TaxTMI 
TaxTMI 
SUBMISSION OF CLAIM BY FINANCIAL CREDITORS- Regulation 8 - Insolvency Resolution Process for Corporate Persons
X X X X Extracts X X X X
X X X X Extracts X X X X
....e individual) 3. Address and email address of the financial creditor for correspondence 4. Details of claim, if it is made against corporate debtor as principal borrower: * Amount of claim * Amount of claim covered by security interest, if any (Please provide details of security interest, the value of the security, and the date it was given) * Amount of claim covered by guarantee, if any (Please provide details of guarantee held, the value of the guarantee, and the date it was given) * Name and address of the guarantor(s) 5. Details of claim, if it is made against corporate debtor as guarantor: * Amount of claim * Amount of claim covered by security interest, if any (Please provide details of security interest, the value of the security, and the date it was given) * Amount of claim covered by guarantee, if any (Please provide details of guarantee held, the value of the guarantee, and the date it was given) * Name and address of the principal borrower 6. Details of claim, if it is made in respect of financial debt covered under clauses (h) and (i) of sub-section (8) of section 5 of the Code, extended by the creditor: * Amount of claim * Nam....
X X X X Extracts X X X X
X X X X Extracts X X X X
....e contents of this proof of claim are true and correct to my knowledge and belief and no material fact has been concealed therefrom. Verified at … on this …… day of ………., 20…. (Signature of claimant) [Note: In the case of company or limited liability partnership, the declaration and verification shall be made by the director/manager/secretary/designated partner and in the case of other entities, an officer authorised for the purpose by the entity.]] ******************** Notes:- 1. Substituted vide No. IBBI/2017-18/GN/REG030 - Dated 27-03-2018, before it was read as, "OPERATIONAL CREDITOR" 2. Substituted vide No. IBBI/2017-18/GN/REG030 - Dated 27-03-2018, before it was read as, "AFFIDAVIT I, [name of deponent], currently residing at [insert address], do solemnly affirm and state as follows: 1. [Name of corporate debtor], the corporate debtor was, at the insolvency commencement date, being the . . . . . . . day of . . . . . . 20. . . . , justly and truly indebted to me in the sum of Rs. [insert amount of claim]. 2. In respect of my claim of the said sum or any part thereof, I have relied on the documents spec....
X X X X Extracts X X X X
X X X X Extracts X X X X
....INSOLVENCY COMMENCEMENT DATE) 5. DETAILS OF DOCUMENTS BY REFERENCE TO WHICH THE DEBT CAN BE SUBSTANTIATED 6. DETAILS OF HOW AND WHEN DEBT INCURRED 7. DETAILS OF ANY MUTUAL CREDIT, MUTUAL DEBTS, OR OTHER MUTUAL DEALINGS BETWEEN THE CORPORATE DEBTOR AND THE CREDITOR WHICH MAY BE SET-OFF AGAINST THE CLAIM 8. DETAILS OF ANY SECURITY HELD, THE VALUE OF THE SECURITY, AND THE DATE IT WAS GIVEN 9. DETAILS OF THE BANK ACCOUNT TO WHICH THE AMOUNT OF THE CLAIM OR ANY PART THEREOF CAN BE TRANSFERRED PURSUANT TO A RESOLUTION PLAN 10. LIST OF DOCUMENTS ATTACHED TO THIS PROOF OF CLAIM IN ORDER TO PROVE THE EXISTENCE AND NON PAYMENT OF CLAIM DUE TO THE 1[FINANCIAL CREDITOR] Signature of financial creditor or person authorised to act on his behalf [Please enclose the authority if this is being submitted on behalf of an operational creditor] Name in BLOCK LETTERS Position with or in relation to creditor Address of person signing *PAN number, passport, AADHAAR Card or the identity card issued by the Election Commission of India. 2[DECLARATION I, [Name of claimant], currently residing at [insert address], do hereby declare and state as follows: - 1. [Name of corporate debtor], th....
X X X X Extracts X X X X
X X X X Extracts X X X X
....ancial creditor], hereby submits this claim in respect of the corporate insolvency resolution process of [name of corporate debtor]. The details for the same are set out below: Relevant Particulars 1. Name of the financial creditor 2. Identification number of the financial creditor (If an incorporated body, provide identification number and proof of incorporation. If a partnership or individual provide identification records* of all the partners or the individual) 3. Address and email address of the financial creditor for correspondence 4. Total amount of claim (including any interest as at the insolvency commencement date) 5. Details of documents by reference to which the debt can be substantiated 6. Details of how and when debt incurred 7. Details of any mutual credit, mutual debts, or other mutual dealings between the corporate debtor and the creditor which may be set-off against the claim 8. Details of any security held, the value of the security, and the date it was given 9. Details of the bank account to which the amount of the claim or any part thereof can be transferred pursuant to a resolution plan 10. List of documents attached to this claim in orde....