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SULIT5.          KETERANGAN MENGENAI HARTA
Jenis Harta   Pemilik Harta     Alamat Harta   Tarikh      Bilangan / Ekar    Nilai       Cara Dan      Punca-punca          Kewangan   Bagi   Keterangan      Untuk
              Dan Hubungan      / No.          Pemilikan   / kaki Persegi /   Perolehan   Dari Siapa    Memiliki Harta Dan Jumlahnya.          Lain Jika Ada   Kegunaan
              Dengan            Pendaftaran    Harta       Unit (kalau        Harta       Harta         a) Jika Pinjaman, Nyatakan:                            Rasmi
              Pegawai           / No. Sijil                rumah,             (RM)        Diperolehi,   i) Jumlah Pinjaman
              (sendiri, suami   Dan                        nyatakan                       (dipusakai,   ii) Institusi memberi pinjaman
              atau isteri,      Sebagainya                 keluasan tanah                 dibeli,       iii) Tempoh bayaran balik
              anak dan                                     tapak rumah                    dihadiahkan   iv) Ansuran bulanan
              sebagainya                                   itu)                           dan           v) Tarikh ansuran pertama
                                                                                          sebagainya)   b) Hasil Pelupusan Harta, Nyatakan:
                                                                                                              i) Jenis Harta / Alamat / No.
                                                                                                              Daftar
                                                                                                              ii) Harga Jualan
                                                                                                              iii) Tarikh Lupus

Rumah         Sendiri           Taman          11.11.20    920        kaki    130,998.    Dibeli        a)Pinjaman
                                Perumahan      09          persegi            00                            i)130,998.00
                                Anggerik,                                                                 ii)Public Bank
                                CL0752044                                                                iii)360 Bulan
                                7/4                                                                      iv)615.00
                                                                                                          v)25.11.2011

Simpanan      Sendiri           Kg Buang       23.06.20    RM 1,000.00                    Simpanan      i)Bank Simpanan Nasional
                                Sayang         00                                                       ii)Dari simpanan emolument
                                121032983
                                8657753




[Nota:Sekiranya harta tersebut diperolehi melalui pusaka atau hadiah, sila sertakan sesalinan geran atau dokumen-dokumen berkaitan sebagai bukti]
…………………………………                                                                                                                   …………………………………………….
(Tandatangan Pegawai)                                                                                                           ( Tandatangan Ketua Jabatan )
Borang harta

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Borang harta

  • 1. SULIT5. KETERANGAN MENGENAI HARTA Jenis Harta Pemilik Harta Alamat Harta Tarikh Bilangan / Ekar Nilai Cara Dan Punca-punca Kewangan Bagi Keterangan Untuk Dan Hubungan / No. Pemilikan / kaki Persegi / Perolehan Dari Siapa Memiliki Harta Dan Jumlahnya. Lain Jika Ada Kegunaan Dengan Pendaftaran Harta Unit (kalau Harta Harta a) Jika Pinjaman, Nyatakan: Rasmi Pegawai / No. Sijil rumah, (RM) Diperolehi, i) Jumlah Pinjaman (sendiri, suami Dan nyatakan (dipusakai, ii) Institusi memberi pinjaman atau isteri, Sebagainya keluasan tanah dibeli, iii) Tempoh bayaran balik anak dan tapak rumah dihadiahkan iv) Ansuran bulanan sebagainya itu) dan v) Tarikh ansuran pertama sebagainya) b) Hasil Pelupusan Harta, Nyatakan: i) Jenis Harta / Alamat / No. Daftar ii) Harga Jualan iii) Tarikh Lupus Rumah Sendiri Taman 11.11.20 920 kaki 130,998. Dibeli a)Pinjaman Perumahan 09 persegi 00 i)130,998.00 Anggerik, ii)Public Bank CL0752044 iii)360 Bulan 7/4 iv)615.00 v)25.11.2011 Simpanan Sendiri Kg Buang 23.06.20 RM 1,000.00 Simpanan i)Bank Simpanan Nasional Sayang 00 ii)Dari simpanan emolument 121032983 8657753 [Nota:Sekiranya harta tersebut diperolehi melalui pusaka atau hadiah, sila sertakan sesalinan geran atau dokumen-dokumen berkaitan sebagai bukti] ………………………………… ……………………………………………. (Tandatangan Pegawai) ( Tandatangan Ketua Jabatan )