TaxTMI 
TaxTMI 
Statement of affairs under section 454
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....y of ................ 19 .......... Before me Commissioner for oaths The Commissioner is particularly requested, before swearing the affidavit, to ascertain that the full name, address and description of the deponent are stated, and to initial any crossings out or other alterations in the printed form. A deficiency in the affidavit in any of the above respects will entail its refusal by the court, and will necessitate its being re-sworn. Note.--The several lists annexed are not exhibits to the affidavit. Statements of Affairs and Lists to be Annexed Statement as to the affairs of ............. Ltd., on the ................ day of .......... 19 ........., being the date of the winding up order (or order appointing Provisional Liquidator or the date directed by the Official Liquidator as the case may be) showing assets at estimated realisable values and liabilities expected to rank:-- Assets not specifically pledged (as per list 'A') Estimated realisable values Rs. Balance at Bank Cash in hand Marketable Securities Bills Receivable Trade Debtors Loans & Advances Unpaid Calls Stock in trade Work in progress ........... ........... ........... ........... Freehold p....
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....pital: ........... preference shares of ........... each ........... Called-up (as per List 'F') ........... equity shares of ........... each ........... Called-up (as per List 'G') ........... ........... ........... ........... ........... ........... Estimated Surplus/Deficiency as regards Members* (as per List 'H') Rs. Rs. * These figures must be read subject to the following notes: (1) (f) there is no unpaid capital liable to be called up, or (g) the nominal amount of unpaid capital liable to be called up is Rs ............ estimated to produce Rs. ............... which is/is not charged in favour of Debenture Holders [Strike out (f) or (g)]. (2) The estimates are subject to costs of the winding-up and to any surplus or deficiency on trading pending realisation of assets. List 'A' -- Assets not specifically pledged Statement of Affairs:-- List 'A' Full particulars of every description of property not specifically pledged and not included in any other List are to be set forth in this list. Full statement and nature of property Book value Rs P. Estimated to produce Rs. P. State name of bankers. Balance at Bank Cash in hand Marketable Securities, viz., ....
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....articulars to be found Rs. P. Rs. Signature ..................... Dated ........... 19 ....... Schedule IV Unpaid Calls Statement of Affairs: Schedule IV to List 'A' The names to be arranged in alphabetical order and numbered consecutively Consecutive No. No. in share register Name of shareholder Address No. of shares held Amount of call per share unpaid Total amount due Estimated to realise Rs. P. Rs. P. Rs. Signature ................... Dated ......... 19 ....... Schedule V Stock in Trade Statement of Affairs: Schedule V to List 'A' Serial No. Description Quantity Book Value Estimated to realise Rs. P. Rs. Signature .................. Dated .......... 19 ....... Schedule VI Debts due from Contributories (Other than unpaid calls) Statement of Affairs: Schedule VI to List 'A' Consecutive No. No. in share register Name of shareholder Address Nature & Particulars of the Debt Amount due Security held, if any, for the debt Serial No. in Schedule I, II or or III, as the case may be where the debt is included. Signature ................. Dated ......... 19 ..... List 'B' -- Assets specifically pledged and creditors fully or partly secured (....
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....tor should be inserted immediately below the name and address of such creditor No. Name Address and Occupation Amount of Debt Date when contracted Folio of ledger or other book where particulars to be found Consideration Unsecured balance of creditors partly secured Rs. P. Month Year -- brought from List 'B'. Balance not preferential of preferential creditors -- brought from List 'C' Signature ........................ Dated .............. 19 ...... List 'F' -- Preference Shareholders The names to be arranged in alphabetical order and numbered consecutively Statement of Affairs: List 'F' Consecutive number Register number Name of shareholder Address Nominal amount of share Number of shares held Amount per share called up Total amount called up Rs. P. Rs. P. Signature ................. Dated ............. 19 ...... List 'G' --List of Equity shareholders The names to be arranged in alphabetical order and numbered consecutively Statement of Affairs: List 'G' Consecutive number Register number Name of shareholder Address Nominal amount of share Number of shares held Amount per share called up Total amount called up Rs. P. Rs. P. Signature ........