Professional Documents
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Affidavit 170030541brs
Affidavit 170030541brs
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qra*si. a1A'6 3416883 32 /2022
FORM 26
(See rule 4A)
(4) Details of Permanent Account Number (PAN) and status of filing of Income Tax retum:
T. SolJlES
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AOVOCATE &
Atpolnt.d ItY
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I Sama Ranga Reddy - Self AMWPS 5129 E 2017-18 Rs.9,25,05E/-
Rs.22,49,571/-
2018-19
Rs.24,70J60/-
2019-20
Rs.lsJrJ00/-
2020-2t
Rs.16,24,400/-
2021-22
2 Sama Alivelu - Spouse ABGPA 5892 D 2017- l8 Rs.4,93,100/-
2018-t 9 Rs.10,00,000/-
Rs.6,50,990/-
2019-20
Rs.6,95,430/-
2020-21
Rs.5,42,340/-
2021-22
3 HUF AAKHS 6511 C 2017-18 Rs.-5,16n384/-
(Loss)
2018-19
Rs.1r02l-
2019-20
Rs.1,62,620/-
2020-21
Rs.3,40,200/-
202t-22
Rs.3,40,200/-
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fl
Table
( a) FIR No.
With name CR. NO. 1461t2022 cR.NO.l4761201
and address of NO.t 17612016 ,S. LB NAGAR 9
P.S. LB NAGAR
Police P.S.
Station HAYATHNAGA
concerned R
(b) Case No. with C.C.No. 107 ofC.C.No.489l of C.C.No.224 of
Name 2017, xlv AMM 2022, II AMM 2021,II AMM
of the Court Hayathgnagar cum Juvenil cum Juvenil
Court, Court,
L.B.Nagar L.B.Nagar
(c) Section(s) of 324 I.P.C 355324342,s04, 506 LP.C
concerned 506 I.P.C
Acts/Codes
involved
(give no. of the
Section
, e.g. Seclion
.......of IPC, etc.).
(d) Brief description Grevious Hurt Grevious Hurt Criminal
of offence Intimidation
(e) Whether charges
have
been framed
(mention YES or YES NO NO
NO)
(f) If answer against
(e)
above is YES,
then
give the date on NOT NOT NOT
which APPLICABLE APPLICABLE APPLICABLE
charges were
framed
(e) Whether any
AppeaU
Application for
revision NO NO NO
has been filed
against the
proceedings
(Mention YES or
NO)
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(a) FIR No. With CR.NO.496t2018 CR.NO. CR.NO.
name P.S.IBRAHIMPA 267t2018 655t2022
and address of TNAM P.S. NAMPALLI BANJARA
P.S.
Police HILLS
Station
concerned
(b ) Case No. with C.C.No. 180 of C.C.No.7009 of C.C.No. 10415
Name 2019, xv AMM Xrr
2023, of2022,lll
of the Court Ibrahimpatnam ACMM, ACMM,
Hyderabad Hyderabad
( c) Section(s) of 188 I.P.C 419,420, 465, 147,148,149,332,
concerned 468,47lrlwl20B 341J53,509
Acts/Codes I.P.C I.P.C
involved
(give no. of the
Section
, e,g. Section
.......of IPC,
etc.).
(d) Brief Disobedience to Cheating, Unlawful
description of an order lawfully forgery Assembly
offence promulgated by a
public servant
(e) Whether
charges have
been framed NO NO NO
(mention YES
or NO)
(0 If answer
against (e)
above is YES, NOT NOT NOT
then APPLICABLE APPLICABLE APPLICABLE
give the date on
which
charges were
framed
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( a) FIR No. With CR.NO.734t20t9 OT CR.NO.
name P.S. HAYATH ICABLE 599t2023
and address of NAGAR P.S.
Police VANASTHALI
Station PURAM
concerned
(b) Case No. with XXIVMM C.C No 678/2023, VIIMM
Name Hayathnagar Additional COURT
of the Court Junior civil Hayathnagar
Judge,
Jaggaiahpet
(c) Section(s) of 447,427 rlw 34 138,142ll{I Act 120-8,406,420
concerned I.P.C I.P.C
Acts/Codes
involved
(give no. of the
Section
, e.g. Section
.......of IPC,
etc.).
(d) Brief Trespass Negotiable Punishment of
description of Instruments Act criminal
offence Conspiracy
(e) Whether
charges have
been framed NO NO NO
(mention YES
or NO)
(0 If answer
against (e)
above is YES, NOT NOT NOT
then APPLICABLE APPLICABLE APPLICABLE
give the date on
which
charges were
framed
(g) Whether any
AppeaV
Application for NO NO NO
revision
has been filed
against the
proceedings
(Mention YES
or NO)
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(a ) FIR No. With CR.NO.289t202t NOT NOT
name P.S. SAIFABAD APPLICABLE APPLICABLE
and address of
Police
Station
concerned
(b) Case No. with IACMM NOT NOT
Name Nampalli, APPLICABLE APPLICABLE
of the Court Hyderabad.
(c) Section(s) of 143,147,152,1883 NOT NOT
concerned 41,447,269,R(W APPLICABLE APPLICABLE
Acts/Codes 149 I.P.C 3 of
involved epidemic diseases
(give no. of the Aci 5r(1)@) of
Section disaster
, e.g. Section management Act.
.......of IPC,
etc.).
(d) Brief Unlawful NOT NOT
description of assembly APPLICABLE APPLICABLE
offence
(e) Whether
charges have
been framed NO NO NO
(mention YES
or NO)
(f) If answer
against (e)
above is YES, NOT NOT NOT
then APPLICABLE APPLICABLE APPLICABLE
give the date on
which
charges were
framed
(e) Whether any
AppeaU
Application for NO NO NO
revision
has been frled
against the
proceedings
(Mention YES
or NO)
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6
(6) Cases of conviction
(i) I declare that I have not been convicted for any criminal offence.
(Tick this alternative, d the candidate has not been convicled
and write NOT APPLICABLE against alternative (ii) below) YES
OR
(ii) I have been convicted for the offences mentioned below: NOT APPLICABLE
(If the candidate has been convicted, then lick this alternalive
and score off alternative (i) above, and give detoils in the Table below)
Table
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(6A) I have given full and up-to-date information to my political party about all pending
criminal cases against me and about all cases of conviction as given in
paragraphs (5) and (6).
[Candidates to whom thh ltem is not applicable should clearly write NOT
APPLICABLE IN WElr OF ENTRIES IN 5(i) and 6 (i), abovel
Note
l, Details should be entered clearly and legibly in BOLD letters
2. Details to be given separately lor each case under dilferent columns againsl each
itent
3. Delails should be given in reverse chronological order, Le', the latesl case to be
mentioned Jirst and backwards in the order of dates lor lhe other cases.
4. Additional sheet may be added if required.
5. Candidate is responsible for supplying all information in compliance of Hon'ble
Supreme Court's judgment in W.P (C) No. 536 of 201 I.
(7) That I give herein below the details ofthe assets (movable and immovable etc.) of myself,
my spouse and all dependents:
Note: l. Assets in joint name indicating the extent ofjoint ownership will also have to be given.
Note: 2. ln case of deposit/lnvestment, the details including Serial Number, Amount, date of
deposit, the scheme, Name ofthe Bank/lnstitution and Branch are to be given
Note: 3. Value of Bonds/Share Debentures as per current market value in Stock exchange in
respect of listed companies and as per books in case of non-listed companies should be
given.
Note: 4. 'Dependent' means parents, son(s), daughter(s) of the candidate or spouse and any other
person related to the candidate whether by blood or marriage, who have no separate
means of income and who are dependent on the candidate for their livelihood'
Note: 5. Details including amount is to be given separately in respect ofeach investment
Note: 6.Details should include the interest in or ownership of offshore assets
Sl.No Description Sama Ranga Reddy Sama Alivelu HUF Depe Depe Depe
Self Spouse ndent ndent ndent
-1 -2 -3
(i) Cash in hand 2,00,000/- 50,0001 Nil Nil Nit Nit
(ii) Details of deposit in Punjab National Nit Bank of Nil Nit Nil
Bank accounts (FDRs, Bank, Auto Nagar Baroda Bank,
Term Deposits and all Branch A"/c Saheb Nagar
other types of deposits
No.04932010014250 Branch A/c
including saving Rs.31J21/- as on No.755901000
accounts), Deposits 0r.11.2023 00686
with Financial And Rs.36,0361 as
Institutions, Non- Union Bank of ot02.11.2023
Banking Financial India Dilshuk
Companies and flagar Branch
Cooperative societies h,.t"
the amount in No.4s620201070704
deposit. 6
[.s.17,45,4341 as on
103.I 1.2023
8
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nion Bank of
dia Dilshuk
agar Branch
c.4562020107333
1
,000/- as on
.1r.2023
(iiD Details of investment s. Kamala s. Kamala lWs. Theatre Nit Nil Nit
in Bonds, uilders & uilders & Sampoorna, a
debentures/shares and elopers, a evelopers, a partnership
units in artnership Firm pFi X'irm with
companies,Mutual th investment of th investment investment of
{hnds and others and .5,80,07,653/- as f Rs. Rs.47,85,813/-
the amount. n31.3.2022 1,71,99,8471- as a3 0n
s. RR Cine 3r.3.2022 31.3.2023
nterprises, a RR infra
artnership Firm ects
ith investment of ited,
37,35,854/- as nlisted Shares
n 31.3.2023 ving face
s. Hotel ue of Rs.
rundavtn, a ,00,000/-
rtnership Firm
th investment of
12,51,0641- ts
r31.3.2022
s. Brindavan B
Restaurant, a
artnership Firm
ith investment of
.14,64,061/- as on
1.3.2023
RR infra Projects
ited, Unlisted
hares having face
ue of Rs.
1,00,000/-
ulva
ntertainments, a
rtnership Firm
th investment of
I 10 703t-
(iv) Details of
investment Nil Policy Nit Nit Nil Nit
in NSS, Postal Saving, No.0081806515
Insurance policies and Premium
investrnent in
any amount-
Financial instruments 1,46,771.17,Ct
c" rin Post office or nara HSBC
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m 4$d tt amount.
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Company
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16 P-.
( ) Personal loanV Nit Nit Nit Nit Nil Nit
advance given to any
person or entity
including firm,
company, Trust etc.,
and other receivables
from debtors and the
amount.
(vi) Motor VehicleV HJarsha Nit Nit Nil Nit Nit
Aircraft s/Yachts/Ships Automotive Pvt
(Details of Make, Ltd.
registration number TS 07 JA 7909
etc. year of purchase 30nU2021
and arnount) Rs.44,44,116/-
(vii) Jewellery, bullion and Rs.5,50,0001 Rs,41,95,000/- Nit Nil Nit Nil
valuable thing(s) (give (Inclusive of Gold (Inclusive of
details ol weight and & Silver and Other Gold & Silver
value) Valuables) and Other
Gold Weight:100 Valuables)
Grams Gold
Weight:750
Grams
Silver
Weight:800
Grams
(viii) Any other assets such Nit Nil Nit NiI Nit Nil
as value of
claims/interest
(ix) Gross Total Value Rs.E,24,45,2061 Rs.2,16,9t,618/- Rs.4E,21,849/- Nil Nit Nil
Note: 1 . Properties in joint ownership indicating the extent ofjoint ownership will also
have to be indicated.
P\
Whether inherited NOT NOT Nil Nit Nit Nit
property (Yes or No) APPLICABLE APPLICABLE
Date of purchase in 22.04.2006 r4.05.2004 Nil Nil Nit Nit
case of self-acquired
property
Cost of Land (in case Rs.13,27,300/- Rs.2,98265/- Nit Nit Nil NiI
of purchase) at the
time of purchase
Any investment on the Nit Nit Nit Nir Nit Nir
land by way of
development,
construction etc.
Approximate market Rs.63,00,000/- Rs. 2,92,57,800/- Nil Nil Nit Nit
value current
Cost of Land (in case Rs.7,88,400/- Rs. 1,95,783/- Nil Nil Nit Nil
of purchase) at the
time of purchase
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Agricultural Land Sy.No.44lAA, Sy.No. 107 to Nil Nil Nil Nil
Location(s) Survey Located at 110(1/2 half share
number(s) SahebNagar of Acers 1.08
Kalan, Hayath Guntas), Located
Nagar,Ranga at SahebNagar
Reddy Dist Kalan, Hayath
Nagar,Ranga
Reddy Dist.
Area (total Ac 0.14 gts Ac 0.24 gts Nil Nil Nit Nit
measuement in acres)
Cost of Land (in case Rs.6,02,000/- Rs.7,88,400/- Nil Nil NiI Nit
of purchase) at the
time of purchase
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Date of purchase in 14.05.2004 Nil Nit Nil Nir Nil
case of self-acquired
property
Cost of Land (in case Rs.2,98,2651 Nil Nil Nil Nit Nit
of purchase) at the
time of purchase
Cost of Land (in case Rs.1,86,643/- Nil Nil Nil Nil NiI
of purchase) at the
time of purchase
h 13
o F:1
ry
Whether inherited Yes NiI Nit Nil Nil Nil
property (Yes or No)
Cost of Land (in case NOT NOT Nit Nil Nit Nit
of purchase) at the APPLICABLE APPLICABLE
time of purchase
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Cost of property (in lJ3,0oo/- Nil Nil Nil Nil Nil
case of purchase) at
the time of purchase
Any investment on the Nil Nil Nit Nil Nir Nil
property by way of
development,
construction etc.
Approximate current Rs.70,11,5E4/- Nit Nil \il Nit Nil
market value
(ir) Residential Buildings Nil H.No.3-8-116, Sy No Nil Nit Nil Nit
(including 58/B, Chandrapuri
apartments) : Colony,
-Location(s) mansurabad
Village, RR District
-Survey number(s)
Area(total NiI 478 Sq Yards Nit Nil Nit Nit
measruement in sq.ft.)
Built up area (Total Nil 676.87 Sft Nil Nit Nil Nit
Measurement in sq.ft.)
Whether inherited No No Nil Nil Nit NiI
property (Yes or No)
Date of purchase in Nit 12.03.2018 Nit Nit Nil Nil
case of self-acquired
Property
Cost of property (in Nit Rs. 1J5,00,000/- Nil Nil Nil Nil
case of purchase) at
the time of purchase
Any investment on the Nit Nit Nil Nit Nit Nit
land by way of
development,
construction etc.
Approximate current Nil Rs.1J5,00,000/- Nil Nit Nit NiI
market value
(8) I give herein below the details of liabilities/dues to public financial institutions and
government:-
(Note: please give separate details ofname of bank, institution, entity or individual and
amount before each item)
\
;'1 + t""-)
financial Institution, ount No- o-
Amount outstanding, Al3283C 4760665009125
Nature of Loan .14,44,93u-
I,18,27,8341-
NO
NO
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Sama Ranga Sama Alivelu HUF Dependen Depen Depende
Reddy t-l dent-ll nt-lll
(v) GST Dues Nil Nit Nil Nil Nit Nit
(vi) Municipal/Property Nit Nil Nil Nir Nil Nil
tax dues
(vii) Any other dues Nit Nil Nil Nil Nit Nil
(viii) Grand total of all Nil Nit Nil Nil Nit Nit
Govemment dues
(ix) Whether any other Nit Nit Nil Nil Nil Nil
liabilities are in
dispute, if so, mention
the amount involved
and the authority
before which it is
pending.
(9B) Contracts with appropriate Govemment and any public company or companies
(a) details of contracts entered by the candidate NO
@) details of contracts entered into by spouse NO
(c) details of contracts entered into by dependents NO
(d) details of contracts entered into by Hindu Undivided Family or trust in
which the candidate or spouse or dependents have interest NO
(e) details of contracts, entered into by Partnership Firms in which
candidate or spouse or dependents are partners NO
(f) Details of contracts entered into by private companies in which candidate
or spouse or dependents have share NO
(Give details of highest School/University education mentioning the full form of the
A
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(1, t7 ta"
a'
PART.B
Nil Nil
(d) Dependents Nil
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I II. Approximate Rs.15,45,1 1,084/- Rs.8,40,49,050/- Nil Nit Nil Nit
Cunent market
price-
(a) self-
acquired assets
(Total Value)
O) inherite
d assets (Total
Value)
9 Liabilities
(i) Govemment dues Nit Nil Nil Nil Nil NiI
(Total)
( 1l ) Loans from BanL Rs. 14,44,931/- Rs.1,18,27,834/- Nit NiI Nit Nir
Financial
Institutions and
others (Total)
t0. Liabilities that are under dispute
(i) Govemment dues Nit Nir Nit Nil Nit Nit
(Total)
(ii) Loans from Bank, Nil NiI Nit Nir Nit Nir
Financial
Institutions and
others (Total)
il. Highest educational qualifi cation:
SSC, Zilla Parisat high School, Hayathnagar, Passed in the year 1982.
(Give details of highest Schoolfuniversity education mentioning the full form of the
certificate/diploma/degree course, name of the School/Collegefuniversity and the year in
which the course was completed.)
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19
VERIFICATION
I, the deponent, above named, do hereby verify and declare that the contents of this affidavit
are true and correct to the best of my knowledge and belief and no part of it is false and
nothing material has been concealed there from. I further declare that:-
(a) there is no case of conviction or pending case against me other than those mentioned in
items 5 and 6 of Part A and B above;
0) I, my spouse, or my dependents do not have any asset or liability, other than those
mentioned in items 7 and 8 of Part A and items 8, 9 and 10 of Part B above.
Verifiedat...............................thisthe..............dayof.................
EPONENT
(r
Note: 1. Aflidavit should be filed latest by 3.00 PM on the last day of filing nominations.
Note: 2. Affidavit should be swom before an Oath Commissioner or Magistrate of the First
Class or before a Notary Public.
Note: 3. All column should be filled up and no column to be left blank. If there is no
information to fumish in respect of any item, either "Nil" or 'Not applicable" as the
case may be, should be mentioned,
Note: 4. The Affidavit should be either t)?ed or written legibly and neatly.
Note: 5. Each page of the Affidavit should be signed by the deponent and the Affidavit should bear on
each page the stamp of the Notary or Oath Commissioner or Magistrate before whom the Affrdavit is
swom.
20