q_g!{I~ MAHARASHTRAzyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA ~
< tf&lRfr.~cJfzyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBAC lzU i Form 26 •• (See rule 4A) AFFIDAVIT Affidavit to be filed by the candidate alongwith nomination paper the returning Officer For election to the COUNCIL OF STATESfrom the elected members of Maharashtra legislativeAssemblyconstituency.
PART-A I, RAMDAS ATHAWALE son ofBANDU ATHAWALE aged 54 Years, resident of "37 Savindhan Bunglow", Near Gurunanak Hospltal.. 647 Gandhi Nagar, Bandra (East), Pin Code 400051., a candidate at the above Election, do hereby solemnly affirm and state on oathe as'under:- (1) I am a candidate set up by REPUBLICAN PARTY OF INDIA (A). I (2) My name is enrolled. in 176 Bandra (E) Assembly,Mumbai, Maharashtra State, at ~ serialNo.642inPartNo221 I • m ~3)My Contact telephone Number IS 9004809627 and my E-mail Id IS I [email protected] , (4) Details of Permanent and Account Number (PAN)zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA& Status of filling of Income tax Return
Sr. No Names Permanent TheFinancial Total Income Account for which the Shown in Number last Income Income Tax Tax Return has Return been filed (in Rupes 1 Ramdas Athawale AEAPA6269D 2012-13zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA6,33,0001- 2 Mrs Seema Athwale AHZPA3382P 2012-13 3,09,0001- :AH ,F. ,K ,1-'. 3 Smt Housabai Athawale NUl APLICABLE NO'! APL NOTAP :AR .F 4 Master Jeet Athawale NOT APTICABLE NOTAP NOT APLlCAHLE -
(5) I am not accused of any offence (s) punishable with imprisonment for Two years or more in a pending cases (s) in which a charge (s) have been framed by the courts (s) competent jurisdication.
If the deponent is accused of any such offience (s) he shall furnish the following information:-
i) The Following case are pending against me in which cognizance has been taken by the court:-
(a) Case !First information Report No./Nos. NOT APLICABLE together with complete details of concerned ~- r-~~~~~~~~~~------~------~-- ~"-.. StationlDistrictistate ------zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA ~,~~ (b)',' Section(S)oftheConcerned Acts(s)and... ."':":." ~"\~«,, .Short description oftheoffence (s)f~r ""'. .:': NOTAPLICABLE .....~_.1\' . which charged " ' ~. ) -Name of the Court, Case No. and Date NOT APLICABLE :~.:;:. ;{~ .of order taking cognizance '>-i-I J :t.J Court (s) which framed the chargees) NOT APLICABLE -<:.. /t:t(e) , Date (s) on which the charged (s) was NOT APLICABLE 'i'i~-~- Iwere framed ~;::..::..':(£1~ Whether all or any of the proceeding (s) No have been stayed by any Court( s) of competent Jurisdiction
ii) The Following case (s) is lare pending against me in which cognizance has been taken by the court (other than the cases mentioned in items (i) to above)
(a) Name of the Court, Case No. and date of i) Ahmednagar Case No. 864/97 Order taking cognizance : ii) Aurangabad Case No. 9551/2007
(b) The details of cases where the court has i) I PC 143Ahmednagar 864/97 taken cognizance, Section(s) of the Act (s) Rasta Roko Andolan for Marathwada and descriprion of the offence (s) for University & Govt. disided to withdrawl the which cognizance taken Political Cases
ii) I PC 500 Aurangabad sect No 9551/2007 Judgment Passed Ex.133/B Dt.20.12.2012 Favour to Deponent
(c) Details of Appeal(s)/Application(s) for i) Case is be Pending no Cognizance Revision (if any) filed against the above ii) Case judgment complete Order (s)
(6) I have not been convicted of an offence (s) [other than any offences (s) referred to in sub-section (1) or sub- section (2) or covered in sub-section (3), of section 8 of the Representation of the People Act, 1951 (43 of 1951) and sentenced to imprisonment for one year or more.
If the depodent is convicted and Punished as aforesaid, shall furnish the following information: , \
------~.-~------InzyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBAthe following cases, I have been and sentenced to imprisonment by a court oflaw:
(a) The details of cases, sections (s) of the Concerned Act, and description of the NOT APPLICABLE Offence(s) for which convictedzyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA (b) Name of the Court, Case No. and NOT APPLICABLE Date (s) of order (s) (C) Punishment imposed NOT APPLICABLE (d) Whether any appeal was /has been filed against the conviction order. If so, details NOT APPLICABLE and the present status of the appeal. (7) That I give herei:~beIOWthe det "s of the assets ( movable and immovable ect of myself my spouse andalldependents;• '
_./ (A)Details ofm val ,..ssetsr-
Sr. Description Self Spouse Name: Dependent -1 Dependent -2 NozyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBAMrs. Seema R. Name: Smt. Name Mast. Athawale Hausabai B. Jeet. Athawale R.Athawale (i) Cash in hand 42,345/- 45,006/- NOT NOT APPLICABLE APPLICABLE Detalis of Deposit S.Alc no.2016New S.Alcno.7193 Saraswat (ii) inBanks account India Bank New India Bank.Bandra '':;::-.-. (FDR,Term Charkop, co-op Bank (E) Br SIB Alc l: ~~; . Deposits and all Kandivali.(w). Charkop, 02021510003 Kandivali (W) 11465. '" k~~'.'. other types ofzyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBARs.43,279.21 NOT Rs.l,20,833/- t \~. '.., deposites saving, SBI- Delhi Alc Rs.42,539.55 APPLICABLE _,:..' ~ccount)Deposits No.15775 Saraswat :with Financial Rs.83,304.68 Bank.Bandra (E) 1-; . Instituions and SBI- Alc Br SIBAlc .t Non-Banking No.l0768207191 020203110000002 .~.~ FinacialCompanies RsJ006.85, , 83. _/ - andCo-op SBI-Alc Rs.l ,07,461Jl Societies and the No.10768210535 :::.. amount in each Rs.7,78,171.65 such deposit Bank of Maharashtra -Ale No.20045721828 RsJ3,986.00 (iii) Details of investment in NOT NOT NOT NOT APPLICABLE Bonds, Debentures APPLICABLE APPLICABLE APPLICABLE I shares and units in in Companiesl mutual funds and other and the amount (iv) Details of P.P.F. P.P.F. Max New investment in NSS Rs.2,62,997/- Rs.2,62,997/- York Life NOT Postal Saving, Fixed Deposit Alc Max New York Insurance - APPLICABLE Insurance policies with State Bank of Life Insurance Rs.9,34,232/- and investment in India, Delhi - Rs.7,24,3701- any Financial Rs.I0,00,0001- instruments in post office or insurance Company and the ~--~==~=------~------+------~----amountzyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA ------~------~ (v) PersonalLoans I advansed given to any person or entity NOT NOT NOT NOT APPLICABLE APPLICABLE including firm, APPLICABLE APPLICABLE company, trust ect. & other receivables from debtors and the amount \ ~' ------___:"'------(vi) Motor Vehiclesl AircraftIY achts.shi .zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBANOT NOT NOTNOT P (details of make, APPLICABLE APPLICABLE APPLICABLE APPLICABLE registration number etc.) year of purchase and amt (vii) Jewellery, bullion Ornaments Gold Ornaments Gold Ornaments Ornaments and valuable things 72 grams 225 Grams Gold Gold (s) (give details ofzyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBARs.2,10,0001- Rs.6,57,0001- 40 grams- 100 grams- weight & value) Rs.l,16,8001- Rs.2,92,0001- viii) Any other assets NOT NOT NOT NOT such as value of APPLICABLE APPLICABLE APPLICABLE APPLICABLE claims! interests (ix) Gross Total ValuezyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBARs.24,57,091/- Rs.18,39,374/- Rs.l,16,800/- Rs.13,47,065/-
B. Details of Immovable assets
Sr. Description Self Spouse(s) Dependent-l Dependent- 2 No Mrs. Seema Smt Housabai Master B.Athawale Jeet (i) Agricultural Land 1) At.Dhalewadi - Location(s) Tal.Kavate NOT NOT NOT - Survey number(s) manhkal APPLICABLE APPLICABLE APPLICABLEzyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA Dist.Sangli ~ S.no.7130 ~.'. 2)At Kalamdevi - l' '. .'. -, Tal- Dahanu, '\.;# f;" -,- Dist Thane '_'~'_i - • - '1 S.No 73/7. J ..1I ,"l·~ ·Area (Total 1)0 Hector 10 measurement inacres) Guntha NOT NOT NOT APPLICABLE APPLICABLE APPLICABLE / 2) 12A~res Whether inherited 1) Yes .NOT NOT NOT property (yeslNo) 2) No APPLICABLE APPLICABLE APPLICABLE Date of Purchase in 1)NOT APPLICABLE case of self acquired NOT NOT NOT property 2)20105/2010 APPLICABLE APPLICABLE APPLICABLE Cost of land (in case 1) NOT APPLICABLE NOT NOT NOT of purchase( at the APPLICABLE APPLICABLE APPLICABLE time of purchase) 2) 6,00,0001- Any Investment on the land by way of NOT NOT NOT NOT APPLICABLE development, APPLICABLE APPLICABLE APPLICABLE construction ect Approximate Current 1)RsJO,OOOI- NOT NOT NOT Market Value ~)Rs.l 0,00,0001- APPLICABLE APPLICABLE APPLICABLE (ii) Non Agricultural NOT NOT NOT NOT Land- Location(s) APPLICABLE APPLICABLE APPLICABLE APPLICABLE - Survey number(s) Area (Total NOT NOT NOT NOT measurement inacres) APPLICABLE APPLICABLE APPLICABLE APPLICABLE Whether inherited NOT NOT NOT NOT property (yeslNo) APPLICABLE APPLICABLE APPLICABLE APPLICABLE Date of Purchase in NOT NOT NOT NOT case of self acquired APPLICABLE APPLICABLE APPLICABLE APPLICABLE property Cost of land (in case NOT NOT NOT NOT APPLICABLE of purchase( at the APPLICABLE APPLICABLE APPLICABLE time of purchase) Any Investment on NOT NOT NOT NOT APPLICABLE the land by way of APPLICABLE APPLICABLE APPLICABLE development, construction ect Approximate Current NOT NOT NOT NOT APPLICABLE APPLICABLE Market Value APPLICABLE \ A !-PPye-ABLE
CX'~ ~ _- (iii)zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBACommercial A ShopNo.14 House, S.No BuildingzyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBANOT Booked, at Sai 4(2) Savlaj NOT (including APPLICABLE Krupa Mall,zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA36/35 APPLICABLE apartment Dahisar Thane Tal- Tasgaon, (location (s)zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA(in under Dist Sangli, Survey number (s construction) Area (Total NOT 166.73Sq ft o Acre NOT measurement in acres) APPLICABLE 1Guntha APPLICABLE Whether inherited NOT No Yes NOT pr~Q_erty(yes/No) APPLICABLE APPLICABLE Date of Purchase in NOT 16/05/2010 NOT NOT case of self acquired APPLICABLE APPLICABLE APPLICABLE property Cost of Property (in NOT Rs.l3,61,890/- NOT NOT case of purchase( at APPLICABLE APPLICABLE APPLICABLE the time of purchase) Any Investment on NOT NOT NOT NOT the land by way of APPLICABLE APPLICABLE APPLICABLE APPLICABLE development, construction ect Approximate Current NOT Rs 25,00,0001- Rs.2,00,000/- NOT Market Value APPLICABLE APPLICABLE (iv) Residential A Flat Booked,at i) S.no.149, 91 CTS no.90-93 Building Adarsh Vihar, plot, sec7 46-C-3Marve (including Gurgoan, state Charkop, M.Co.Soc. apartment Hariyana.( in Kandivali Malad(W) -~ (location (s) under (W)Mumbai Mumbai .Survey number (s construction) ii) Bunglow at NOT ..~-, Bandra -r- CTS APPLICABLE ". ,', No No.647, .,..,,' . S.No.341, ~ 'l " ; Mumbai . ~ iii)_Flat at New '. , . ./' . . Delhi-RZ-F 362A,Mahavir ." Enclave NOT Area (TotalzyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBArf, "~ '''3'_zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBAsCJ. ~4. S~O .s.".I~. s. 10005,. H. APPLICABLE measurement in ~)" - ~:~?\~{2: ,t: C NOT" ~ Built up area (Total 1000 Sq.ft i) 1031 sq.ft 550sq.ftt measurement inSq.ft) ii) 2496 sq. ft. APPLICABLE iii) 1000sq.ft Whether inherited No i) No No NOT property (yes/No) ii)Gift (Mhada APPLICABLE Plot) From Shila Wadekar iii)No Date of Purchase in i) 09/10/1997 24/08/1995 NOT case of self acquired 20/08/2008 ii)16/0 112006 APPLICABLE property ii)09/0 112012 Cost of Property (in .) Rs.I0,25,000/- NOT APPLICABLE case of purchase( at Rs.15,53,000/- ii)Gift Rs.l,79,0161- the time of purchase) i'i)Rs.11,02,400/- Any Investment on the land by way of NOTNOT NOT NOT APPLICABLE APPLICABLE development, APPLICABLE APPLICABLE construction ect Approximate Current ")Rs.63,20,520/- Rs.15,00,000/- NOT APPLICABLE Market Value ~.40,00,000/- ·i)Rs.l,35,48,750/-
iii)Rs.18,OO,OOOI- (v) Othes (Such as NOT NOT NOT NOT APPLICABLE APPLICABLE Interest in Property) APPLICABLE APPLICABLE NOT (vi) Total of current APPLICABLE market value of (i) to Rs. 50,30,000/- ~s.2,41,69,270/- Rs.17,00,000/-
(v) above ./
~ .~ (8) I given herein below the details of liabilitieszyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA1dues to public fmancial institution and Government:
Sr. Description Self Spouse Dependent -1 Dependent -2+ No (Mrs Smt Hausabai Master Jeet Seema) B. Athawle (i) Loan Or dues to Bank! Financial institution(s) name NOT NOT NOT NOT APPLICABLE APPLICABLE Of the Bank or fmancial APPLICABLE APPLICABLE Institution, Amount Ouststanding, nature of Loan Loan or dues to any other NOT Individuals/entity other NOT Personal Loan NOT APPLICABLE APPLICABLE than mentioned above APPLICABLEzyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBARs.21,40,500/- Name (s)Amount outstanding nature of loan NOT Any other liablity NOT NOT NOT APPLICABLE APPLICABLE APPLICABLE APPLICABLE NOT Grand total of liablities NOT Rs.21,40,500/- NOT APPLICABLE APPLICABLE APPLICABLE (ii) Government Dues Dues to department NIL NILzyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBANIL NIL dealing with Government accommodation
:..~~~ ~Dues to department ~- NIL Nil., NIL '" ' ~ea~g with supply of NIL _"., -. -" Watet.
, '~ Diles to department NIL ,:NIL·:.., NIL NIL dealing with supply of ....\,,~ -1. electricity - ",Dues to department ,', ., '-"1 dealing with supply of NIL NIL NIL NIL _/.,. ,.telephone 1mobiles Dues of Department -_._-_ ."_ ., Dealing with Government NIL ' ' NIL NIL NIL Transport (including Aircrafts and helicopters) Income Tax dues NIL NIL NIL NIL Wealth Tax dues NIL NIL NIL NIL NIL Service Tax dues NIL NIL NIL MuniciapllProperty Tax dues NIL NIL NIL NIL Sales Tax dues NIL NIL NIL NIL Any Tax dues NIL NIL NIL NIL (iii) Grand Total of all Government dues NIL NIL NIL NIL (iv) Whether any other liabilities NIL Are in dispute, if so, NIL NIL NIL Mention the mount involved and the authority before which -itis pending
(9)Details of profession or accupation :-
(a) Self:- Social Worker
(b) Spouse: - House Wife
(10) My educational qualification is as under: -
Siddharth College of Arts and Science, fort Mumbai -1, 1972-73 Inter Arts, PARTB
(11) abstract ofthe details given (1)to (10)of PART A
1 Name of the Candidate Ramdas Athawale
2 Full postal address "37 Savindhan Bunglow" Near Gurunanak Hospital, 647 Gandhi Nagar, Bandra (East), Pin Code 400051 3 Number and name of the constituency Bandra (E) 176 And state Maharashtra State 4 Name of the Political Party which set Republican Party of India (A) up the candidate (otherwise write Reg. Un Recognized Independent 5 (i) Total Number of pending cases V Where charges have been framed by thezyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBANOT Courtfor offences punishable with APPLICABLE ~;~zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA imprisonment for two years or more
(ii) Total Number of pending cases wherezyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA,~~T T ,T">T the court (s) have taken cognizance (other c ru.~~ ~.~~ I' than the cases mentioned in item(i) above NOT 6 Total Number of cases in which convicted and sentenced to imprisonment for one APPLICABL~
- .....'; '-, year or more (expect for offence referred .. ,.._t; 1 - ... to in sub-section (1). (2) of section 8 of .I "-..-... ,- --. - " ..Representation of the people Act;'1951) '\ - 7\, .- _ PAN of : Year for which Total Income Shown
- :- - lastlncome Tax .- , Return filed ..'~) 2012-13 Rs.zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA6,33,0001- ;;; .. a) Candidate: AEAPA6269D : . .' . ,_ . , ...Ii" .. . Vb) Spouse : AHZPA3382P 2012-13 Rs. 3,09,0001- _ ..- -.-- - . c) Dependent .NOT NOT APPLICABLE APPLICABLE
-
8) Details ofAssests and Laiblities in Rupees Dependent -1 Dependent -2 Sr. Description Self Spouse Smt Hausabai Master Jeet No (Mrs Seema) B. Athawle Rs.l,16,8001- Rs.13,47,065/- (A) Movable Asset: Rs.24,57,0911- Rs. 18,39,374/- Total Value Rs.17,00,0001- NOT B Immovable Asset Rs. 50,30,0001- Rs.2,41,69,2701- APLICABLE NOT (i) Purchase Price and APLICABLE Self acquired Immovable Rs.21,53,0001- RsJ4,89,2901- Rs.1,79,016/- Property Development 1 (ii) NOT NOT Construction cost of NOT NOT APPLICABLE APPLICABLE APPLICABLE Immovable property APPLICABLE after purchase (if applicable) NOT (iii) Approximate Current APPLICABLE Market Price of Assets Rs.50,30,0001- Rs.2,41,69,2701- Rs.17,00,0001- (Total Value) NOT ~)Rs.50,00,0001- a)Rs.1,06,20,5201- a)Rs.15,00,0001- (a) Self -acquired APPLICABLE asset (Total Value) (b) Inherited assests b)RsJO,OOOI- b)Rs.l,35,48,7501- b)Rs.2,00,0001- (Total Value) 9 Liabilities: NIL NIL (i) Government Dues (Total) NIL NIL Loans from Bank, (ii) NIL NIL Financial Institution NIL And others (Total / . - W' 10zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBALiablities that are under Dispute NIL (i) GovemementdueszyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBANIL NIL NIL Total (iii) Loansfrombank, Financial institutionand NIL NILzyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBANIL NIL Others(Total)
11 Highest Educational Qualification :- Siddharth Colleage of Arts and Science, fort Mumbai -1, 1972-73 Inter Arts,
VERIFICATION
I , the deponent above named, do hereby verify and declare that the content of this affidavit are
true and correct to the best of my knowledge and belief , no part of it is false and nothing
material has been concealted there from I further declare that :
(a)there is no case of conviction or pending case against me other those mentioned in items 5 and 6 of Part A and B above:
(b) I.My spouse or my dependent s do not have any assest or liability, erthan those mentioned in ite~7)zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBAMId 8,9and 10of part of B above , ~7 f!lhrJ10' J ~"" s -- "Verifiedat 'L:'\~ Vvt. this the 2 ;d!lJOv»ayzyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA i) I 1zyxwvutsrqponmlkjihgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA I "
"''''''''''~'L'1IcS ATHAWALE DEPONENT
BEFOREMB
otar;~~gi. No, '"'r, No. _=z_~~ Ot. 'l:.7) 1 1 'j