DECLARATION OF ASSETS AND LIABILITIES BY MEMBERS OF

FORM I

ASSETS AND LIABILITIES OFMEMBER

1.Name of the Member MR ARVIND GANPAT SAWANT (in block letters) 2. Father's/ Husband's name MR. GANPAT PANDURANG SAWANT 3. Permanent address 3/87, MITI-HBAI BUILDING , ACHARYA DONDE MARG, SEWREE, — 400 015 4. address 7/702, NARMADA APARTMENTS, M.S.FLATS, BISHMBARDAS MARG, NEAR GOL DAK KHANA, NEW DELHI - 110001 5. Party affiliation SHIVSENA 6. Date of election ELECTED ON 23/05/2019 7. Date of taking oath/ making affirmation 17/06/2019 in the House

I. Details of immovable proper (1) Name of the State, District, Sub- i) , Sindhudurg, Tal :- division and village in which property is Kankavali, Village Kumbhavade situated. ii) Maharashtra, Sindhudurg, Tal :- Kankavali, Village Kumbhavade iii) Maharashtra, Mumbai at Sewree (Tenanted) (2) Details of property (a) House and buildings and their present i) NIL value ii) Rs. 30,00,000/- iii) Being Tenanted - NIL

i) 10 Guntha of Rs. 1,00,000/- (b) Lands and their present value ii) 7.50 acres Rs. NIL being inherited jointly with Siblings of Rs.25,00,000/- iii) Being Tenanted - NIL (3) Whether held as owner or beneficiary i) Owner ii) Jointly with Siblings iii) Tenanted (4) Whether held jointly or severally. If i) Self property held jointly with another person ii) 25% share share of property held iii) Self 100% (Tenanted) (5) If not held in member's own name, state i) Self in whose name held and his/her ii) Ashalata Sawant — Mother , Pramod relationship with the member Sawant & Sharad Sawant ( Deceased ) - Real Brothers, Eknath Sawant & Pandhari Sawant - Cousin Brothers. iii) Self (6) How acquired i) Purchased on 17/01/2005 from Arun Parab (whether by purchase, lease, mortgage, ii) Inherited inheritance, gift or otherwise with date iii)Tenancy Right acquired from Mr. Ram of acquisition and name of person from Kanjani on 25/05/1979 whom acquired) (7) Any other relevant information which the No member may like to mention

II. Details of movable property

(1) Description of the property A) Deposit with :- As on 31/03/2019 (i.e. car/motorcycle / jewellery / NAME & ADDRESS investments in banks/stock markets/ BALANCE OF BANK / ACCOUNT NO. / companies/financial institutions SR.NO. AMOUNT AS FINANCIAL RECEIPT NO. ON 31-03-2019 /insurance policies etc.) INSTITUTION

1 S.B.I. (PBB 35893691080 570,460.00 Hiranandani Branch) Mumbai

2 S.B.I. (PBB 381135151445 1,000,000.00 Hiranandani Branch) Mumbai

S.B.I. (PBB 3 381135151897 1,000,000.00 Hiranandani Branch) Mumbai

S.B.I. (PBB 4 38135152369 1,000,000.00 Hiranandani Branch) Mumbai

5 S.B.I.PBB .• 38135153055 500,000.00 Hiranandani Branch) Mumbai

6 S.B.I. (PBB 38136108737 1,500,000.00 Hiranandani Branch) Mumbai

7 Mumbai District 000188 600,000.00 Central Co-op. Bank Ltd. (Dadar East Branch) Mumbai Mumbai District 8 Central Co-op. 000251 600,000.00 Bank Ltd. (Dadar East Branch) Mumbai 9 Bank of Baroda 2414300040694 926,383.00 Powai Branch, Mumbai.

Total 7,696,843.00 B) Balance with Saving Accounts :- As on 31/03/2019 SR.NO. NAME OF THE ACCOUNT NO. BALANCE BANK AND AMOUNT AS ADDRESS ON 31-03-2019

1 S.B.I. 33874617694 445,729.00 Parliament House Branch New Delhi 2 S.B.I. (PBB 11901008416 270,169.00 Hiranandani Branch) Mumbai 3 Bank of 24140100008951 75,313.00 Baroda (Powai Branch) Mumbai 4 Mumbai 10/01/008545 122,384.00 District Central Co- op. Bank Ltd. (Dadar East Branch) Mumbai Total 913,595.00 C) Shares :- i) 25 Shares of Saraswat Co-op. Bank Ltd. of Rs. 10/- each ii) 100 Shares of Abhyudaya Co-op. Bank Ltd. of Rs. 10/- each D) Jewellery : 193.040 grams Rs. 5,28,523/- (2) Make, model (and also Motor Car - Honda City registration No. in case of Registration No. : MH-01-BY-0202 vehicles) where necessary (3) Mode of acquisition Purchase and gifts. ( Car loan which is already closed ) (purchase/gift/mortgage lease or otherwise) (4) Purchase price of the property Rs. 17,29,773/- ( Including value of car , Shares and jewellery ) (5) In case of purchase, source or Personal Savings ( out of interest and taxable sources from which financed income shown yearly basis ) & through Vehicle (a)personal savings Loan from SBI, PBB Hiranandani, Mumbai. (b)other sources (Loan already Closed)

(6) Any other relevant information No which the member may like to furnish III. Details of Liabilities of the member to public Financial Institutions/Central Government and State Government

(1) Details of loans raised from Banks/ NIL Companies/Financial Institutions/ Central/ State Governments (2) Amount of loans raised in each case NIL (3) The period for which these loans were NIL raised in each case. INFORMATION REGARDING IMMOVABLE AND MOVABLE PROPERTIES HELD BY MEMBER' SSPOUSE

1.Name of the Spouse MRS. ANUYA ARVIND SAWANT (in block letters) 2. Father's/Husband' s name MR ARVIND GANPAT SAWANT 3. Permanent address 3/87, 1VIITHIBAI BUILDING , ACHARYA DONDE MARG, SEWREE, MUMBAI — 400 015 4. Delhi address 7/702, NARMADA APARTMENTS, M.S.FLATS, BISHMBARDAS MARG, NEAR GOL DAK KHANA, NEW DELHI — 110001

I. Details of immovable property

(1) Name of the State, District, Sub- NIL division and village in which property is situated. (2) Details of property (a) House and buildings and their present NIL value (b) Lands and their present value NIL (3) Whether held as owner or beneficiary NIL (4) Whether held jointly or severally. If NIL property held jointly with another person share of property held (5) If not held in member's own name, state NIL in whose name held and his/her relationship with the member (6) How acquired NIL (whether by purchase, lease, mortgage, inheritance, gift or otherwise with date of acquisition and name of person from whom acquired) (7) Any other relevant information which the NIL member may like to mention II. Details of movable property (1) Description of the property A) Deposit with :- As On 31/03/2019 (i.e. car/motorcycle/jewellery/ NAME & ADDRESS BALANCE investments in banks/stock markets/ companies/financial SR. OF BANK / ACCOUNT NO. / AMOUNT AS institutions/insurance policies NO. FINANCIAL RECEIPT NO. ON 31-03- etc.) INSTITUTION 2019 S.B.I. (PBB 1 Hiranandani 38136108238 1,500,000.00 Branch) Mumbai S.B.I. (PBB 2 Hiranandani 38135027417 500,000.00 Branch) Mumbai Total 2,000,000.00

B) Balance with Saving Accounts :- As On 31/03/2019 BALANCE NAME OF THE SR. AMOUNT AS BANK AND ACCOUNT NO. NO. ON 31-03- ADDRESS 2019 1 S.B.I. (PBB 30004526983 325,498.00 Hiranandani Branch) Mumbai 2 S.B.I. (IIT Powai 10725912704 49,625.00 Branch) Mumbai 3 Punjab National 8709000100006 64,79,220.00 Bank 069 Total 68,54,343.00 C) Mutual Fund :- SBI Mutual Fund Rs. 20,00,000/- D) Insurance Policy :- i) S.B.I. Life Insurance Policy No. 44056436303 Rs. 5,72,989/- (Investment Value) ii) S.B.I. Life Insurance Policy No. 1H001479509 Rs. 11,57,891/- (Investment Value) E) Jewellery : 463.00 grams Rs. 12,65,000/- (2) Make, model (and also NIL registration No. in case of vehicles) where necessary (3) Mode of acquisition Purchase and gifts. (purchase/gift/mortgage lease or otherwise) (4) Purchase price of the property Rs. 49,95,880/- ( Including Jewellery ,Insurance policies and Mutual Funds )

(5) In case of purchase, source or Personal Savings ( out of interest and taxable sources from which financed income shown yearly basis. (a)personal savings (b)other sources (6) Whether held as Owner or Owner Beneficiary (7) Whether held Jointly or NIL severally (8) Any other relevant information NIL which the member may like to furnish B. INFORMATION REGARDING IMMOVABLE AND MOVABLE PROPERTIES HELD BY MEMBER'S DEPENDENTCHILDREN

1. Name of the member's dependent children NOT APPLICABLE (in block letters)

2. Father's/Husband's name NOT APPLICABLE

3. Permanent Address NOT APPLICABLE

4. Delhi Address NOT APPLICABLE

I. Details of immovable property NOT APPLICABLE

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

(2) Details of property NOT APPLICABLE

(a) House and buildings and their present value

(b) Lands and their present value

(3) Whether held as owner or beneficiary NOT APPLICABLE •

(4) Whether held jointly or severally. If NOT APPLICABLE property held jointly with member, share of property held (5) If not held in the child's own name, state NOT APPLICABLE in whose name held and his/her relationship with the child

(6) How acquired NOT APPLICABLE (whether by purchase, lease, mortgage, inheritance, gift or otherwise with date of acquisition and name of person from whom acquired) (7) Any other relevant information which the NOT APPLICABLE member may like to mention

II. Details of movable property NOT APPLICABLE

(1) Description of property NOT APPLICABLE (i.e. car/motorcycle/jewellery/ investments in banks/stock markets/ companies/financial institutions/ insurance policies etc.)

(2) Make, model(and also registration No. NOT APPLICABLE in case of vehicles) where necessary (3) Mode of acquisition NOT APPLICABLE (purchase/gift/mortgage/ leaseor otherwise)

(4) Purchase price of the property. NOT APPLICABLE

(5) In case of purchase, source or NOT APPLICABLE sources from which financed

(a) Personal savings

(b) Other sources

(6) Whether held as owner or beneficiary. NOT APPLICABLE

(7) Whether held jointly or severally. NOT APPLICABLE

(8) Any other relevant information which NOT APPLICABLE the member may like to furnish DECLARATION

I, ARVIND GANPAT SAWANT hereby declare that the information given

above is 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: 2 mjs 1019 Signature/thumb impression of member