!!!!!!!!!!!!!!!!!!!!!!!!!Pakistan!Tehreek-e-Insaf !!!!!!!!!!!Declaration!of!Taxes,!Assets,!and!

Liabilities
Financial Declaration. Information provided should be up to date at least until last years official returns. (This declaration should include all similar information of dependent children, spouse and independent sons. If separate form/s are needed for them they should be filled out also).
1. Current Liquidity Cash (in hand and in bank deposits)
! Cash, Bank & Prize Bonds ! (Including Foreign Currency) Cash!at!Bank/s! (by!Currency)! Cash!in!Hand! (by!Currency)!

2.

Assets (if space is insufficient add rows) Particulars

Cost of Assets (Acquisition Value or Inherited)

a. IMMOVABLE PROPERTY - Held within Pakistan (list all) Open plots, houses, apartments, commercial buildings, under construction properties, agricultural property, etc. 1. House # 31-C, Muhammad Ali Housing Society, Karachi 2. Plot # B-112, Block-10, Gulistan-e-Jauhar, Karachi 3. House # D-32, Block-4, K.D.A.Scheme # 5, Clifton, Karachi 4. Apartment # 357, Al-Mustafa Tower, Block-D, Islamabad 5. Property in Banigala, Islamabad 6. Advance for Property in Banigala, Islamabad Total:

b. IMMOVABLE PROPERTY - Held outside Pakistan (list all) 1. 2. 3. 4.

Pakistan Tehreek-e-Insaf
Rs. 1,198,479 1,172,700 50,000 5,600,000 1,174,750 7,000,000 1,600,000 16,597,450

c. MOVEABLE ASSETS - Business capital within Pakistan Name of business/businesses

d. MOVEABLE ASSETS - Business capital outside Pakistan

3.
(i) Stock and Shares (ii) Debentures

Investments

Acquisition Value

(iii) National Investment(Unit) Trust (iv) ICP Certificates (v) National Savings Schemes - Defense Savings Certificate - Special Savings Certificate - Regular Income Certificate (vi) Unsecured loans (vii) Mortgages (viii) Any other

4.

Motor Vehicles/ Other Transport

(Make, Model, Year & Registration No.) (Following Motor Vehicles are in the name of M/s Alvi Dental Hospital)

Current Estimated Value -

i. ii. iii.

Toyota Corolla GLI Automatic Model 2004 Toyota Hilux Vigo 2007 Toyota Corolla Manual 2008 (Stolen at gunpoint Aug 2012)

5.

Jewelry, etc.

Current Estimated Value

Jewellery - 30 Tola (Cost Rs.200,000)

Pakistan Tehreek-e-Insaf
1,038,652 900,000 1,500,000 850,000 1,500,000

Capital Account - M/s Alvi Dental Hospital

9,818,311

6.

Furniture, Fittings & Articles of Personal Use

Current Estimated Value

1,000,000

Furniture & Fixture 7. Any other Assets

8!

Liabilities!(Details!to!be!annexed)! Particulars Value

a. Mortgages Secured on Property or land b. Unsecured Loans Outstanding c. Bank Overdraft d. Bank Loans e. Amounts due under Hire Purchase Agreement f. House Building Loans g. Advances from Provident Funds etc. h. Other debts due i. Liabilities in the names of minor children (in respect of assets standing in their names)

Total 9. Tax History a. NTN No Tax payer since: ______________ Assessment Year Financial Year
2011 - 2012 2010 - 2011 2009 - 2010 2010 - 2011 2009 - 2010 2008 - 2009

(In the name of M/s Alvi Dental Hospital)

Tax Paid
385,580 337,311 338,812

10. Land Revenue Paid during the last 3 years (attach copies of revenue paid) Financial Year Total Amount of Land Revenue Paid

Pakistan Tehreek-e-Insaf
Notes

( ( (
!

Financial( Declaration.( ( Information( provided( should( be( up( to( date( at( least( until( last( years( official( returns.( ( (This( declaration( should( include( all( similar( information( of( dependent( children,( spouse( and(independent(sons.((If(a(separate(form/s(are(needed(for(them(they(should(be(filled(out(also).(
1.( Current(Liquidity(Cash((in(hand(and(in(bank(deposits)!
( Cash, Bank & Prize Bonds ( (Including Foreign Currency) Cash(at(Bank/s( (by(Currency)( Cash(in(Hand( (by(Currency)(

Rs. 1,498,000

2.(((((((((((Assets((if!space!is!insufficient!add!rows)!( Particulars(
a.((IMMOVABLE(PROPERTY(-(Held(within(Pakistan((list(all)( Open!plots,!houses,!apartments,!commercial!buildings,!under!construction! properties,!agricultural!property,!etc.! 1. House No # 23-B/2, S.M.C.H.S.Karachi (Alvi Dental Hospital Site) 2. Plot # 87, Zulfiqar Street, Phase-VIII, D.H.A., Karachi 3. 4. 5. 6. 7. (((((((8.( b.((IMMOVABLE(PROPERTY(-(Held(outside(Pakistan((list(all)( 1. ( 2. ( 3. (

Cost(of(Assets((Acquisition( Value(or(Inherited)(

Pakistan Tehreek-e-Insaf
4,009,866 2,674,866 1,335,000

Pakistan(Tehreek-e-Insaf( Declaration(of(Taxes,(Assets,(and(Liabilities(

4. ( c.((MOVEABLE(ASSETS(-(Business(capital(within(Pakistan(

( ( ( d.((MOVEABLE(ASSETS(-(Business(capital(outside(Pakistan( ( ( ( (

3.(((((((((((((((((((((((((((((((((Investments(
(i)!Stock!and!Shares! (ii)!Debentures! (iii)!National!Investment(Unit)!Trust! (iv)!ICP!Certificates! (v)!National!Savings!Schemes! F!Defence!Savings!Certificate! F!Special!Savings!Certificate! F!Regular!Income!Certificate! (vi)!Unsecured!loans! (vii)!Mortgages! (viii)!Any!other!

Acquisition(Value( ( ( ( ( ( ( ( ( ( (

4.((((((((((((((((((Motor(Vehicles/(Other(Transport((
(Make,!Model,!Year!&!Registration!No.)! i.! ii.! iii.! iv.!

Current(Estimated(Value( ( ( ( (

Pakistan Tehreek-e-Insaf
268,588

Name!of!business/businesses!

5.(((((((((((((((((((((Jewelry,(etc.(
Jewellery - 20 Tola (Cost Rs.150,000) ( ( ( 6.(((((((Furniture,(Fittings(&(Articles(of(Personal(Use( Furniture & Fixture 7.(((((((Any(other(Assets( (
!

Current(Estiamted(Value(

( ( (

Current(Estiamted(Value(

( (

8(

Liabilities((Details(to(be(annexed)( Particulars( Value( ( ( ( ( ( ( ( ( (

a. Mortgages!Secured!on!Property!or!land( b. Unsecured!Loans!Outstanding! c. Bank!Overdraft! d. Bank!Loans! e. Amounts!due!under!Hire!Purchase!Agreement! f. House!Building!Loans! g. Advances!from!Provident!Funds!etc.! h. Other!debts!due! i. Liabilities!in!the!names!of!minor!children!(in!respect!of! assets!standing!in!their!names)!

Total( 9.(((Tax(History(( a. NTN!No! Tax!payer!since:!______________! ! Assessment(Year( Financial(Year(

2011 - 2012 2010 - 2011 2009 - 2010 2010 - 2011 2009 - 2010 2008 - 2009

Tax(Paid(
21,115 11,256 15,883

10.((Land(Revenue!Paid!during!the!last!3!years!(attach!copies!of!revenue!paid)! Financial(Year( ! ! ! ! ! ! ! ! Total(Amount(of(Land(Revenue(Paid(

Pakistan Tehreek-e-Insaf
400,000

1,000,000

Notes( ( ( ( ( ( ( ( ( (