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Form of statement of assets and liabilities

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..... e unable to pay its debts in full within the period stated in the declaration of solvency, viz ................. months from the commencement of the winding-up or if the period has expired without the debts having been paid in full.] Name of Company ................. Ltd. in liquidation. Date of commencement ................. of winding-up. Statement as at ................. 19 ......, showin .....

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..... al estimated realisable value of assets not specifically pledged 2. Assets specifically pledged (a) Estimated realisable values Rs. (b) Due to secured creditors Rs. (c) Deficiency ranking as unsecured Rs. Surplus carried to last column Rs. (1) Freehold property (2) Leasehold property (3) Movables (i) Goods in poss .....

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..... reditors to the extent to which claims are estimated to be covered by assets specifically pledged [item ( a ) or ( b ) above whichever is the less] [Insert in 'Gross Liabilities' column only] Preferential creditors Estimated balance of assets available for debenture holders secured by a floating charge and unsecured creditors1 Debenture holders secured by a floating charge .....

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..... .............. Contingent liabilities (state nature) Rs. Estimated surplus/deficiency as regards creditors being the difference between: Gross Assets, brought from preceding page ( d ) and Gross liabilities, as per column ( e ) Rs. Issued .....

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..... e is no unpaid capital liable to be called up or Strike out (g) The nominal amount of capital liable to be called up is (f) or (g) Rs. .......... estimated to produce Rs. .................. which is/is not charged in favour of debenture holders. (2) The estimates are subject to costs of the winding-up and to any surplus or deficiency on trading pending realisation of assets. .....

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