TaxTMI 
TaxTMI 
Application for registration of creation, modification of charge (other than those related to debentures) including particulars of modification of charge by Asset Reconstruction Company in terms of Securitization and Reconstruction of Financial Assets and Enforcement of Securities Interest Act, 2002 (SARFAESI)
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....t Reconstruction Company in terms of Securitization and Reconstruction of Financial Assets and Enforcement of Securities Interest Act, 2002 (SARFAESI) [Pursuant to sections 77,78 and 79 and pursuant to Section 384 read with 77,78 and Hindi 79 of the Companies Act, 2013 and Rule 3(1) and 13 of the Companies (Registration of Charges) Rules 2014] Refer instruction kit for filing the form All fields marked in * are mandatory Entity's Details 1 *Corporate Identity Number (CIN) or Foreign Company Registration Number (FCRN) 2(a) *Name of the Company (b) *Address of the registered office or principal place of business in India of the company (c) *e-mail ID of the company 3 (a) *This form is for registration of â—‹ Creation of charge O Modification of charge (b) *Charge ID of the charge to be modified or rectified 4 *Whether the applicant is Details of charge instrument 5(a)* Date of the instrument creating or modifying the charge (DD/MM/YYYY) (b)* Nature, description and brief particulars of the instrument creating or modifying the charge (c) Whether charge is created or modified outside India Company Charge holder Yes No 6(a) Whether charge is modified in fav....
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.... INR.). (In case of modification of charge, enter the amount secured by the charge after such modification) (b)* Maximum Amount secured by the charge in words (c) In case amount secured by the charge is in foreign currency, mention details 11 Brief of the principal terms and conditions, extent and operation of charge (a) Date of Creating Security Interest by actual/ constructive deposit of title deeds within bank/ housing finance company (DD/MM/YYYY) (b) Borrower's customer/account number (c) *Rate of interest (d) *Repayment term (in months) (e) *Terms of Repayment (f) Nature of facility (g) Date of Disbursement (DD/MM/YYYY) (h) Miscellaneous narrative information (i) *Margin (j) *Extent and operation of the charge (k) Others Asset Details 12 In case of acquisition of property, subjected to charge, furnish the details relating to the existing charge on the property so acquired (a) Date of instrument creating or evidencing the charge (DD/MM/YYYY) (b) Description of the instrument creating or evidencing the charge (c) Date of acquisition of the property (DD/MM/YYYY) (d) Charge ID (e) Amount of the charge (in INR) (f) Particulars of the property charged 13(a)....
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.... of modification of charge) Attachments (a) *Instrument(s) of creation or modification of charge (b) Instrument(s) evidencing creation or modification of charge in case of acquisition of property which is already subject to charge together with the instrument evidencing such acquisitions; (c) Optional attachment(s)- if any ○ Yes No Max 2 MB Choose File Remove Download Max 2 MB Choose File Remove Download Max 2 MB Choose File Remove Download Declaration ☠I am authorised by the Board of Directors of the Company vide resolution no. dated to sign this is form and declare that all the requirements of Companies Act, 2013 and the rules made thereunder in respect of the subject matter of this form and matters incidental thereto have been complied with. I also declare that all the information given herein above is true, correct and complete and as per the attached charge instrument(s) or document(s) and nothing material has been suppressed. A copy of the attached charge instrument(s) or document(s) is/are available at the registered office or principal place of business in India of the company. ☠I further declare that: 1 the delay in filing ....
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....eto and I have verified the above particulars (including attachment(s)) from the original/certified records maintained by the Company/applicant which is subject matter of this form and found them to be true, correct and complete and no information material to this form has been suppressed. I further certify that: i. ii. The said records have been properly prepared, signed by the required officers of the Company and maintained as per the relevant provisions of the Companies Act, 2013 and were found to be in order; All the required attachments have been completely and legibly attached to this form. To be digitally signed by Chartered accountant (in whole-time practice) or Cost accountant (in whole-time practice) or Company secretary (in whole-time practice) Whether associate or fellow: Associate Membership number â—‡ Fellow Certificate of practice number DSC BOX Save Submit Note: Attention is drawn to provisions of Section 447, section 448 and 449 of the Companies Act, 2013 which provide for punishment for fraud, punishment for false statement/ certificate and punishment for false evidence respectively For office use only: eForm Service request number (SR....
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....fy 8. (a) *Whether consortium finance is involved o Yes o No If yes, enter Lead Banker's name (b) *Whether joint charge is involved o Yes o No (c) *Number of charge holder(s) (d) Whether charges rank pari passu o Yes o No Ranks of the charge holder(s) Rank Charge holder outside India (Note: Please attach a complete list of charge holders, details of their extent to the charge, particulars of property charged, amount secured etc.) 9. Particulars of the charge holder (in case charge is modified in favour of ARC or assignee, enter the particulars of ARC or assignee) Category If others, specify Name In case of others, specify CIN, if applicable *Name Address *Line I *City *State Country Line II *Pin code *e-mail id Pre-fill *Whether charge holder is having a valid Income Tax PAN Income tax-Permanent Account Number (PAN) BSR Code / Branch Code Get List of Charge holders *ISO country code â–¡ Yes â–¡ No 10. (a) *Amount secured by the charge (in Rs.) (In case the amount is in foreign currency, rupee equivalent to be stated) (In case of modification/ rectification of charge, enter the amount secured by the charge after such modification) (b) A....
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....well as boundaries) 14. Description of document by which the borrower/third party acquire title Number of title documents deposited by customer I Document type Document Number Sub-registrar Taluka District State Country Code Pin Code 15. (a) Whether any of the property or interest therein under reference is not registered in the name of the company Yes â–¡ No (b) If yes, name of the person in whose name it is registered MCA 21 Page 4 of 7 16. *Date of creation/last modification prior to the present modification 17. Particulars of the present modification (please ensure that the correct particulars are entered as the same shall be displayed in the certificate of modification of charge) Attachments (1) (2) *Instrument(s) of creation or modification of charge; Instrument(s) evidencing creation or modification of charge in case of acquisition of property which is already subject to charge together with the instrument evidencing such acquisitions; Particulars of all joint charge holders; (3) (4) Optional attachments, if any Declaration List of attachments Remove Attachment I am authorized by the Board of Directors of the Company vide resolution numbe....