Form for Annual Immovable Property Return

Form for Annual Immovable Property Return
Name of Officer (in full) and service
And the officer belongs ________________________________________________________
1. Present Post :
2. Present Pay : Rs.
Name of
District, Sub
Division,
Taluk, Village
in which
property is
situated
Name & detail Present value
of property
Housing &
lands, other
buildings
If not in own
name state in
whose name
held & his/her
relationship to
the Govt.
servant
How acquired
whether
purchase, lease,
mortgage,
inheritance, gift
or otherwise
with date of
acquisition &
name with
details of
persons from
whom acquired
Annual
income from
the property
Signature……………………………
Designation…………………………
Form I
Form for giving prior intimation or seeking previous sanction under Rule 18(2) of the CSS
(Conduct) Rules, 1964 for transaction in respect of immovable Property.
1. Name and Designation
:
2. Scale of Pay and Present Pay
:
3.Purpose of application sanction
for transaction / prior intimation
of transaction
:
4.Whether property is being acquired
or disposed off
:
5.Probable date of acquisition / disposal
of property
:
6.Mode of acquisition / disposal
:
7.(a) Full detail about location viz.,
Municipal no., Street, Village, Taluk,
District & State in which situated
: Copy of possession letter / Sale deed is to be attached
(b) Description of the property in the
case of cultivable land, dry or irrigated
land
:
(c) Whether freehold or leasehold
:
(d) Whether the applicant’s interest in
the property is full or part ( in case of
partial interest, the extent of such
interest must be indicated)
(e) In case the transaction is not
exclusively in the name of the Govt.
servant, particulars of ownership &
share of each member
:
8. Sale / Purchase price of the property
(Market value in case of gifts)
:
9. In case of acquisition sources from
which financed / proposed to be
financed
: Copies of documentary evidence of source of finance
is to attached
(a) Personal Savings
:
(b) Other sources giving details
:
10. In the case of disposal of property
was requisite sanction / intimation
obtained / given for its acquisition
( A copy of the sanction / acknow-ledgement should be attached)
:
11. (a) Name and address of the party
with whom transaction is proposed
to be made
:
(b) Is the party related to the applicant ? :
If so, state the relationship
(c)Did the applicant have any dealings :
with the party in his official capacity at
any time, or is the applicant likely to
have any dealing with him in the near
future ?
(d)How was the transaction arranged ? :
(Whether through any statutory body
or a private agency through advertisement
or through friend and relatives. Full
particulars to be given)
12. In case of acquisition by gift, whether
Sanction is also required under Rule 13
Of the CCS (Conduct) Rules, 1964
:
13. Any other relevant fact which the
applicant may like to mention
:
DECLARATION
I, ………………………………………………………….. hereby declare that the particulars given
above are true. I request that I may be given permission to acquire / dispose off property as described
above from / to the party whose name is mentioned in item 11 above.
(OR)
I, …………………..…………………………. hereby intimate the proposed acquisition / disposal off
property by me as detailed above. I declare that the particulars given above are true.
Station :
Signature
Date
Designation :
:
:
Note : 1.In the above from, different portions may be used according to requirement.
2.Where previous sanction is asked for, the applicant should be submitted at least
30 days before the proposed date of the transaction.
Form II
Form for giving intimation or seeking previous sanction under Rule 18(3) of the CSS (Conduct)
Rules, 1964 for transaction in respect of movable Property.
1. Name of the Government Servent
:
2. Scale of Pay and Present Pay
:
3.Purpose of application sanction
for transaction / intimation of
transaction
:
4.Whether property is being acquired
or disposed off
:
5.(a)Probable date of acquisition / disposal
of property
:
(b) If the property is already acquired / disposed :
of actual date of transaction
6. (a)Description of the property (e.g. Car/Scooter/ :
Motor Cycle/Refrigerator/Radio/jewellery/Loans/
Insurance policies etc. )
(b)Make, Model (and also registration no. in case
of vehicles), where necessary
: Copy of Registration Certificate is to be
attached.
7.Mode of acquisition / disposal (purchase / sale
Gift, mortgage, lease or otherwise)
:
8.Sale/Purchase price of the Property (Market
value in the case of gifts)
: Copy of invoice is to be attached
9.In case of acquisition, source or sources from
which financed / disposed to be financed
: Copies of documentary evidence of source of
finance is to be attached
(a) Personal Savings with full details
:
(b) Other source giving details along with
documentary evidences
:
10. In the case of disposal of property was
:
requisite sanction / intimation obtained
/ given for its acquisition ( A copy of the
sanction / acknowledgement should be attached)
11. (a) Name and address of the party with whom
transaction is proposed to be made
(b) Is the party related to the applicant ?
If so, state the relationship
:
:
(c)Did the applicant have any dealings with the
party in his official capacity at any time, or is the
applicant likely to have any dealing with him in
the near future ?
:
(d)How was the transaction arranged ?
(Whether through any statutory body or a private
agency through advertisement or through friend
and relatives. Full particulars to be given)
:
12. In case of acquisition by gift, whether Sanction is
also required under Rule 13 Of the CCS (Conduct)
Rules, 1964
:
13. Any other relevant fact which the applicant may
like to mention
:
DECLARATION
I, ………………………………………………………….. hereby declare that the particulars given
above are true. I request that I may be given permission to acquire / dispose off property as described
above from / to the party whose name is mentioned in item 11 above.
(OR)
I, …………………..…………………………. hereby intimate the proposed acquisition / disposal off
property by me as detailed above. I declare that the particulars given above are true.
Station :
Signature
Date
Designation :
:
:
Note : 1.In the above from, different portions may be used according to requirement.
2.Where previous sanction is asked for, the applicant should be submitted at least
30 days before the proposed date of the transaction.