FormNo.37

[Seerule126]

[Headingasinformno16]

LLPPetitionNo………of20……..

Statementofaffairsunderrule28

StatementofaffairsoftheabovenamedLLPasonthe……dayof……20….,thedateof

petitionorthewindinguporderortheorderappointingProvisionalLiquidator,asthe

casemaybe.

I/We……..of…….dosolemnlyaffirmandsaythatthestatementmadeoverleafandthe

severallistshereuntoannexedmarked`A’to`G’aretothebestofmy/ourknowledgeand

beliefafull,trueandcompletestatementastotheaffairsoftheaboveLLP,onthe……

dayof……20…..,thedateofthepetitionorwinding-uporderortheorderappointing

ProvisionalLiquidatorandthatthesaidLLPcarried/carriedonthefollowingbusiness:

(HeresetoutnatureofLLPbusiness)

……………

Signature(s)

Solemnlyaffirmedat…….This……..dayof……..20….Beforeme.

CommissionerofOathsorNotarypublic

STATEMENTOFAFFAIRSANDLISTSTOBEANNEXED

Statementastotheaffairsof………….LLP(LLPIN______),onthe……..dayof…..20,

beingthedateofthepetitionor windinguporderororderappointingProvisional

Liquidatorasthecasemaybeshowingassetsatestimatedrealizablevalueand

liabilities:-

(A)Assets

I.Assets

specifically

mortgaged/pledged


BookEstimated

valuerealizable

values


Dueto

secured

creditors


Deficiency

rankingas

unsecured


Estimated

Surplus

orhavingfixed

charge(excluding

floatingcharge)

(asperlist`A’)


and

workmen

II.Assetsnotspecificallymortgaged/pledged
etc.(asperList`B’) / BookValue
(Rs.) / Estimated
realisablevalues
(Rs.)
BalanceatBank
Cashinhand
Investments
Debtors/Tradereceivables
LoansAdvances
Inventories
FreeholdProperty
LeaseholdProperty
PlantMachinery
Furniture,fittingsetc.
IntangibleAssets
OtherAssets(tospecify)
Outstandingcontributionofthepartners
FreeholdProperty
LeaseholdProperty
PlantMachinery
Furniture,fittings
etc
Inventories
Otherassets
…………………
………………… / Rs. / Rs. / Rs. / Rs. / Rs.
Rs.

GrossAssets

Rs.

Grossrealizablevalueofassetsspecifically

mortgaged/pledged/havingfixedcharge ______

Otherassets ______

GrossAssets ______

B.Liabilities

GrossLiabilities ______

Securedcreditorsincludingworkmendues. ______

Preferentialcreditors ______

Creditorshavingfloatingcharge ______

Unsecuredcreditor

andcontingentliabilities ______

Grossliabilities ______

Estimatedsurplusfromassetsspecificallymortgaged/

pledged/havingfixedcharge

AssetswhicharenotspecificallyMortgaged/pledgedetc.

Estimatedtotalassetsavailableforpreferentialcreditors,

creditorshavingfloatingchargeandunsecuredcreditors

Preferentialcreditors(asperList‘C’)

Estimatedbalanceofassetsavailableforcreditorshaving

floatingchargeandunsecuredcreditors

Creditorshavingfloatingcharge(asperlist‘D’)

Estimatedbalanceofassetsavailableforunsecuredcreditors

andunsecuredbalanceofcreditorspartlysecuredonspecific

assets.

UnsecuredCreditorsetc.(asperList‘E’)

Estimatedbalanceavailabletopartners

Claimofpartners(asperList’F’)


Rs.

______

______

______

______

______

______

______

______

______

______

Note:-Positivebalanceistreatedas‘Surplus’andnegativebalanceistreatedas

‘Deficiency’

Signature

Dated…………20……….

Assets / Location
address
description / Area / Holderofthe
titlethe
personwhois
havingthe
custodyofthe
titledeeds / Amount
Freehold
property
Leasehold
property
Plantand
machinery
Furnitureand
fittings
Inventoriesetc.
Particularsof
assets
specifically
mortgaged/
pledgedetc, / Datewhen
security
given / Estimated
valueof
security / Name
and
address
of
creditors / Amount
ofdebt
of
secured
creditors / Workmendues
1. / 2. / 3. / 4. / 5. / 6.
Proportionof
amountof
secured
creditors / Proportionof
amountof
workmendues / Balanceofdebt
/workmendues
unsecured
carriedtoList
‘D’ / Estimated
surplusfrom
security
7. / 8. / 9. / 10.

LIST“A”TOTHESTATEMENTOFAFFAIRS:

ScheduleI

ASSETSSPECIFICALLYMORTGAGED,PLEDGEDORHAVINGFIXEDCHARGE

(EXCLUDINGFLOATINGCHARGE)ANDCREDITORSINCLUDINGWORKMEN,

FULLYORPARTLYSECURED

Signature Dated…………20……….

ScheduleII

Signature Dated…………20……….

II.Assetsnotspecificallymortgaged/pledged
etc. / BookValue
(Rs.) / Estimated
realisablevalues
(Rs.)
BalanceatBank
Cashinhand
Investments
Debtors/Tradereceivables
LoansAdvances
Inventories
FreeholdProperty
LeaseholdProperty
PlantMachinery
Furniture,fittingsetc.
IntangibleAssets
OtherAssets(tospecify)
Outstandingcontributionofthepartners
Nameand
addressof
thebank / Bank
balance
Rs. / Natureofthe
account
(FD/SB/CA) / AccountNo.
/F.DNo. / Personin
whose
custodythe
F.D.islying / Nameand
addressof
theofficer
ofthe
LLPwho
operated
the
account
.

LIST‘B’TOTHESTATEMENTOFAFFAIRS

ScheduleI

ASSETSNOTSPECIFICALLYMORTGAGED/PLEDGEDETC.

Signature Dated…………20……….

ScheduleII

Signature Dated…………20……….

Nameand
address
and
whether
relatedto
designated
partner / Amount / Good
or
bad / Within
limitation
orbarred
limitation / When
contacted
and
supporting
documents / Legal
proceeding
instituted(full
details) / Particulars
ofany
securities
held / Cr.
Bal.
.
Natureofthe
investment / Nameofthebody
corporate/institutions
whereinvested / Dateof
investment / Amountof
investment / Personin
whose
custody
scrip(s)is/are
lying
.
Amount / Personin
whosecustody
thecashislying / Personwho
washandling
thecashinthe
LLP

ScheduleIII

CASHINHAND

Signature Dated…………20……….

ScheduleIV

Signature Dated…………20……….

ScheduleV

DEBTORS/TRADERECEIVABLES

Signature Dated…………20……….

ScheduleVI

LOANSADVANCES

Nameand

address

and

whether


AmountGoodor

bad


Within

limitation

orbarred

limitation


When

contacted

and

supporting


Legal

proceeding

instituted(full

details)


Particulars

ofany

securities

held

relatedto


documents

Assets / Location
address
description / Area / Holderofthe
titleperson
inwhose
custodythetitle
deedsarelying / Amount
Freehold
property
Leasehold
property
Plantand
machinery
Furnitureand
fittingsetc.
Nameand
addressofthe
partner / Amount
outstanding / Natureofthe
contribution / Sincewhen
outstanding / Anyobligation
designated
partner
.
Description / Amount / Quantity / Location
address / Sincewhen
lying
.

Signature Dated…………20……….

Schedule VII

Signature Dated…………20……….

Schedule VIII

Signature Dated…………20……….

ScheduleIX

Signature Dated…………20……….

LIST‘C’TOTHESTATEMENTOFAFFAIRS

PREFERENTIALCREDITORS

No. / Name
of
creditor / Address
occupation / Nature
of
claim / Period
during
which
claim
accrued
due / Date
when
due / Amount
of
claim / Amount
payable
infull / Balance
not
preferential
carriedto
List’D’
.
No. / NameofHolder / Address / Amount
Rs. / Descriptionof
assetsover
whichsecurity
extends
.

Signature Dated…………20……….

LIST‘D’TOTHESTATEMENTOFAFFAIRS

Signature Dated…………20……….

No. / Name / Address / Amount / Date
when
contacted / Document
insupport / consideration
Unsecured
creditors
------
------
------
------
Unsecured
balanceof
creditorspartly
securedbrought
fromList‘A’
Balancenot
preferential
creditors
broughtfrom
List‘D’ / ______
______
______
______
______
______
______
Name
address / Amountof
contribution / Natureof
contribution / Sincewhenthe
partner
whether
designated
partner / Amountof
outstanding
contribution

LIST‘E’TOTHESTATEMENTOFAFFAIRS

Signature Dated…………20……….

LIST‘F’TOTHESTATEMENTOFAFFAIRS

Signature Dated…………20……….

LIST‘G’TOSTATEMENTOFAFFAIRS

DEBTDUEFROMPARTNERS

No.NameResidentialAmountofDebts Detailsof


When


Particulars

address


documentsin

support


contracted

andwhether

goodorbad


ofany

security

heldfor

debt

Note:-Contraentryshallbedisclosedwithfulldetails.

Signature

Dated…………20…