Affidavit of proof of debt

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..... ve-named company was, at the date of the order winding-up the same*, viz., the .............. day of .............. 19 ........, and still is, justly and truly indebted to me [or to me and C.D., and E.F., my copartners in trade, or, as the case may be.] in the sum of Rs .............. for [here state consideration, e.g., goods sold and delivered by me/my firm to the said company between the dates .....

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..... claimed.] Schedule Bills of Exchange Date Drawer Acceptor Amount Due Date Rs.P. Particulars of account referred to (Credit should be given for contra-accounts) Date Consideration Amount Remarks Rs.P. The vouchers (if any) by which the account can be substantiated should be set out here Solemnly affirmed at .............. on .............. (day), the ........... day of ........... .....

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