Form No. 076 - Provisional list of Contributories - Company Court Rules, 1959

Form No. 76 (See rule 180) [Heading as in Form No. 1] Company Petition No. .............. of 19 ....... Provisional list of Contributories The following is a list of members of the above-named company liable to be placed on the list of contributories of the said company made out by me from the books and papers of the said company, together with their respective address and the number of shares [or extent of interest] to be attributed to each, and the amount called up and the amount paid up in respect of such shares [or interest] so far as I have been able to make out or ascertain the same. In the first part of the list are set forth the persons who are contributories in their own right. In the second part of the list are set forth persons who are contributories as being representatives of or liable for the debts of others. First Part Contributories in their own right Sl. No. Name Description Address No. of shares or extent of interest Amount called up at date of commencement of winding-up Amount paid up at date of commencement of winding-up (1) (2) (3) (4) (5) (6) Second Part Contributories as being representatives of or liable for the debts of others Sl. No. Name Description Address In what character included No. of shares or extent of interest Amount called up at date of commencement of winding-up Amount paid up at date of commencement of winding-up (1) (2) (3) (4) (5) (6) (7) Sd/- ................... Official Liquidator