TaxTMI 
TaxTMI 
SUBMISSION OF CLAIM BY FINANCIAL CREDITORS- Regulation 8 - Insolvency Resolution Process for Corporate Persons (Omitted)
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....n, by my order, to my knowledge or belief, for my use, had or received any manner of satisfaction or security whatsoever, save and except the following: [Please state 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.] Solemnly, affirmed at [insert place] on . . . . . . . . . . day, the . . . . . . . . . . day of . . . . . . . . . .20 . . . . . . Before me, Notary/Oath Commissioner Deponent's signature VERIFICATION I, the Deponent hereinabove, do hereby verify and affirm that the contents of paragraph . . . . . to . . . . of this affidavit are true and correct to my knowledge and belief and no material facts have been concealed therefrom. Verified at . . . . . . . on this . . . . . . day of . . . . . 201 . . . Deponent's signature" 3. Substituted vide Notification No. IBBI/2018-19/GN/REG031 dated 03-07-2018 before it was read as "SCHEDULE FORM C PROOF OF CLAIM BY FINANCIAL CREDITORS [Under Regulation 8 of the Insolvency and Bankruptcy Board of India (Insolvency Resolution Proces....
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....[Name of claimant], currently residing at [insert address], do hereby declare and state as follows: - 1. [Name of corporate debtor], the corporate debtor was, at the insolvency commencement date, being the.................day of..............20......., actually 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 specified below: [Please list the documents relied on as evidence of claim]. 3. The said documents are true, valid and genuine to the best of my knowledge, information and belief and no material facts have been concealed therefrom. 4. In respect of the said sum or any part thereof, neither I, nor any person, by my order, to my knowledge or belief, for my use, had or received any manner of satisfaction or security whatsoever, save and except the following: [Please state 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]. 5. I am / I am not a related party in relation to the corporate debtor, as defined under section 5 (2....
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.... 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 order to prove the existence and non-payment of claim due to the 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 the financial 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. DECLARATION I, [Name of claimant], currently residing at [insert address], do hereby declare and state as follows: - 1. [Name of corporate debtor], the corporate debtor was, at the insolvency commencement date, being the.................day of..............20......., actually indebted to me for a sum of Rs. [insert amoun....
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....on of claim and proof of claim. Madam/Sir, [Name of the financial 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) (2) (3) 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. 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 v....