AFFIDAVIT FORMAT KUSUM SHARMA V. MAHINDER KUMAR SHARMA

IN THE COURT OF _______________________________________

COMPLAINT CASE NO. ______OF ___________

IN THE MATTER OF :

____________________ ???COMPLAINANT

VERSUS

______________________ ????.RESPONDENT

AFFIDAVIT OF ASSETS, INCOME AND EXPENDITURE OF COMPLAINANT/ RESPONDENT ______________________

AFFIDAVIT

I, ___________________ W/o/D/O_________________________________________________, Aged about _________________years, Resident of ______________________________, do hereby solemnly affirm and declare as under:

PART - I

PERSONAL INFORMATION RELATING TO THE DEPONENT

Sl. No.	Description	Particulars
1.	Name
2.	Age
3.	Date of marriage
4.	Date of separation
5.	Educational qualifications
6.	Professional qualifications
7.	Occupation
8.	Monthly income (Give details in Part IV)
9.	Monthly expenditure (Give details in Part V)
10.	Whether you are assessed to Income Tax?
11.	Whether you are assessed to Wealth Tax?
12.	Whether you have sufficient income to support yourself?
13.	If not, whether you have claimed maintenance from your spouse? If so, how much?
14.	Whether you are staying in matrimonial home?
15.	If not staying in the matrimonial home, relationship and income of the person with whom staying.
16.	Members of the family:
	(a) Dependent
	(b) Independent
17.	Whether your spouse has claimed maintenance from you? If so, how much?
18.	Whether you have voluntarily paid or willing to pay maintenance to your spouse? If so, how much?
19.	Whether you are willing to pay litigation expenses to your spouse? If so, how much?
20.	Particulars of pending litigation between the parties
21.	Whether any maintenance order has been passed by any Court? If so, give particulars and attach copies of the order?
22.	Whether the maintenance is being paid in terms of the aforesaid order? If so, file the statement of maintenance paid upto date
23.	E-mail address
24.	Name of your counsel and his/her e-mail address
25.	Expenses incurred on this litigation
26.	Particulars of the bank account with name and address of the bank for the purpose of payment from or receipt of maintenance, as the case may be

PART ? II

RELEVANT INFORMATION RELATING TO THE SPOUSE

Sl. No	Description	Particulars
1.	Educational and professional qualifications of your spouse
2.	Whether your spouse is earning? If so, give particulars of the occupation and income of your spouse.
3.	Whether your spouse is staying in the Matrimonial Home. If not, whether she is staying in his/her own accommodation or in a rented accommodation? If staying in a rented accommodation, what is the rent being paid by him/her?
4.	Particulars of the assets and liabilities of your spouse
5.	Do you have any documents relating to the income, assets and expenditure of your spouse? If so, give the particulars and attach copies thereof?

PART ? III

RELEVANT INFORMATION RELATING TO THE CHILDREN

Sl. No	Description	Particulars
1.	Children from the marriage with their name and age
2.	Who has the custody of the Children?
3.	Expenditure on the education of the Children (Give details in Clause 7)
4.	Who is bearing the expenditure of Children's education
5.	How much expenditure has been incurred on the children's maintenance and children's education from the date of separation till now?
6.	If the children are in custody of your spouse, whether you have voluntarily paid or willing to pay the expenses for the children's maintenance and education? If so, how much?
7.	Details of Expenditure on Education	Amount in (Rs.)
	(i) School fees (ii) Crech/Day Care/After school care (iii) Books/Stationery (iv) Private Tuitions (v) Sports (vi) Outings/summer camps / vacations (vii) Entertainment (viii)Others

PART-IV

STATEMENT OF INCOME

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Sl. No.	Description	Particulars
1.	In case of salaried persons: