Rs. 100--iONE

"i .''t?

RUPEESi

INDIA N

E o qrn ga futrrmr rErl\NGAr{ASr. No. SASS-Date. 01.03.2019 Value;Purchaser fl : M.S. PRABHAKAR RAO

: Late. M.R. Shyam Rao R/o HydFor Whol : SELF

R 8917 82B. MARYLicenced Stamp VendorLIC: I 6-07-0 l/20 I 3, Ren.N o.t 6_07 _06t I 9# 5-9-22/l l/104, Hilt Top ColonyAdarshnagar, Hyderabad, DistrictPh.No.:9885096145FORM 26

(See rule 4,A)

rike out rr lricircr cr is not applicable)

Fpriqwt

- s. 100 HUNDRED

,,3rrveI INDIA

r00/-

H-:lgAFFIDAVI-I- 'I'O BE FILED I}Y THE CANDIDATE ALONG WITHffourNarloN p,\pBR BEFoRE THE RETURNING oFFrcER FoR ELECTIoNTO TI{E TELAN(;,\NA LECISLATIVtr COUNCIL (NAME OF THE HOUSE) FROMfz - nvoBRABAD LocAL AUTH.RITIES, .'NSTITUENC' (NAME oF THECONSTTTUENCY)

PART-Al, M.S.prubhakrrr Rrro son of [-ate M.R.Sh{rlR.q Aged 57 years, resident of H.No.l0_l_

iti?;i,if Htli'::*yffi :,:t:,J:*ltrJl*ry::.;:f ;ffi 1,il*htTx,"t";?lEH(l) I am a canclitrate set up by Terangana Rashtra samithi party

1$*nu.. of the politieal party)/**

/Qvfut(w^a.Lraknl>

Jt--

(2) My name is enrolled in 63-Nampally, Telangana (Name of the constituency and the

State), at Serial No. 915 in Part No.2.

(3) My contact telephone number(s)msprabhakarrao@yahoo.inand my(i) Nil(ii) Nir

(iii) Nil

islare98497 28704 /9666678704 and my email id (if any) issocial media account(s) (if any) is/are

(4) Details of Permanent Account Number (PAN) and status of filing of Income Tax retum:

(s) Pending criminal cases

I declare that there is no pending criminal case against me.(Tick this olternative if there is no criminal case pending against theCandidate and write NOT APPLICABLE against olternative (ii) below\

ORThe following criminal cases are pending against me: NOT APPLICABLE(If there are pending criminol cases against the candidate, then tick thisalternative and score off alternative (i) above, and give detoils of allpending cases in the Table below)

(iD

sl.

No.

Names PAN The financial year

for which the last

Income-tax retum

has been filed

Total income

shown in

Income-tax

return (in

Rupees)

I M.S.Prabhakar Rao -Self {CBPR 3854 J 2017-18 Rs.5,48,400/-

2. Usha Shree Motta -

Spouse

A.AXPU 6918 L Nil Nil

3. M.P.Shashank Rao - Son ]ORPM 7309 P Nil Nil

4. Prabhakar Rao SoundaryaMotta - Daushter

]RPPM 6775 A Nil Nil

5. Dependent-3 Nil Nil Nil

hderabad

04 lut)12 lx

U)

Table

(a) FIR No. Withnameand address ofPoliceStationconcerned

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

(b) Case No. withNameof the Court

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

(c) Section(s) ofconcernedActs/Codesinvolved(give no. of theSection

, e.g. Section.......of IPC, etc).

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

(d) Brief descriptionofoffence

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

(e) Whether chargeshavebeen framed

(mention YES orNo)

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

(0 If answer against(e)above is YES,thengive the date onwhichcharges wereframed

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

lfi lo012 lr:

Y9

t.,A

6u,B.BdCztzlefab

the

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(e) Whether anyAppeal/Application forrevisionhas been filedagainst theproceedings(Mention YES orNO)

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

(6) Cases of conviction

W r declare that I have not been convicted for any criminal offence.' (Tick this alternative, if the candidute has not been convictedand write Nor APPLICABLE against alternative (ii) below)

OR(iD I have been convicted for the offences mentioned below: NOT A4nLICABLE

(If the candidate has been convicted, then tick this alternativeand score off alternative (i) above, and give detoils in the Table below)

Table

(a) Case No. NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

(b) Name of the Court NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

(c) Sections ofActs/Codesinvolved(give no. of theSection,e.g. Section ......,ofIPC, etc.).

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

(d) Brief description ofoffencefor which convicted

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

(e) Dates of orders ofconviction

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

(f) Punishmentimposed

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

(e) Whether anyAppeal has beenfiled againstconviction order(Mention YES orNo)

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

4* /. . ._._2.. ^.\,W /Ouwt**tuW

Note:t.2.

3.

(h) If answer to (g)above is YES,give details andpresent statusof appeal

NOTAPPLICABLE

NOTAPPLICABLE

NOTAPPLICABLE

(6A) I have given full and up-to-date information to my political party about allpending criminal cases against me and about all cases of conviction as given inparagraphs (5) and (6)z NOT APPLICABLE IN VIEW OF ENTRIES IN S(i) and6 (t).

[candidates to whom this rtem is not appricoble should clearly write NorAPPLICABLE IN VIEW OF ENTRIES fN SO ond 6 (i), above J

Detuils should be entered cleorly and legibly in BOLD lettersDetails to be given separotely for each cose under dffirent columns against eachitem.Details should be given in reverse chronological order, i.e., the lotest case to bementionedfirst and buckwards in the order of datesfor the other cases.Additional sheet may be odded if required.c-andidote is responsiblefor supplying ail information in compliance of Hon,bleSupreme Court's judgment in W,p (C) No. iSO of 2011.

(7) That I give herein below the details of the assets (movable and immovable etc.) of myself,my spouse and all dependents:

A. Details of movable assets:

Note: l. Assets in joint name indicating the extent ofjoint ownership will also have to be given.Note: 2. In case of deposiVlnvestment, the details Including Serial Number, Amount, date of

deposit, the scheme, Name of the BanMnstitution aniBranch are to begivenNote: 3' Value of Bonds/Share Debentures as per current market value in Siock exchange in

respect of listed companies and as per books in case of non-listed companies should begiven.

Note: 4' 'Dependent'_means parents, son(s), daughter(s) of the candidate or spouse and any otherperson related to the candidate whether by blood or marriage, wh^o have no separatemeans of income and who are dependent on the candidate for their livelihood.

Note: 5. Details including amount is to b-e given separately in respect of each investment

4.

5.

Sl.No. Description M.S.Prabhakrr Rao(Sell)

Usha ShreeMotta(Spouse)

M.P.ShashankRao@ependent-1)

Prabhakar RaoSoundaryaMottaT)enendenf-2)

Dependent-3NA

I Cash in hand Rs.1,00,000/- Rs.35,000/- Ls.10,000/- {il Nil(11., uetalls oI cleposit in

Bank accounts (FDRs,Term Deposits and allother types of depositsincluding savingaccounts), DepositsWlth Financial

.Telanganatate Co-perative Aperank(SA),

{asabtankranch, A/co:

l.TelanganaState Co-operativeApexBank(SA),MasabtankBranch, A/c

ll.Telangana StateCo-operativeApex Bank(SA),MasabtankBranch, A/c No:991 10036000894I Balance of

l.TelanganaState Co-cperative ApexBank(SA),MasabtankBranch, A/c No:)91 I 0036000894

NoT

'o/*.nr#,uHABlo\.'l ddti*\ol{4 l

AMryq

t\t,;l5'o/ ,fuy*k@

Yov tne 92

Institutions, Non-Banking FinancialCompanies andCooperative societiesand the amount in eachsuch deposit.

l 10036000c40 Balance os.10,42,770/

.sBI(SA),

lBranch. A/c.

[o,r".152205229114lBalan"" nfIRs.87,35,812/-I

I

13.Andhra

lBank(SA),lrhajagudaBranch, A,/cNo.244310100002184,Balance ofRs.46,63,645/-

4.FixedDeposit inSBI,SecretariatBranch I

A.mount of I

Rs.2,00,000/- |

t:

I 10036000721Balance

1,22,3141-

SA),

fagudaranch, A,/c

No.2443 l0l0loooz r zs,palance offRs.2,93,780/-

1,48,559/-

.Andhrank(SA),jaguda

A/c24431010000

829, Balance ofs.35,545/-

13. Fixed Deposit

lin r.s. Co. op.Bank. Masab

[ank Branch,Amount ofRs.50,000/-

2 Balance of

f'.:z,rsru-

1..*.0 Deposit

lAndhra Bank,

[.hajagudalBranch, Amountbf Rs.5,00,000/-

AP

P

LICABLE

(iii) Details of investmentin Bonds,debentures/shares andunits incompanies/Mutualfunds and others andthe amount.

NiI Nil Nil Nil Nit

(iv) Details of investmentin NSS, Postal Saving,Insurance policies andinvestment in anyFinancial instrumentsin Post office orInsurance Companyand the amount.

Postal Savings,Amount ofRs. 1,05,000/-

Nil Nit Nil Nil

, -e*tfu*tuL

(u) Personal loans/advance given to anyperson or entityincluding firm,company, Trust etc.,and other receivablesfrom debtors and theamount.

Nil Nil Nil Nil Nil

(vi) Motor Vehicles/Aircraft s/Yachts/Ships(Details of Make,registration numberetc. year of purchaseand amount)

Nil Sorolla Altis,Registration\IO:

rs 07 FQ 0207Year ofPurchase 2016Purchase Priceks.15,22,4951-

foyota InnovaRegistration No:fs07E20207Year ofPurchasez0t6Purchase Priceks.72,40,8761-

lnnova CrystaRegistration No:TSOTFUO2OT

Year ofPurchase2.017

Purchase PriceRs.14,54,700/-

Nil

(vii) Jewellery, bullion andvaluable thing(s) (givedetails of weight andvalue)

NilSold)rnaments100 Grams ofRs.10,20,000/.

NilGold Omaments150 Grams ofRs.5,10,000/-

Nit

(viii) Any other assets suchas value ofclaims/interest

Nil Nil Nil Nil Nil

(ix) Gross Total Value ks.1,48,47,2271- Rs.29,93,589/- Rs.14,84,979l- Rs.25,01,831/- \il

B. Details of Immovable Assets:

Note: l. Properties in joint ownership indicating the extent ofjoint ownership will alsohave to be indicated.

Note: 2. Each land or building or apartment should be mentioned separately in thisformat

M.S.PrabhakarRao(SelI)

Usha ShreeMotta(Spouse)

M.P.ShashanRao(Dependent-1)

Agricultural LandLocation(s)Survey number(s)

y.No.2l8lAl to2l8l4,'olkatta Village,oinabad Mandal, R.Rist

y.No.l8/Al to18/4,

MoinabadMandal,R.R Dist

measurement in acres'Ac.3.09 Gts.

Flyderabad

/-.

/OilA|..aA-t*_!* '

Description

Date of purchase incase of self-acquiredproperty

26.05.2016 26.05.2016Nil Nil Nil

Cost of Land (in case

ofpurchase) at thetime of purchase

Rs. 14,51,250/- Rs. 14,51,2501- Nit Nit Nit

Any investment on theland by way ofdevelopment,construction etc.

Rs.2,00,000/- ls. 2,00,000/-Nil Nil Nil

Approximatemarket value

Rs.75,00,000/- 1s.75,00,000i- Nil Nil !il

(ii) Non-AgriculturalLand:Location(s)Survey number(s)

Nil Sy.No.2l5,Iolkatta Village,VloinabadVlandal, R.R Dist

Nil Nil Nil

Area (totalmeasurement in sq.ft.)

Nil Z0l4 Sq. Yards Nil Nil \til

Whether inheritedproperty (Yes or No)

NilNO

Nil Nil \Iit

Date of purchase incase of self-acquiredproperty

Nil26.05.2003

Nit Nir Nil

Cost of Land (in caseofpurchase) at thetime of purchase

NilRs. 80,000/-

Nil Nil Nil

Any investment on theland by way ofdevelopment,construction etc.

NilRs. 2,00,000/-

Nil Nil \il

Approximate currentmarket value Nil

Rs. 20,00,000/- Nil Nit Nil

(iiD

h

Commercial Buildings(including apartments)-Location(s)-Survey number(s)

Nil Nil Nil Nil \il

Area (totalmeasurement in sq.ft.)

Nil Nil Nil Nil Nil

Built-up Area (totalmeasurement in sq.ft.)

Nil Nil Nil Nil Nil

Whether inheritedpropefi (Yes or No)

Nil Nil Nil Nit \ilDate of purchase incase ofself-acquiredProperty

Nil Nil Nil Nit \il

Cost of properry (incase ofpurchase) atthe time of purchase

Nil Nil Nil Nil Nil

x\ 8

/UulfiatrcLn"?>

Any investment on theproperty by way ofdevelopment,construction etc.

Nil Nil Nil Nil \il

Approximate currentmarket value

Nil Nit Nil Nil Nil

(iv) Residential Buildings(includingapartments):-Location(s)-Survey number(s)

Area (totalmeasurement in sq.ft.)

ll. Flat No. 102

H.No.l0-l-18/31Shyamnagar,Masabtank, Hyderabad-s00 004

2. Plot No.78,H.No.7-l l/7,Sy. No.66/3, PrashanthHi lls, Serilingampally,R.R. District.

3. H.No. l2-ll3/BHuda Colony,Chandanagar, BHEL,Hyderabad

Nil Nil Nil Nit

l. 1000 sft

2.2700 Sft.

l. 3600 sft

Nil Nil Nil Nil

Built up trctlTbtal--measurement in sq.ft.)

I2

J

r000 sft5000 sft5000 sft

Nil Nil Nil Nit

Whether inheritedproperry (Yes or No)

l.2.

l.

NO.NO.Yes

Nil Nit Nil \til

Date ot purchase incase of self-acquiredproperty

I2

J

05.12.200308.12.2012Not Applicable

Nil Nil Nit Nit

Cost of property (incase ofpurchase) atthe time of purchase

l. Rs. 4,50,000/-2. Rs.3,70,012/-l. Not Applicable

Nil Nil Nit \til

Any investment on theland by way ofdevelopment,construction etc.ffimarket value

l.Nil2.20,00,000/-]. 25,00,000/-

Nil Nil Nil Nil

I

2

l

15,00,000/-25,00,0001-30,00,000/-

Nil Nil Nil Nil

(v) Others (such as

interest in property)

\-

Nil Nil Nil Nil \Iil

(

"l<,r-3

\:w4 /CU/ul'^/^A-Mfu-'D

(vi) Total of current marketvalue of(i) to (v) above

Rs.1,45,00,000/- Rs.95,00,000/- Nil Nil Nil

(8) I give herein below the details of liabilities/dues to public financial institutions and

government:

(Note: please give separate details of name of bank, institution, entity or individual andamount before each item)

S.

No.Description M.S.

PrabhakarRao(Self)

Usha ShreeMoffa(Spouse)

M.P.ShashankRao(Dependent-1)

PrabhakarRaoSoundaryaMotta(Dependent-2\

Dependent-3

(i) Loan or dues toBank/financialinstitution(s)Name of the Bank orfinancial Institution,Amount outstanding,Nature of Loan

Housing Loan inAndhra Bank,Khajaguda Branch.Rs. 20,00,000/-

Nil Nil Nil Nil

Loan or dues to anyotherindividuals/entityother than mentionedaboveName(s), Amountoutstanding, nature ofloan

Nit Nil Nil Nil Nil

Any other liabilitv Nil Nil Nil Nil \ilGrand total ofliabilities

Rs.20,00,000/- Nil Nil Nil Nit

(ii) Government dues:Dues to Departrnentsdealing withGovernmentaccommodation

(A) Has the Deponent been in occupation ofaccommodation provided by the Government at anytime during the last ten years before the date ofnotification of the current election?

(B) If answer to (A) above is YES, the following declarationmay be furnished namely: -

(i) The address of the Government accommodation:Nit

o(Pt.tick tappnriatealtentive)

w6

10

.-O'w1wat-^M7:-'

(ii) There is no dues payable in respect of aboveGovernment accommodation, towards-(a) rent;(b) electricify charges;(c) water charges; and(d)telephone charges as on Not Annlicable (date)I the date should be the last date of the third monthprior to the month in which the election is notified orany date thereafterl.

Note -- 'No Dues Certificate, from the agencies concernedin respect of rent, electricity charges, water charges andtelephone charges for the above Governmentaccommodation should be submitted.

(iii) Dues to departmentdealing withGovernment transport(including aircraftsand helicopters)

Nil Nil Nil Nit Nil

(iv) Income tax dues Nil Nil Nil Nil NilM.S.PrabhakarRao(Self)

Usha ShreeMotta (Spouse)

M.P.ShashankRao(Dependentl)

Prabhakar RaoSoundarya Motta(Dependent-2)

Dependent-3

(v) GST Dues Nit Nil Nil Nil vit(vi) Municipal/Properfy

tax duesNil Nil Nit Nil \il

(v ) Any other dues Nil Nil Nil Nil Nil(viii) Grand total of all

Government duesNil Nil Nil Nil Nil

(ix) Whether any otherliabilities are indispute, if so, mentionthe amount involvedand the authoritybefore which it ispending.

Nil Nil Nil Nit Nil

* / ..n_...... -^\*

w(.A*;

y'frus{olockfi{tztzorz

(9) Details of profession or occupation:(a) Self : Business

(b) Spouse: House Wife

(9A) Details of sources of income:(a) Self: Salary as MLC and Agricultural Income

(b) Spouse: Agriculturaland Rental Income

(c) Source of income, if any, of dependents : Nil11

/fu|*aL/41l6'D

(9B) Contracts with appropriate Government and any public company or

companies

(a) details of contracts entered by the candidate Nil

(b) details of contracts entered into by spouse Nil

(c) details of contracts entered into by dependents Nil

(d) details of contracts entered into by Hindu Undivided Family or trust

in which the candidate or spouse or dependents have interest Nil(e) details of contracts, entered into by Partnership Firms in which

candidate or spouse or dependents are partners Nil(f) Details of contracts entered into by private companies in which

candidate or spouse or dependents have share Nil

(10) My educational qualification is as under:-

BA, Nizam College, Osmania University, Hyderabad-l984

(GiYe_ details of highest School/University education mentioning the full form of thecertificate/diploma/degree course, name of the School/College/University and the year inwhich the course was completed.)

,eu,u1-^U

B

72

PART-B

(11) ABSTRACT OF THE DETATLS GrVEN rN (l) TO (10) OF pART-A:

I Name of the candidate Sh. M.S.Prabhakar Rao2. Full postal address H.No. I 0- I - I 7/2, Shyamnagar, Masabtank,

Hyderabad, Telangana - 500 004

J. Number and name of the constituencyand State

I 7-Hyderabad Local Authorities' ConstituencyIelangana

4. Name of the political party which set upthe candidate (otherwise write'Independent')

felangana Rashtra Samithi Party

5. Total number of pending criminal cases Nil

6 Total number of cases in whichconvicted

Nil

7. PAN of Year for which lastincome Tax returnfiled

Total income shown

(a)M.S.PrabhakarRao - Self

ACBPR 3854 J 2017-18 Rs.5,48,400/-

(b)Usha ShreeMotta - Spouse

{AXPU 69I8 L Nil Nit

(c)M.P.ShashankRao - Son

CORPM 7309 P Nil Nil

(d)Prabhakar RaoSoundarya Motta -Daughter

CRPPM 6775 A Nil Nil

8. Details of Assets and Liabilities in RupeesDescription M.S.Prabhakar

Rao(Self)Usha ShreeMotta(Spouse)

M.P.ShashankRao

[Dependent-l)

PrabhakarReo

SoundaryaMotta

iDependent-2)

Dependent-m

A. Moveable Assets(Total value)

Rs.l ,48,47 ,227 l. Rs.29,93,589/ Rs.14,84,979l Rs.25,01,83 l/- Nil

B. Immovable AssetsI Purchase Price of

self-acquiredimmovableproperty

Rs.22,71,262/- Rs.l5,3 1,2501- Nil Nil Nil

II Development/construction costof immovableproperty afterpurchase (ifapplicable)

Rs.47,00,000/- Rs.4,00,000/- Nil Nil Nil

Vrr]Ats\13

,.Llw1aalL*J^^'TY(,

"l€!r€\o\

)zz-Q/x un6ffurrt6\

tW")trN'"'%)

III ApproximateCurrent marketprice-(a) self-acquiredassets (TotalValue)

O) inheritedassets (TotalValue)

Rs. 1,15,00,000/.

Rs.30,00,000/-

Rs.95,00,000/

Nil

N il

\lil

N il

Nil

N il

Nil

9. Liabilities(i) Govemment dues

(Total)Nil Nit \il vil Nil

(i i) Loans from Bank,FinancialInstitutions andothers (Total)

Rs.20,00,000/- Nil Nit vil Nil

10. Liabilities that are under dispute(i) Government dues

(Total)Nil Nil Nil Nil Nil

(ii) Loans from Bank,FinancialInstitutions andothers (Total)

Nit Nit Nil Nil Nil

1l Highesteducationalqualification:BA,Nizamcoll"g1984

(Giye details of highest School/University education mentioning the full form of thecertificate/diploma/degree course, name of the School/College/University and the yearin which the course was completed.)

VERIFICATION

I, the deponent, above named, do hereby veriff and declare that the contents of this affidavitare true and correct to the best of my knowledge and belief and no part of it is false andnothing material has been concealed there from. I further declare that:-(a) there is no case of conviction or pending case against me other than those mentioned initems 5 and 6 of Part A and B above;O I, my spouse, or my dependents do not have any asset or liability,mentioned in items 7 and 8 of part A and items g, 9 and l0 of part B above.Verified at Hyderabad this the l'tday of March,20l9.

other than those

WWNote: l. Affidavit should be filed latest by 3.00 PM on the last day of filing nominations.Note: 2. Affidavit should be sworn before an Oath Commissioner or Magistrate of the First

Class or before a Notary public.Note: 3. All column should be filled up and no column to be left blank. If there is no

information to furnish in respect of any item, either "Nil" or "Not applicable,, as thecase may be, should be mentioned,- The Affidavit should be either typed or written legibly and neatly.

ATTESTED ,--*kffiF;lor.ifll$j:Fli;::,",*"

1.4

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