Government Employee Asset Statement Form
A government employee asset statement form provides complete details, facts and figures of the assets owned by a government servant. The form is an endeavour to provide Government with as complete a picture as possible of the Government servant’s assets. Accurate facts and figures about movable and immovable property is provided to the government including factually correct information about the property holder, its date of acquisition or disposal and other valuable figures.
Sample Government Employee Asset Statement Form
Name (in full) of Officer: ________________________________
Designation: ________________________________
Pay: ________________________________
Immovable Property:
Lands:
Land 1 Land 2
Precise location: ______________________ Precise Location: ______________________
Area: ______________________ Area: ______________________
Nature of Land: ______________________ Nature of Land: ______________________
Value: ______________________ Value: ______________________
Interest on Land: ______________________ Interest on Land: ______________________
Date of acquisition/disposal: ________________ Date of acquisition/disposal: _________________
In whose name: ___________ in whose name: ______________________
Houses:
House 1 House 2
Precise location: ______________________ Precise Location: ______________________
Area: ______________________ Area: ______________________
Nature of Land: ______________________ Nature of Land: ______________________
Value: ______________________ Value: ______________________
Interest on Land: ______________________ Interest on Land: ______________________
Date of acquisition/disposal: ________________ Date of acquisition/disposal: _________________
In whose name: ___________ in whose name: ______________________
Movable Property:
Cash, Bank balance, Credit, Insurance policies, shares, Debentures, etc.
Item 1 Item 2
Description of items: ______________________ Description of items: ______________________
Value: ______________________ Value: ______________________
Loans given to others: ______________________ Loans given to others: ______________________
Date of acquisition/disposal: ________________ Date of acquisition/disposal: _________________
In whose name: ___________ in whose name: ______________________
Jewellery and other valuable, motor vehicles, refrigerators and other articles or materials of value
Item 1 Item 2
Description of items: ______________________ Description of items: ______________________
Value: ______________________ Value: ______________________
Date of acquisition/disposal: ________________ Date of acquisition/disposal: _________________
In whose name: ___________ in whose name: ______________________
Category: Statement Forms
