Other Elections
Declaration in	Declared Assets	Declared Cases
Gujarat 2017	Rs1,73,76,755 ~1 Crore+	0
Gujarat 2012	Rs1,46,05,479 ~1 Crore+	1
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Relation Type	PAN Given	Financial Year	Total Income Shown in ITR
self	Y	2021 - 2022	2021 - 2022 Rs 16,02,188 ~ 16 Lacs+ 2020 - 2021 Rs 10,25,080 ~ 10 Lacs+ 2019 - 2020 Rs 15,36,570 ~ 15 Lacs+ 2018 - 2019 Rs 7,75,399 ~ 7 Lacs+ 2017 - 2018 Rs 9,36,267** ~ 9 Lacs+
spouse	Y	2021 - 2022	2021 - 2022 Rs 4,90,460 ~ 4 Lacs+ 2020 - 2021 Rs 4,84,110 ~ 4 Lacs+ 2019 - 2020 Rs 6,52,110 ~ 6 Lacs+ 2018 - 2019 Rs 5,87,940 ~ 5 Lacs+ 2017 - 2018 Rs 6,70,560** ~ 6 Lacs+
huf	N	None	None Rs 0 ~ None Rs 0 ~ None Rs 0 ~ None Rs 0 ~ None Rs 0** ~
dependent1	Y	None	None Rs 0 ~ None Rs 0 ~ None Rs 0 ~ None Rs 0 ~ None Rs 0** ~
dependent2	N	None	None Rs 0 ~ None Rs 0 ~ None Rs 0 ~ None Rs 0 ~ None Rs 0** ~
dependent3	N	None	None Rs 0 ~ None Rs 0 ~ None Rs 0 ~ None Rs 0 ~ None Rs 0** ~

Sr No	Description	self	spouse	huf	dependent1	dependent2	dependent3
i	Cash	2,19,000 2 Lacs+	1,56,000 1 Lacs+	Nil	34,300 34 Thou+	Nil	Nil	Rs 4,09,300 4 Lacs+
ii	Deposits in Banks, Financial Institutions and Non-Banking Financial Companies	The Surat Peoples Co Op Bank Ltd Bhagatlav Branch Surat Saving Account 104041117810 Date 10/11/2022 2,92,310 2 Lacs+ The Rajkot Nagrik Sahkari Bank Ltd Ringroad Branch Surat Saving Account Date 10/11/2022 051003100000060 51,011 51 Thou+ Bank Of Baroda Vijaya Bank Merge Majuragate Ringroad Branch Surat Savings Account 10/11/2022 78220100001781 15,699 15 Thou+ State Bank Of India Chowkbajar Surat Saving A/c Date 10/11/2022 20011667031 8,95,597 8 Lacs+ Shri Balaji Urban Co Op Credit Society Ltd Balaji Road Surat Saving A/c 1213 10,660 10 Thou+ Sonifaliya Urban Co Op Credit Society Ltd Sonifaliya Surat Saving A/c 3858 11,459 11 Thou+ Shri Surati Modhavnik Co Op Urban Credit Society Ltd Surat Saving A/c 1454 3,261 3 Thou+ The Rajkot Nagrik Sahkari Bank Ltd Ringroad Branch Surat ST/129 1,000 1 Thou+ State Bank Of India Rander Branch 41418519290 25,000 25 Thou+ Telephone Deposit Surt 1,300 1 Thou+	The Surat Peoples Co Op Bank Ltd Bhagatlav Branch Surat Saving Account 104041153734 3,79,501 3 Lacs+ Bank Of Baroda Vijaya Bank Merge Majuragate Ringroad Branch Surat Savings Account 10/11/2022 78220100002336 9,905 9 Thou+ Bank Of Baroda Shahpor Surat Saving Account 14870100012792 4,767 4 Thou+ HDFC Bank Adajan Branch Surat Saving A/c 03881000052118 37,936 37 Thou+ Sonifaliya Urban Co Op Credit Society Ltd Sonifaliya Surat Saving 4104 Date 10/11/2022 11,477 11 Thou+ Shri Surati Modhavnik Co Op Urban Credit Society Ltd Surat Saving A/c Saving 1818 3,034 3 Thou+ The Surat Peoples Co Op Bank Ltd Tamliyavad Nanpura Branch Surat Fix Deposit 304004481456 50,000 50 Thou+ The Rajkot Nagrik Sahkari Bank Ltd Ringroad Branch Surat 1,000 1 Thou+ Telephone Deposit Surat 1,000 1 Thou+ The Surat Peoples Co OP Bank Ltd Bhagatlav Branch Surat Locker Key Deposit 304004481423 4,353 4 Thou+	Nil	The Surat Peoples Co Op Bank Ltd Bhagatlav Branch Surat Saving A/c 104041160344 63,984 63 Thou+ State Bank Of India Chowkbajar Branch Surat Saving A/c 37820640933 44,976 44 Thou+ State Bank Of India Jamnagar Branch 41204267866 23,000 23 Thou+	Nil	Nil	Rs 19,42,230 19 Lacs+
iii	Bonds, Debentures and Shares in companies	The Rajkot Nagrik Sahkari Bank Ltd Ringroad Branch Surat 1 Share Certificate No 218029 50 The Surat Peoples Co Op Bank Ltd Main Branch Timliyawad Nanpura Surat Share 15 Certificate No 811160 1,500 1 Thou+ The Surat Peoples Co Op Bank Ltd Main Branch Timliyawad Nanpura Surat Share 12 Certificate No 36398 1,200 1 Thou+ The Surat Peoples Co Op Bank Ltd Main Branch Timliyawad Nanpura Surat Certificate No 30715 100 1 Hund+ The Surat Central Co Op Bank Stores Ltd (Apna Bajar) Rani Talav Patni Cottage Surat Share 5 Certificate No 18, Share No 8261 To 8264 500 5 Hund+ Shri Balaji Urban Co Op Credit Society Ltd Balaji Road Surat Share 5 Certificate 2238 125 1 Hund+ Sonfaliya Urban Co Op Credit Society Ltd Share 4 Certificate No 2246 100 1 Hund+ Diamond Jubilee Bank Ltd Khandwala Sheri, Bhagan Branch Surat Share 20 No. 29033 500 5 Hund+ Panchshil Mercantile Co Op Bank Ltd Khandwala Sheri Bhagan Branch Share 10 No 5496 250 2 Hund+ Panchshil Mercantile Co Op Bank Ltd Khandwala Sheri Bhagan Branch Share 30 No 8527 750 7 Hund+ Panchshil Mercantile Co Op Bank Ltd Khandwala Sheri Bhagan Branch Share 10 No 8810 250 2 Hund+ The Surati Modhavnik Co Op Urban Credit Society Ltd Limdachowk Surat Share 2 No 1654 200 2 Hund+ The Surati Modhavnik Co Op Urban Credit Society Ltd Limdachowk Surat Share 3 No 1917 300 3 Hund+ The Surati Modhavnik Co Op Urban Credit Society Ltd Limdachowk Surat Share 5 No 2214 500 5 Hund+ The Surati Modhavnik Co Op Urban Credit Society Ltd Limdachowk Surat Share 10 No 2769 1,000 1 Thou+	The Rajkot Nagrik Sahkari Bank Ltd Ringroad Branch Surat 1 Share Certificate No 230269 50 The Surat Peoples Co Op Bank Ltd Main Branch Timliyawad Nanpura Surat Share 30 Registration No 36433 3,000 3 Thou+ The Surat Central Co Op Stores Ltd Apna Bajar Rani Talav, Patni Cottage Surat Share 5 No 18569 100 1 Hund+ Sonfaliya Urban Co Op Credit Society Ltd Share 4 No 4191 100 1 Hund+ Panchsil Mercantile Co Op Bank Ltd Khandwala Sheri Branch Surat Share 30 No 8525 750 7 Hund+ Panchsil Mercantile Co Op Bank Ltd Khandwala Sheri Branch Surat Share 10 No 14531 250 2 Hund+ The Surati Modhavnik Co Op Urban Credit Society Ltd Limdachowk Surat Share 10 No. 2244 1,000 1 Thou+ HDFC Activity Growth Fund A/c Folio 9953656/94 1,00,000 1 Lacs+ HDFC Activity Growth Fund 2,47,836 2 Lacs+ Sundaram Smile Fund 501763677864 1,00,000 1 Lacs+ Sundaram Smile Fund 2,27,533 2 Lacs+ Axis Mutual Fund A/c Folio No 91916508882 1,03,000 1 Lacs+ Axis Mutual Fund 2,81,901 2 Lacs+ Nipon India Mutual Fund No 419149615792 78,000 78 Thou+ Nipon India Mutual Fund 1,80,636 1 Lacs+ Reliance Mutual Fund (SIP) 81,000 81 Thou+	Nil	The Surat Central Co Op Stores Ltd Apna Bajar Rani Talav Patni Cottage Surat Share 5 No 18578 100 1 Hund+	Nil	Nil	Rs 14,12,581 14 Lacs+
iv	(a) NSS, Postal Savings etc	Nil	Nil	Nil	Nil	Nil	Nil	Nil
iv	(b) LIC or other insurance Policies	Max Life Insurance 505023411 13,50,000 13 Lacs+ Kotak Life Insurance 02582738 25,00,000 25 Lacs+ New India Insurance Personal Accident Policy 23040042160 100004331 10,00,000 10 Lacs+ New India Insurance Mediclaim 23040034162500007586 5,00,000 5 Lacs+ Max Bupa Health Insurance Joint Family, Policy No 30230920201704 35,00,000 35 Lacs+ Future General India Insurance Personal Accident Policy A0887488 FPX 10,00,000 10 Lacs+ Ifco Tokyo Insurance Personal Accident Policy 51256236 11,25,000 11 Lacs+ Bajaj Alliance General Insurance Personal Accident AG13-2203-9901-00002678 4,00,000 4 Lacs+	Max Life Insurance 868026808 10,00,000 10 Lacs+ Future General India Insurance Personal Accident A0887485 FPX 10,00,000 10 Lacs+ Max Life Insurance 105152714 26,00,000 26 Lacs+ Max Life Insurance 106245822 26,00,000 26 Lacs+ Max Life Insurance 106247513 26,00,000 26 Lacs+ Insurance Policy No 106246937 26,00,000 26 Lacs+	Nil	Max Life Insurance 854458627 3,00,000 3 Lacs+	Nil	Nil	Rs 2,40,75,000 2 Crore+
v	Personal loans/advance given	Nil	Nil	Nil	Nil	Nil	Nil	Nil
vi	Motor Vehicles (details of make, etc.)	Tyota Innova 04/06/2013 GJ05JE5277, Price 1672000/- Market Value 600000 6,00,000 6 Lacs+	Honda Activa 10/2010 GJ05GN2336, Price Value Rs 53400/- Market Value Rs 15000/- 15,000 15 Thou+	Nil	Nil	Nil	Nil	Rs 6,15,000 6 Lacs+
vii	Jewellery (give details weight value)	10 Tola Gold 5,00,000 5 Lacs+ 250 Gram Gold 15,000 15 Thou+	22 Tola Gold 11,00,000 11 Lacs+ 1000 Gram Gold 60,000 60 Thou+	Nil	3 Tola Gold 1,50,000 1 Lacs+ 250 Gram Gold 15,000 15 Thou+	Nil	Nil	Rs 18,40,000 18 Lacs+
viii	Other assets, such as values of claims / interests	Computer, Furniture 1,00,000 1 Lacs+	Computer, Furniture 1,00,000 1 Lacs+	Nil	Nil	Nil	Nil	Rs 2,00,000 2 Lacs+
Gross Total Value (as per Affidavit)		27,48,623 27 Lacs+	29,58,134 29 Lacs+	Nil	3,31,361 3 Lacs+	Nil	Nil	Rs 60,38,118 60 Lacs+
Totals (Calculated as Sum of Values)		Rs 1,41,23,622 1 Crore+	Rs 1,57,39,129 1 Crore+	Nil	Rs 6,31,360 6 Lacs+	Nil	Nil	Rs 3,04,94,111 3 Crore+

Sr No	Description	self	spouse	huf	dependent1	dependent2	dependent3
i	Agricultural Land	Nil	Nil	Nil	Nil	Nil	Nil	Nil
ii	Non Agricultural Land	Nil	Nil	Nil	Nil	Nil	Nil	Nil
iii	Commercial Buildings	Nil	Surat City Sonfaliya Ward No 10 No 1725 Shweta Apartment Majhenine Floor Office No 2 Total Area Built Up Area 180 Sq.Ft Whether Inherited N Purchase Date 1996-04-08 Purchase Cost 75000.00 Development Cost 100000.00 7,00,000 7 Lacs+	Nil	Nil	Nil	Nil	Rs 7,00,000 7 Lacs+
iv	Residential Buildings	Nil	Surat District Surat City Sub District Surat Survey No 660/5 Scheme No 10 Final Plot No 16 Non Agriculture Land Saidham Raw House Society Plot No 4 Area 101.65 Sq.Mt Total Area 1093.75 Sq.Ft Built Up Area 1400 Sq.Ft Whether Inherited N Purchase Date 2008-03-28 Purchase Cost 2100000.00 Development Cost 415000.00 1,31,00,000 1 Crore+	Nil	Nil	Nil	Nil	Rs 1,31,00,000 1 Crore+
v	Others	Nil	Nil	Nil	Nil	Nil	Nil	Nil
Total Current Market Value of (i) to (v) (as per Affidavit)		Nil	1,38,00,000 1 Crore+	Nil	Nil	Nil	Nil	Rs 1,38,00,000 1 Crore+
Totals Calculated		Nil	Rs 1,38,00,000 1 Crore+	Nil	Nil	Nil	Nil	Rs 1,38,00,000 1 Crore+

Sr No	Description	self	spouse	huf	dependent1	dependent2	dependent3
i	Loans from Banks / FIs	Nil	State Bank Of India A/c No 30354844165 Year 2007 Amount 2100000 Housing Loan 9,01,428 9 Lacs+	Nil	Nil	Nil	Nil	Rs 9,01,428 9 Lacs+
	Loans due to Individual / Entity	Jitendra Mehta Unsecured Loan 3,50,000 3 Lacs+ Jayshriben Gandhi Unsecured Loan 5,00,000 5 Lacs+ Mayur Gandhi Unsecured Loan 5,00,000 5 Lacs+	Jitendra Mehta Unsecured Loan 3,50,000 3 Lacs+ Maulik Trading Unsecured Loan 5,00,000 5 Lacs+ Vaishali Gandhi Unsecured Loan 3,00,000 3 Lacs+	Nil	Nil	Nil	Nil	Rs 25,00,000 25 Lacs+
	Any other Liability	Nil	Nil	Nil	Nil	Nil	Nil	Nil
	Grand Total of Liabilities (as per affidavit)	13,50,000 13 Lacs+	20,51,428 20 Lacs+	Nil	Nil	Nil	Nil	Rs 34,01,428 34 Lacs+
ii	Dues to departments dealing with government accommodation	Nil	Nil	Nil	Nil	Nil	Nil	Nil
	Dues to departments dealing with supply of water	Nil	Nil	Nil	Nil	Nil	Nil	Nil
	Dues to departments dealing with supply of electricity	Nil	Nil	Nil	Nil	Nil	Nil	Nil
	Dues to departments dealing with telephones	Nil	Nil	Nil	Nil	Nil	Nil	Nil
	Dues to departments dealing with supply of transport	Nil	Nil	Nil	Nil	Nil	Nil	Nil
	Income Tax Dues	Nil	Nil	Nil	Nil	Nil	Nil	Nil
	Wealth Tax Dues	Nil	Nil	Nil	Nil	Nil	Nil	Nil
	Service Tax Dues	Nil	Nil	Nil	Nil	Nil	Nil	Nil
	Property Tax Dues	Nil	Nil	Nil	Nil	Nil	Nil	Nil
	Sales Tax Dues	Nil	Nil	Nil	Nil	Nil	Nil	Nil
	GST Dues	Nil	Nil	Nil	Nil	Nil	Nil	Nil
	Any Other Dues	Nil	Nil	Nil	Nil	Nil	Nil	Nil
iii	Grand Total of all Govt Dues (as per affidavit)	Nil	Nil	Nil	Nil	Nil	Nil	Nil
iv	Whether any other liabilities are in dispute, if so, mention the amount involved and the authority before which it is pending	Nil	Nil	Nil	Nil	Nil	Nil	Nil
iv	Totals (Calculated as Sum of Values)	Rs 13,50,000 13 Lacs+	Rs 20,51,428 20 Lacs+	Nil	Nil	Nil	Nil	Rs 34,01,428 34 Lacs+

Assets:	Rs 1,98,38,118 ~1 Crore+
Liabilities:	Rs 34,01,428 ~34 Lacs+

PURNESH MODI (Winner)

SURAT WEST (SURAT)

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