AFFIDAVIT OF ASSETS TO BE MADE BY A JUDGMENT-DEBTOR (ORDER XXI, RULE 41(2))
In the court of..................................................
A. B. of..................................................... Decree-holder.
versus 
C.......................................................... Judgment-debtor.
I..................... of....................... state on oath solemn affirmation as follows: -
1. My full name is.................................. (Block capitals).
2. I live at..................................................
*3. I am married. 
Single
Widower/widow divorced.
4. The following persons are dependent upon me: -
5. My employment, trade or profession is that if.................................... carried on by me at............................ I am a director of the following companies: -
6. My present annual/monthly/weekly income, after paying income-tax, is as follows: -
(a) From my employment, trade or profession Rs.....................
(b) From other sources Rs..............................
*7(a) I own the house in which I live; its value is Rs.........................
I pay as outgoings by way of rates, mortgage, interest, etc. the annual sum of Rs................................
(b) I pay as rent the annul sum of Rs..................................
8. I possess the following: -
(a) Banking accounts;
(b) Stocks and shares: Give Particulars
(c) Life and endowment policies
(d) House property; 
9. The following debts are due to me: (Give particulars)
(a) From.............................. of..............
Rs..................................................
(b) From............................... of............
................. Rs............................. etc.)