Wealth Statement Form
A wealth statement form is a statement for declaration of total wealth in possession by an individual to the income tax department. The form contains the total valuation of assets and liabilities of the individual and also his total income and expenses so that the amount of tax to be paid by him can be calculated.
Sample Wealth Statement Form:
Tax year: ______________
Area code: _______________
Details of assets and liabilities Total valuation amount
1.___________________ (name of the business):
Capital amount of business _________________
2. Total loans and advances _________________
3. Vehicles owned:
a) __________________ _________________
b) __________________ ___________________
4. Jewellery
a) ________________ ___________________
b) ____________________ ____________________
5. Furniture and fittings of residence __________________
6. Furniture and fittings of office __________________
7. Cash and bank balances:
Name of bank
a) _________________ ________________
b) _________________ ________________
8. Overdrawn capital ________________
9. Overdraft _________________
10. Annual personal expenses _______________
I, _______________ (name of taxpayer) in my role as taxpayer would like to declare my total wealth valuation to the best of my knowledge.
_________________
Signature of taxpayer
Dated: ____________
Category: Statement Forms
