Form No. 071 - Certified list of proofs tendered to and admitted or rejected by, the Official Liquidator - Company Court Rules, 1959

Form No. 71 (See rule 167) [Heading as in Form No. 1] Company Petition No. .................. of 19 ............. Certified list of proofs tendered to and admitted or rejected by, the Official Liquidator I, ................... Official Liquidator of the above-named company hereby certify that the following is a correct list of all creditors who submitted their proofs of debts or claims against the said company pursuant to advertisement, dated the .................. day of .................. 19 ........., and the notices issued individually to the creditors. I further certify that in the first part of the said list are set out debts and claims admitted by me in full or in part, and the amounts admitted altogether amount to Rs. .................. In the second part are set out the claims which have been wholly rejected by me. First Part: Debts and claims admitted wholly or in part Serial No. Name, address description of creditor Particulars of debt or claim Amount claimed Amount admitted Whether admitted as preferential Second Part: Claims which have been wholly rejected Serial No. Name, address description of creditor Particulars of debt or claim Amount of claim Sd/- Official Liquidator