Annexure I (To be attached with Form JVAT 100/101/102/103)* [See Rule 3(i), 3(v), and 3(x)(a), 4(i) and 11(2)] Information about Proprietor, each Partner (in case of partnership business)/Director (in case of Private Company) separately and Karta of HUF 1. Full Name in Capitals 2. Father's Name in Capitals 3. Status 4. Extent of interest in business 5. Permanent Address House No. ____________ Sector/ Street City _________________ District State ________________ Pin_____________________ 6. Present Address House No. ____________ Sector/ Street City _________________ District __________________ State ________________ Pin 7. _____________________ Details of all immovable properties owned: Sr. No . Full address where property is situated Approximate value Extent of share 8. Particulars of other business(s) in which the person has interest Sr.No. Name of business Address Extent of share VERIFICATION The above details are true and complete to the best of my knowledge and belief and nothing has been concealed therein. Place____________ Date____________ Signature of the person concerned * Strike out which are not applicable FORM JVAT 100
