Form No. 15 - [See rules 56, 264 and 289(3)],Statement of Account Pursuant to rule 56 - Limited Liability Partnership (Winding up and Dissolution) Rules, 2010

Form No. 15 [ See rules 56, 264 and 289(3)] [Heading as in Form No. 16] LLP Petition No. .......... of 20.......... Name of LLP : .............. LLPIN : ............. Voluntary winding-up/winding-up by Tribunal : ............. Date of winding-up order/resolution : ............. Date of commencement of winding-up : .............. Period of the statement of account............... Name and address of Liquidator/LLP Liquidator : .............. I, ..., Liquidator/LLP Liquidator of the above-named LLP solemnly state : That the statement of account made overleaf and attachments marked I to V contains a full and true account of receipts and payments in the winding-up of the above-named LLP from the.....day of......20......., to the ............ day of......20..., inclusive and that I have not nor has any other person by my order or for my use during such period, received or paid any moneys on account of the said LLP other than and except the items mentioned and specified in the said statement of account. I further say that the particulars in the statement of account and the attachments thereto, are true to the best of my knowledge and belief. *I declare that the value of total transactions during the period was Rs. Fifty thousand or less and that I acknowledge the responsibility for maintaining the books and records and further declare that the funds were utilized for the purposes of winding-up of affairs of the LLP. Dated this........... day of ....... 20......... (Sd.) LLP Liquidator/Liquidator Note : (1) *Delete if not applicable. (2) In case the LLP Liquidator or Liquidator has not, during the period of account, received or paid any sum of money on account of the assets of the LLP, he shall file an affidavit of no receipts or payments on the date on which he shall have to file his accounts for the period. Statement of Account Pursuant to rule 56 LIP Liquidator s/Liquidators Statement of Account from.......to........ Realisations Disbursements Date Of whom Nature Amount Date To whom Nature of Amount received of assets Rs. P. paid disburse- Rs. P. realised ments 1 2 3 4 1 2 3 4 Brought forward............... Brought forward .......... Total carried over............. Total carried over .......... Note : No balance should be shown on this account, but only the total realizations and disbursements, which should be carried forward to the next account. Analysis of Balance Rs. Rs. Total realizations _______ Total disbursements _______ Balance _______ The balance is made up as follows : 1. Cash in the hands of the Liquidator 2. Total payments into Bank, including balance at date of commencement of winding-up (as per Bank statement) _______ Less Total withdrawals from Bank Balance at Bank _______ _______ *3. Amounts invested by the Liquidator Less _______ Amounts received by realisation of investment _______ Balance under investment _______ Total balance as shown above _______ *Note : Full details of investments made and realisations thereof should be given in a separate statement. Dated.........20............ Signature Attachment I Statement of account as on 31st March ....... 1. Assets:(including cash, bank balance, inventory, debtors, investments, etc.) Rs. ( a ) Assets specifically mortgaged, pledged or having fixed charge : Book Value Value Due to Surplus (+) or Rs. realised secured Deficiency (-) Rs. creditors Rs. and workmen Rs. 1. Immovable property ( a ) Freehold property ( b ) Leasehold property 2. Plant and machinery 3. Furniture, fittings, etc. 4. Inventory 5. Other Assets ( b ) Assets not specifically mortgaged/pledged, etc. : ( i ) Total amount of the assets at the date of the commencement of the winding-up __________________________ ( ii ) Assets realized __________________________ ( iii ) Value of assets still to be realized __________________________ 2. Liabilities: Total Amount Amount amount paid outstanding due Rs. Rs. Rs. 1. Secured creditors including workmen dues. 2. Cost of liquidation 3. Preferential creditors 4. Creditors having floating charge 5. Unsecured creditors 6. Any other liability Rs. 3. ( a ) Total amount of partners contribution (with details of nature of contribution): __________________________________ ( b ) Outstanding contribution __________________________________ ( c ) Outstanding contribution realized __________________________________ 4. Legal proceedings (if any), instituted, pending or concluded during the period: Name of the Names of Nature of Stage of Nature of Remarks authority parties proceeding proceeding decree or and number order made, of proceeding if any 1 2 3 4 5 6 5. Causes which delay the termination of the winding-up: 6. Period within which the winding-up may probably be concluded: Dated......20...... Signature Attachment II LLP Liquidators/Liquidator s Trading account Dr. Cr. Date Receipts Rs. Date Payments Rs. particulars particulars Total Total Dated.....20....... Signature Attachment III List of Distributable sums (Paid) Number Name of creditor Amount of claim Amount of distributable sum on list (as admitted) Paid Unclaimed Rs. Rs. Rs. 1 2 3 4 5 Total Dated.....20...... Signature Attachment IV List of amounts paid or payable to partners Amount returned Number Name of partner Amount of Paid Unclaimed on list contribution Rs. Rs. 1 2 3 4 5 Total Dated....20..... Signature Attachment V Statement of unclaimed distributable sums and undistributed assets paid into the LLP Liquidation Account Serial Name and Amount of Date when Date of payment Remarks num- address of distributable payable or into LLP ber creditor or sum or refundable to Liquidation partner undistributed creditor or Account assets partner payable or refundable 1 2 3 4 5 6 Dated....20...... Signature Note : In the case of voluntary winding-up heading as in Form No. 16 and LLP petition No. is not required.