Form No. 45 - Proof of debt of workmen - Limited Liability Partnership (Winding up and Dissolution) Rules, 2010

Form No. 45 [ See rule 142] [Heading as in Form No. 16] LLP Petition No. ...... of 20......... Proof of debt of workmen I,...... of etc. (fill in full name, address and occupation of deponent), on behalf of the workmen and others employed by the above-named LLP, solemnly affirm and say : That the above-named LLP was, on the ........day of ....... 20...... and still is justly and truly indebted to the several persons whose names, addresses and descriptions appear in the schedule below in sums severally set against their names in the seventh column of such schedule for wages due to them respectively as workmen or others in the employment of the LLP, in respect of services rendered by them respectively to the LLP during such periods as are set out against their respective names in the fifth column of such schedule, and for the accrued holiday remuneration so due to them in respect of such periods as are so set out in the sixth column of such schedule, for which said sums or any part thereof, I say that they have not nor has any of them, had or received any manner of satisfaction or security whatsoever. ............. Deponent Schedule Full name of Address Whether Date of Scale of Components of workmen/other of workman birth pay wages/salary employees workman/ or date of and proof of employee employee entry to employment into the and designation service of LLP 1 2 3 4 5 6 Period over Period over which Total Dues Remarks which wages accrued holiday due remuneration due 7 8 9 10 Solemnly affirmed, etc. ................................................ Deponent s signature