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No. 4
Affidavit of Creditor in proof of his debt in Proceeding
for the Liquidation of a Company
IN THE (HIGH) COURT OF. . . . . . . . . . . . . . . .
The matter of the Indian Companies Act, 1913
And
The matter of the liquidation of. . . . . . . . .Co. Ltd.
I, A. B., aged . . . . . years, son of . . . . . . . . . . . . . , resident of . . . . . . , do hereby on oath (or on solemn affirmation) state as follows:
1. That the above-named company was on the . . . . . . . . . . . . . . . . day of . . . . . . . , 20 . . . . , the date of the order for winding up the same, and still is justly and truly indebted to me in the sum of Rupees . . . . . . . . . . . . (Rs . . . . . . . .) only on account of (describe briefly the nature of the debt).
2. That in proof of the aforesaid debt I attach hereto the documents marked A, B and C.
3. That I have not, nor hath nor have any person or persons by my order or to my knowledge or belief for my use, received the aforesaid sum of Rupees . . . . . . . . . . . . or any part thereof, or any security or satisfaction for the same or any part thereof except the sum or security (state the exact amount of security).
4. As in para 6 of last precedent.
Sd. A.B.
Dated. . . . . . . . . . . . . . . , 20. . . . Deponent
(Verification as in earlier precedents.)
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