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If the deponent is accused of any such offence(s) he shallfurnish the following information : None of the following areapplicable

, (i) Case/First information report No./Nos. Notapplicable

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/ '\. r \ - "* I f~ - r.... •. Form '26' •. ,.,' !'i'$lrl'.' \ *.~ i It.· -,':.'" .I~'" ~ ~ (See Rule 4A)*;. "Afipq,Vit Jo ro~ furnished by the candidate before the returning"r~~~cer fo] .~l¥ction to legislative Asseembly from Gangakhed,'~~~i~y~~ame of the constitutency).

l~ram Chimaji Ghandat son of ShriChimaji Ghandat age 69years, resident of A-2/402, Poonam Park, Ganesh Nagar lane,Ltlbaug, Mumbai 400012 Candidate at the above election, dohereby solemnly affirm / stafe on oath as under:~

1. I am not accused of' any offence(s) punishable withimprisonment for two years or more in a pending case(s) inwhich a chargels) has / have been framed by the court/s) ofcompetent jurisdiction.

.... 2 ..

I' I I I 'I"' !i "

o fsfricl(sIIii) Po:lice Station(s)_______ State(s)__ ,_

(iii) See:tiCin(s) of the concerned Act{s) and sho'rtdescripti'on of the offeFlGE3(s)for which the candidatehas been charged __ A~,i~( _

'(iv) Court(s) which framed the chargers)Nil

(v) Daters} on which the charge(s) was / were framed

:~: '

(vi) Whether all or any of the proceeding(s) have 'be~hstayed ~~by!any courtl~) of competent jurisdiction'

).1' I "(: ,.' , . '.

2., I hove not l:De~1l cohvicted of an offence(s) (other than anYI'off(3'nce(sJ referred'to in sub~seetjon(l) 01 sub-section 2). or-'coVE3rE39in s~'19~~~tjon (3)';·9r ,;sedion Bof the Representation

;~;,~~.~_,",',:_'-:;',.,. , " 6f':J.t,.,hA.·..•."'...P:e. ]j~i$:;~tX.~.it~-:.19Sl~. (A~ :~'o.f. J \9A...tL"qri'qs.~ntenced to ',:~:~,~;~"i~pr~~~~~~r~1~tq0e\~~Qr'6r~bf~.'\ '.,. ~'.. ,... ',' ' ,

. -<- .If the deponent is convicted and punished asaforesaid, he shall furnish the following informationNone of the 'following are applicable

,....~~

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(i)No./t'~os.(ii)

Place : Gangakhed

.information'\ .:- '

which

report'

punisfled

,Date 19.09.2009 ~1,1~Slgnatur~ponent

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VERfFICAT'ION

, L the above named deponent, do hereby verify and dedClrethat the contents' of this affidavit are true and correct to the best oftrw knowledge and belief, no part of it is false and nothing materialhas been concealed therefn. . .

Verified at Gonagakhed this 19TH sf day of Septeli,lber 2009.

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(i) Section of the Act and description of the offence for which cogniz:ancetaken: U/S - 127 (b) of peoples Representation ad & U/S - 188 ofInd!an penal Code.

Iii) The Court which has taken cognizance: Joint Judicaial Maglstrat{First Class} at Ganagakhed, Dlst. Parbhanl.

(iii)Case No, : S.C.C. - NO. 1588/1999

~ MAHARASHTRA e.--~.~;-~~ ...,.~,<i~J~ ::-:~~ '1(1)(9 ~ ,

,tfj1m1e"J:~f ~'~r~:.7·~·~1G0r '-S\)~~/ Z\ - ,'))1) ~)"~

'fj)tJIJflT3l,,·~~·_--~S;;~ .•_.-_.~f\.~ C. I) ,.- (\1 - .7J ,JI1-<-\ r\l.< 1 \tj I ~ ~~ y '911 •.../ ~,

<:! ~~ =- t ~.'dl-""'.•"""if-t-ot-~--I~./ '1'~ . r",'~

tJ~"~;:~·::,~~~' ~:r:'r;:~~~'t~n.,";--~..I ,,1\',\.. . 7 \:-' ". 'JiIi nQ I ~~ \ .' ,r,r :' ~', '''Affid'Pvlt t I be furnished by condldofe olongwifh nominption pop·er. .

{ 't. ~ Ii ',' ; • ~ J Before the Returning Officer •'.J \:.\1 . l~:erectlon to Legislative Assembly (name of the House)\ ','..','.... /,:'~J From Gangakhed constituency

.;....t . "",'-..If "". -". r

't ,Shrl sitorom Chimajl Ghandat son of Shri Chimoji Ghandat aged 69 years,~,..reslde~r:!!9.f::A-2/402, Poonam Pork, Ganesh Nagar Lane, Lolbaug. Mumbai 400012,C.ondidote at the above election, do hereby solemnly affirm and state on oathoj under:[Strikeout whichever is not applicable)

(e The foflowing case{s) is lore pending agoinst me in which cognizance hasbeen taken by the court :

~

~~ X.~'~. ":" ,ll' (iv)10111ateof order of the Court taking cogniz:ance : Not known / if coiled

il . ""For 8. if aviable date will be Furnished

/'J J{...\ (v) ,Details of appeal(s) I application(5) fro revision, etc., it ciny. filed/V', Y, •• : i<.'B~lftnst above order asking cognizance: Not applicable

~O~Q 'I.·f ~;;r!aral>l,l,.' I .," • ....2..

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'~' / ""! ::2::> •• IIt?~,~~,.~~ ' "l.¥,h ' ,..' .•.••.• ,(2)Tho'! I have given herein below the details of the assets (Immovable, movable,

bank balance. etc.,) of myself. my spouse and dependents:

.,

...,,' ':. '~:.'

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Nil

Nil

Nil

Nit

......3..

NIL

Nil

Nfl

NIL

NIL

Nil

Nil

Nil

NIL

NIL'. ~ '

Ntl

NIL

NIL

Nil

Nil

Annexure B

MAHENDRATRACTOR No.Mh-22-D9239Rs.,9-6,217(MarketVqlue) .

NIL

Note: VolueQf Bonds I Shares / Debentures as per lhe lotestmarkef value in Slocl< E)(Chol1~e.l()tespectoflisted companles'and as per books In the case at non listed companies should.beglv'en .

A. Details "of movable assets ( As on 19.09:2009 )(Assetsin jornt name indicatina the extent of ioint ownershio will 01$0have to be aiveO)Sr. Description Self (100% ~PQuse(sl Qependent Depe(ld,en:t~2.DE1P~odertt,3INo. holding) Name'(s) - 1Name: Nome: etc.,Nqme:

iii Cash J.74,;350 NIL NIL NIL NIL(il) Dep.osits. in Annexure A NIL NIL NIL NIL

Banks,Rnondal.Institutionsand Non~Ban:~ng'Findtl~IGiICompanies(includif)gBankboloAce)

{ii~ BondS','Debenture

1 and, Shares :inc,offiQonies

(iv) OtherFfnahcldlInstrumentsNSS, , f?osJal,Savings, LiePolicies, ete.

(v) MotorVehtcles{details ,of.mok-e, etcJ,

(vi) Jewelle(Y'(give '.. detailsof . weight·and valuel Rs. 120,000

(vii) Other assets, Annexure Csuch osvalues ofclaims /interests

I , I I I ' " 1-: "1 'I

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NONENONE

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the extent of 'oin1 ownershl ,will olsO have to be lndicated

Spou,se(sj D~penden Depend~ni Dependent~ <

NClme (5) t - 1 Name: -2 Name: 3 etc.,Name:NONESmt,

RukllminiSitaramGhandat

AgrkulturalLand At GotNo 627 A(?qngakhedParbhaniRd ..GClngakhedDistParbhaniJoint HolderWife Mrs.RukhminiSitcrramGhandat

AgriculturalLand

_-Location (5)-Suiv~y~urribe'r-Extent ( Totalmeasurements)-Currentmarket Valu'e

Ii)a

% Held100% bywifeCost Rs. Rs.

" :);38,000 /Fu)/cost paid

'.,j pyme)Ar,ea :4.127

,:Acres(ii) Non _' Residential NONE:

Ag'ricl:llturaIBungalowLand on Land-location(sJ Gat No--Survey 627A.number Gangakhed-Exte[1t ( Total, Pcirbhanimeasurements) Road,--Current Gangakhedmarket Value

"

mb

% Held100%Cost Rs. Rs.142,000 (Fullcost paidby me)

Area;6,7954Acres

Agric'ul Ur.al : Agricultural Smtland' land AtGot Rul:::hmini-LoCqtion(s] No 627 A 'Sitar<iJm-Slfrl.eY G'angdkhed c:;haridafnumber ' ''Pdrbhani-Exterlt ( Tot61Rd ..measurements) Gongakhed-Currenl Disfmol1:;et Value Parbhani

,First HolderWif.e Mrs.Rvkhmini

,S1tdramGhandat

NONE

NONE

NONE

NONE

'NONE

NONE

;;.

Cost Rs.325,450

_.",. __ ...._--

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,"'~ n1"805urerne'nE) ,----, ~ ,R·.

~. .;' ,-,:tr.':urrent" ~lM".. • )1""':'

. :J€ f~.r..'. fl " < ~rrmket Valve~ '~~f¥r .H,ouse NONE·

Apartmentse.tc.AgriculturalLand-locdtion(s)-Su,rveynumber~Extent ( Toto!measurements)-Currentmark.~tValue

(v)' . Others ( Such NONEas interest in

I'D e

NONE

NONE

NONE

NONE

NONE

NONE

NONE

NONE

(3) I give herein below the details on my liabilities / overdues to public financial institutionsand Government dues :- ( Note: Please aive seoarate details for each item\Serial .Description Nqme and Address of AmountNo Bank / Financial outstanding

Institution (5) IDeporfme as onnf 31.8.2009

(al 'Iil Loans from Bank I NOT APPLICABLE NIL I

(ii) Government Dues -(a) Dues to Departments dealing with NOTAPPLICABLE NIL

Government accommodation(b) Dues fa Deparfments dealing with NOTAPPLICABLE Nil

Supply of Wafer(c) Dues fo Departments dealing with NOT APPLICABLE NIL

Sup",lyof Electricity(d), Dues to Departments dealing with NOTAPPLICABLE NIL

Telephones(e) Dues to Departments dealing NOTAPPLICABLE NfL

Government transport (including

"(f)aircrafts and helicopters)Other dues. if any " " NOT APPLICABLE NIL

(b) Ii) . Income Tax including surcharge ( (Mo Returns filed upto . NILindicate the assessment year upfo which Assessment YearIncome Tax 'Return filed. Give also (PAN) 2008-09Permanent Account No.: AA8PG2S1OK

(Ii} , Wealth Ta~ ( also Indicate. the dssessment , NILvearuoto which Wealth Tax Return filed NOTAPPLICABLE o'

/iii) .~ales Tax /only in case of property business' NOTAPPLICABLE NilUv} :p.roperty Tax NOT APPLICABLE Nil

(4) My edo.cational qualification are as under:. (GIVE DETAILSOF SCHOOL AND UNIVERSITYEDUCATION)Name ofsChool/University and the year in which the course was completed should be given)

Course School / ColleQe / UniversityClass IV. Sarvajanik PratbimUk Shala Nandullr Pathar Tal. Pamer, Dis.

A. Nagar, Year 2.5.1953

I~

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" .••: '. ~:";;~t~\ VERIFICATION

"" ~ f'!:', " " I.•\~, ove named deponent do hereby verity and declare that the contents

'. ~bftf)i.s<o(tr~ t 'are true and correct to the best of my knowledge and belief. no -port ofz:'-n is' t9ls~ge nothing material has been conceoled therform.

-1 .•. t·~r:.>l~~:~'''~'.. ~ 'verified at Ganagakhed this 19THday of September 2009.

t~t1~ ,Signature~onent