Depend Depe Self Spouse HUF SI. No. Description ent-l ent-2 ndent K.Rajgopal Reddy K.Laxmi -3 (i) iA!!ricultural Land:

Location(s) 1) Nerada Village, 1) Brahmana NIL NA NA NA Chityal Mandai, Vellamala, Nalgonda District Narketpally Mandai, ~) Nerada Village, Nalgonda Chityal MandaI, District. Nalgonda District 12) Kollur Village, ~) Nerada Village, Ramachandrapur Chityal Mandai, am Mandai, Nalgonda District Medak District

~) Nerada Village, ~) Thungathurthi Chityal Mandai, Village and Nalgonda District Mandai, Nalgonda 5) Nerada Village, District Chityal Mandai, Nalgonda District ~) Brahmana Vellamala, 6) Nerada Village, Narketpally Chityal Mandai, Mandai, Nalgonda District Nalgonda District

Survey number(s) 1) 429, 430 NIL NA NA NA

2) 425, 4251E, 425/A,425

3) 423, 424 1) 4,4,5,6, 7,495, 4) 430/A, 4301E, 498,511,514, 430/AA 529, 529, 574

5) 429 2) 346/A2, 346/A3, 346/A4 ~) 427, 428, 4281E 3)6/A

4) 479 [Area(total measurement in acres) 1) Acres7-36 Guntas 1) Acres5-20 NIL NA NA NA 2) Acresl-l-l l GuntasGuntas 3)Acre~-25 Guntas 2) Acresl-01

SANDHISR~~'f{;JDli ~ M.A., LL.B.. ADVOCATE & NOTARY Appointed by Govt. of A.P INDIA G.O.M.S. No. 385, lr, No. NRl19812/20'11 Rroi: 7-8-74, Sri Nagar C(/ony, Panagal Road, NlG. ~ . 4) Acres3.21 Guntas puntas 5) Acres0.23 Guntas ~) Acresl-OO 6) Acres 1.16 Guntas puntas NIL NA NA NA ~) Acres3-00 puntas Whether inherited !property (Yes or No) I)NO 1) YES NIL NA NA NA 2) NO 2) NO 3) NO 3) NO 4) NO 4)NO 5) NO 6) NO Date of purchase in case I) 15-Jun-2012 I) Not Applicable of self-acquired property 2) 13-May-20 13 2) 23-Feb-2006 NIL NA NA NA 3) 22-Aug-2013 3) 07-Feb-2014 4) 29-June-20 16 4) 19-Feb-2016 5) 07-Sept-2016 6) 10-Aug-20 17 Cost of Land (in case 0 purchase) at the time of I) Rs.6, I 7,070 I) Not Applicable NIL NA NA NA purchase. 2) Rs.l8, 15,680 2) Rs.5,12,500 3) Rs.lO,97,080 3) Rs.5,30,150 4) Rs.4,52,442 4) Rs.3,81,700 5) Rs.73,130 6) Rs.l, 78,070 ~ny investment on the I) NIL J) NIL land by way 0 2) NIL 2) NIL NIL NA NA NA ~evelopment, 3) NIL 3) NIL construction etc. 4) NIL 4) NIL 5) NIL 6) NIL ~pproximate current 1) Rs.8,83,200 1) Rs.6,24,000 NIL NA NA NA market value 2) Rs.18,15,680 2) RsA5,45,000 3) Rs.l 0,97,080 3) Rs.5,30,150 4) RsA,52,442 4) Rs.3,81,700 5) Rs.73,130 6) Rs.l,78,070 (ii) Non-Aerieultural II.and: \Athwelly Village, 1) Kondapur 1L0cation(s) Medchal Mandai, Village, NIL NA NA NA Rangareddy District SerilingampaUy Mandal

~) Kokapet Village, Rajendranagar MandaI, Rangareddy District

Survey ~20 Part, 443, 448, 1) 8 numberts) ~49, 450, 451, 452, ~I SANDHIS i~ DV ~ M.A., LL.B. ADVOCATE & NOTARY Appointed by Govt. of A.P INDIA G.O.M.S. No. 385, lr. No. NRl19812/2011 k('c:i: 7-8-74,Sri NauarColony,!~nagal Road, NLG. ------

1453,454, 455, 456, 2) 14/A, 1457part, 459, 460, 1411AA, 461A&B and 1411E,1411EE, NIL NA NA NA 463A&B 1411U, 145/A, 1451U, 146, 154, 155/A, 155/AA, I551E, 155/EE, 154

lArea(total measurement 1) 9000 Sq.ft. in sq.ft.) 118467 Sq.ft. NIL NA NA NA 2) 213444 Sq.ft. (50% share of Kokapet Land)

lWhether inherited 1) NO property (Yes or No) NO 2) NO NO NO NO NO lDateof purchase in case Iofself-acquired ~8-Jun-20 13 1) 01-Mar-2006 NIL NA NA NA !property. ~) Joint Property KAniI Reddy, KNarsi Reddy Dt.14-Sept-2005 Cost of Land (in case of 1) Rs.50,00,000 purchase) at the time of Rs.2,04,03,000 NIL NA NA NA Purchase. 2) Joint Property total value of purchase of land Rs.44,33,000 half share of KRajgopal Reddy of Rs.22,16,500 (50% share of Rs.44,33,000/-) lAny investment on the land by way of NIL 1) Development to NIL NA NA NA k!evelopment, Western construction etc. Constructions

2) Development to Sushee Realty LLP

Approximate current market Rs.14,47,93,000 1) Rs.8,00,00,000 NIL NA NA NA value 2) Rs.3,06,00,000 ~~ /\~~~ D\~ SANDHI SR~NIVAS\REDDY M.A., LL.B., ADVOCATE & NOTARY Appointed by Govt. of A.P INDIA G.O.M.S. No. 385, Lr. No. NR/19812/2011,... :{c3i: 7-8-74, Sri Nagar Colony, Panagal Road ~L~ C ;'o.e SPT Market,NAlGOND/\ - 508 001 (~\!-' ) (iii) Commercial Buildings (including apartments) NIL Cyber Spazio, . NIL NA NA NA -Location(s) Road No.2, Banjra Hills, Hyderabad

-Survey number(s) Flat No.IOI, 102 & 110, H.No.8-2- 269/A/2/1 to 6 Area (total measurement in sq.ft.) NIL 8412 Sq.ft. NIL NA NA NA Built-up Area (total 6772 Sq.ft. measurement in sq.ft.) NIL NIL NA NA NA Whether inherited property (Yes or No) NIL NO NIL NA NA NA Date of purchase in case of self-acquired NIL 30-Aug-2004 NIL NA NA NA property Cost of property (in case of purchase) at NIL Rs.73,13,760 NIL NA NA NA the time of purchase Any investment on the property by way of NIL NIL NIL NA NA NA development, construction etc. Approximate current market value NIL Rs.7,ll,00,000 NIL NA NA NA

(iv) !Residential Buildine;s: (including apartments)-

Location (s)- 1) Reddypally NIL NIL NA NA NA Village, chandanagar Gram Panchayat, Moinabad Mandai, Rangareddy District

2) Hakeempet Village, Jubilee Hills, Hyderabad Survey Number(s) 1) 70lEE 2) 102/1 Area (total measurement in sq.ft.) 1) 87156 Sq.ft. NIL NIL NA NA NA 2) 7236 Sq.ft. Built up area (Total measurement in sq.ft.) 1) 3390 Sq.ft. NIL NIL NA NA NA 2) 493» Sq.ft.

SANDHI S~1.A~ RED M.A., LL.B. ADVOCATE & NOTARY Appointed by Govt. of A.P INDIA G.O.M.S. No. :Y35, Ir. No. NRl1981212011 Resi: 7-8-74, Sri N2gar Colony Panagal Road, NLG ift., P--"F'" - OI'HJ,L\- 50B 001 (A.P \ Whether inherited I) NO NO NO NA NA NA property (Yes or No) 2) NO Date of purchase in I) 31-Jan-2011 case of self-acquired 2) 23-Jan-2004 NIL NIL NA NA NA property Cost of property (in 1) Rs.9,34,000 case of purchase) at 2) Rs.60,17,940 NIL NIL NA NA NA the time of purchase Any investment on the land by way of 1) NIL NIL NIL NA NA NA development, 2) NIL construction etc. Approximate current market value 1) Rs.2,16,75,000 NIL NIL NA NA NA 2) Rs.I0,81,51,000 (v) Others (such as NIL NIL NIL NA NA NA interest in property) (vi) Total of current market value of (i) to (v) above Rs.27,91,18,602 Rs.18, 77,80,8S() NIL NIL NIL NIL

\"? \7~' SA,NDH' StUNIVAS REDDY MA, LL.B., ADVOCATE & NOTARY ApPOinted by Govt. of A.P INDIA G.O.M.S. No. 385, Lr. No. NPJ1981212011 Resi: 7-8-74, Sri Nagar Colony, PBnagal Road, NLG Office: S.PT. Market, NALGONDA - 508 001 (A.P)

16 I (ii) There is no dues payable in respect of above Government accommodation, towards- (a) rent; NA (b) electricity charges; NA (c) water charges; and NA (d) telephone charges NA

[ the date should be the last date of the third month prior to the month in which the election is notified or any date thereafter].

Note -- 'No Dues Certificate' from the agencies concerned in respect of rent, electricity charges, water charges and telephone charges for the above Government accommodation should be submitted. (iii) Dues to department dealing with NIL NIL NIL NA NA NA Government transport (including aircraft and helicopters) (iv) Income Tax dues NIL NIL NIL NA NA NA (v) GSTDues NIL NIL NIL NA NA NA (vi) MunicipalJProperty NIL NIL NIL NA NA NA tax dues (vii) Any other dues NIL NIL NIL NA NA NA (viii) Grand total of all NIL NIL NIL NA NA NA Government dues (ix) Whether any other NIL NIL NIL NA NA NA liabilities are in dispute, if so, mention the amount involved and the authority before which it is I pending.

(9) Details of profession or occupation:

(a) Self: Business, Social work (b) Spouse: Member of Legislative Assembly in Telangana State

(9A) Details of sources of income:

(a) Self: Business (b) Spouse: MLA Salary & Rental Income (c) Source of income, if any, of dependents: Not Applicable

,--~ \'/ ~ \ I 18 SANDHI SRINIVAS R DOV M.A., LL.B. ADVOCATE & NOTARY Appointed by Govt. of p:.P INDIA G.O.M.S. No. 385, Ir. No. NRl19812!2o.11 F\',i: 7.8.74, Sri Nagar Colony, Panagal Road, I~LG, C ,),' S P T Market, NALGONDA· 508 001 (A.?) (9B) Contracts with appropriate Government and any public company or companies A. Details of contracts entered by the candidate: NIL B. Details of contracts entered into by spouse : NIL C. Details of contracts entered into by dependents : NIL D. Details of contracts entered into by Hindu Undivided Family or trust in which the candidate or spouse or dependents have interest. NIL E. Details of contracts, entered into by Partnership Firms in which candidate or spouse or dependents are partners. NIL F. Details of contracts entered into by private companies in which candidate or spouse or dependents have share : NIL

(10) My educational qualification is as under:-

Name ofthe School/University Year Course Completed

Osmania University, Hyderabad 1994 Master of Arts (External)

~ "'" DEPONENT

(Give details of highest SchoollUniversity education mentioning the full form of the certificate/diploma/degree course, name of the School/College/University and the year in which the course was completed.) ~I .SANDHI SRINIV AS ~~~~.!. E s NOTARY AOVOCAI fA PINOlA APpointed ~tG~~tt~~.'~1I:V19812/2011" G.O.M.S. No. , '. PUnagal Road. i'ILQ\ ~esi:7-8-74. Sri Nagar:'~8NDA _508 OQ'IiA..P\ 'fir:e: S.PT Market.

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PART-B

(11) ABSTRACT OF THE DETAILS GIVEN IN (1) TO (10) OF PART-A:

1. Name of the candidate KOMATIREDDY LAXMI 2. Full postal address 2-19, B VELLEMLA, NARKETP ALLY MANDAL, NALGONDA DISTRICT.

3. Number and name of the constituency Legislative Council, Telangana State, Nalgonda - and State ~ocal Authorities Constituency 4. Name of the political party which set INDIAN NATIONAL CONGRESS up the candidate (otherwise write ,Independent') 5. Total number of pending criminal NIL cases

6 Total number of cases in NIL which convicted 7. PAN of Year for which last Total income shown income Tax return filed

(a) Candidate AKTPK2762Q 2017-18 1,17,16,37C (b) Spouse AEOPK0470J 2017-18 34,83,550 (c) HUF AAFHK7953R 2017-18 NIL (d) Dependents NIL NIL NIL

8. Details of Assets and Liabilities (including offshore assets) in Rupees Description Self Spouse HUF Depen Depen Depen dent-I dent-2 dent-3 A. Moveable Assets (Total value) Rs.162,02,27,428 Rs.12,99,72,023 NIL NA NA NA B. Immovable Assets Rs.27,91,18,602 Rs.18,77,80,850 NIL NA NA NA

I. Purchase Price of self-acquired Rs.3,15,88,412 Rs.l,59,54,6H] NIL NA NA NA immovable property

II. Development! construction cost NIL NIL NIL NA NA NA of immovable property after purchase (if applicable)

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III. Approximate Current market price- (a) self-acquired assets (Total Value) Rs.27,91,18,602 Rs.18,71,56,850 NIL NA NA NA

(b) inherited assets (Total Value) NIL Rs.6,24,OOO NIL NA NA NA 9. Liabilities (i) Government dues NIL NIL NIL NA NA NA (Total) (ii) Loans from Bank, Financial Institutions and Rs.2,06,03,684 Rs.70,93,82() NIL NA NA NA others (Total) 10. Liabilities that are under dispute (i) Government dues NIL NIL NIL NA NA NA _(Total) (ii) Loans from Bank, Financial NIL NIL NIL NA NA NA Institutions and others (Total) 11. Highest educational qualifications:

Name of the School I University Year Course Completed

psmania University, Hyderabad 1994 Master of Arts (External)

(Give details of highest SchoollUniversity education mentioning the full form of the certificate/diploma/degree course, name of the SchoollCollegelUniversity and the year in which the course was completed.)

S \~ \? REDO'! SANDHI SRlN VA M.A., LL.B. NOTARY ADVOCATE ~ orA.P INDIA ointed by Go·} :'1,...':\\0/1981212011 APp ")(15 Ir I"U 1.1' G ....0 M.S.No. .:>U, ~., ~naQaI Road NL . \.:I., ~,.;Nagar Colony, 'i:>' ~ "r.': A P) VI' '···~.··7°·74...•~.. -Q" , NALGO·F·'~,,,un' 5""liO'··IJv. ... q S p,\ Market.

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VERIFICATION

I, KOMATIREDDY LAXMI the deponent, above named, do hereby verify and declare that the contents of this affidavit are true and correct to the best of my knowledge and belief and no part of it is false and nothing material has been concealed there from. I further declare that-

(a) there is no case of conviction or pending case against me other than those mentioned in items 5 and 6 of Part A and B above;

(b) I, my spouse, or my dependents do not have any asset or liability, other than those mentioned in items 7 and 8 of Part A and items 8, 9 and 10 of Part B above.

Verified at ./.:>. Iic~this the day Of •••~?!?.l.j ..~--:.,Al~

~ DEPONENT KOMATIREDDY LAXMI

Note: 1. Affidavit should be filed latest by 3.00 PM on the last day of filing nominations. Note: 2. Affidavit should be sworn before an Oath Commissioner or Magistrate of the First Class or before a Notary Public. Note:3. All column should be filled up and no column to be left blank. If there is no information to furnish in respect of any item, either "Nil" or "Not applicable" as the case may be, should be mentioned, Note:4. The Affidavit should be either typed or written legibly and neatly. Note:5. Each page of the affidavit should be signed by the deponent and the affidavit should bear on each page the stamp of the Notary or oath commissioner or Magistrate before whom the affidavit each sworn.

=-1~n~ ~e,__, /3-:;--1/ ~51\/ ;;ANDH' SRiNIVAS RED~.... " M.A., LL.b. ADVOCATE & N?TA~Y d b ~!'wt or A PINOlA .(\pPOi~~~.38~,;.;:JL;t.lo.NR119812J2~11_. G.O.M.S. C '" PanagalRoad '~L!.J • 01" 7-8-74 Sri Nagar OIOilY. , , •. ., LGONDA - 508 00 I /'\.1' r >p S e r Market. NA

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