In the court of…………………………………………..
A. B. of…………………………………………….. Decree-holder.
versus
C…………………………………………………. Judgment-debtor.
I………………… of………………….. state on oath solemn affirmation as follows: –
1. My full name is……………………………. (Block capitals).
2. I live at…………………………………………..
*3. I am married.
Single
Widower/widow divorced.
4. The following persons are dependent upon me: –
5. My employment, trade or profession is that if……………………………… carried on by me at………………………. I am a director of the following companies: –
6. My present annual/monthly/weekly income, after paying income-tax, is as follows: –
(a) From my employment, trade or profession Rs…………………
(b) From other sources Rs…………………………
*7(a) I own the house in which I live; its value is Rs…………………….
I pay as outgoings by way of rates, mortgage, interest, etc. the annual sum of Rs…………………………..
(b) I pay as rent the annul sum of Rs…………………………….
8. I possess the following: –
(a) Banking accounts;
(b) Stocks and shares: Give Particulars
(c) Life and endowment policies
(d) House property;
9. The following debts are due to me: (Give particulars)
(a) From………………………… of…………..
Rs…………………………………………..
(b) From…………………………. of…………
…………….. Rs……………………….. etc.)