Format of Networth Certificate for Individual

NET WORTH CERTIFICATE
(For an Individual)

To Whom­so­ev­er It May Concern

This is to cer­ti­fy that Mr./Ms. [Full Name], son/daughter of [Father’s Name], resid­ing at [Full Res­i­den­tial Address], has a net worth as on [Date], as detailed below. This cer­tifi­cate has been pre­pared based on the infor­ma­tion, doc­u­ments, and expla­na­tions pro­vid­ed by the indi­vid­ual and ver­i­fied to the extent pos­si­ble from the rel­e­vant records pro­duced before us.

We have relied upon the rep­re­sen­ta­tions made and dec­la­ra­tions sub­mit­ted by the indi­vid­ual, and wher­ev­er pos­si­ble, sup­port­ing doc­u­men­tary evi­dence has been obtained. Based on the above, we here­by cer­ti­fy the state­ment of net worth as follows:

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Statement of Net Worth as on [Date]

Par­tic­u­lars	Sched­ule Ref.	Amount (INR)
A. Assets
1. Immov­able Properties	Sched­ule A	₹ [xx,xx,xxx]
2. Mov­able Properties	Sched­ule B	₹ [xx,xx,xxx]
3. Bank Bal­ances & Fixed Deposits	Sched­ule C	₹ [xx,xx,xxx]
4. Invest­ments	Sched­ule D	₹ [xx,xx,xxx]
5. Insur­ance Poli­cies (Sur­ren­der Value)	Sched­ule E	₹ [xx,xx,xxx]
6. Oth­er Assets	Sched­ule F	₹ [xx,xx,xxx]
Total Assets (A)		₹ [xx,xx,xxx]
B. Lia­bil­i­ties
1. Secured Loans	Sched­ule G	₹ [xx,xx,xxx]
2. Unse­cured Loans	Sched­ule H	₹ [xx,xx,xxx]
3. Oth­er Liabilities	Sched­ule I	₹ [xx,xx,xxx]
Total Lia­bil­i­ties (B)		₹ [xx,xx,xxx]
Net Worth (A — B)		₹ [xx,xx,xxx]

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Schedules to Net Worth Statement

Schedule A – Immovable Properties

Descrip­tion	Loca­tion	Own­er­ship	Esti­mat­ed Val­ue (INR)
Res­i­den­tial House	[City, State]	Self	₹ [xx,xx,xxx]
Agri­cul­tur­al Land	[Loca­tion]	Joint	₹ [xx,xx,xxx]
Com­mer­cial Property	[Loca­tion]	Self	₹ [xx,xx,xxx]
Total (A)			₹ [xx,xx,xxx]

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Schedule B – Movable Properties

Descrip­tion	Mod­el / Details	Own­er­ship	Esti­mat­ed Val­ue (INR)
Car – [Brand/Model]	[Year]	Self	₹ [xx,xx,xxx]
Fur­ni­ture & Fixtures	Home Use	Self	₹ [xx,xx,xxx]
Jew­el­ry	Gold/Diamond	Self	₹ [xx,xx,xxx]
Total (B)			₹ [xx,xx,xxx]

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Schedule C – Bank Balances & Fixed Deposits

Bank Name	Account Type	Bal­ance (INR)
[Bank Name]	Sav­ings	₹ [xx,xxx]
[Bank Name]	FD (Matu­ri­ty)	₹ [xx,xxx]
Total ©		₹ [xx,xx,xxx]

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Schedule D – Investments

Invest­ment Type	Details / Name	Val­ue (INR)
Shares	[Com­pa­ny Name]	₹ [xx,xxx]
Mutu­al Funds	[Fund Name]	₹ [xx,xxx]
PPF / NSC / Bonds	[Issuer]	₹ [xx,xxx]
Total (D)		₹ [xx,xx,xxx]

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Schedule E – Insurance Policies (Surrender Value)

Pol­i­cy No. / Insurer	Plan Name	Sur­ren­der Val­ue (INR)
[Pol­i­cy No.]	[Plan]	₹ [xx,xxx]
Total (E)		₹ [xx,xx,xxx]

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Schedule F – Other Assets

Descrip­tion	Details	Val­ue (INR)
Advance Paid	For Prop­er­ty	₹ [xx,xxx]
Busi­ness Capital	[Name, if any]	₹ [xx,xxx]
Oth­er Receivables	Spec­i­fy	₹ [xx,xxx]
Total (F)		₹ [xx,xx,xxx]

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Schedule G – Secured Loans

Lender Name	Pur­pose	Out­stand­ing (INR)
[Bank / NBFC Name]	Home Loan	₹ [xx,xxx]
[Bank Name]	Car Loan	₹ [xx,xxx]
Total (G)		₹ [xx,xx,xxx]

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Schedule H – Unsecured Loans

Lender Name	Rela­tion­ship	Out­stand­ing (INR)
[Relative/Entity]	Per­son­al Loan	₹ [xx,xxx]
Cred­it Card Dues	[Bank Name]	₹ [xx,xxx]
Total (H)		₹ [xx,xx,xxx]

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Schedule I – Other Liabilities

Par­tic­u­lars	Descrip­tion	Amount (INR)
Income Tax Payable	AY [Year]	₹ [xx,xxx]
GST/Other Tax­es Payable	If any	₹ [xx,xxx]
Total (I)		₹ [xx,xx,xxx]

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This cer­tifi­cate is issued at the request of Mr./Ms. [Name] for the pur­pose of [Visa Appli­ca­tion / Finan­cial Require­ment / Cred­it Appraisal / Ten­der Appli­ca­tion / Oth­er — spec­i­fy] and is based on the dec­la­ra­tions and doc­u­ments sub­mit­ted to us.

Place: [City]
Date: [DD/MM/YYYY]

For [Name of CA Firm]
Char­tered Accoun­tants
FRN: [Firm Reg­is­tra­tion Number]

(Sig­na­ture with Seal)
[Name of Char­tered Accoun­tant]
Proprietor/Partner
Mem­ber­ship No.: [XXXXXX]
UDIN: [XXXXXXXXXXXXXXXXXX]