Form No. 149 - Member's Voluntary Winding-up Declaration of solvency embodying a statement of assets and liabilities pursuant to section 488 - Company Court Rules, 1959

Form No. 149 (See rule 313) Member's Voluntary Winding-up Declaration of solvency embodying a statement of assets and liabilities pursuant to section 488 Name of Company ....................Limited Presented by ................................. Declaration of solvency We, ................., of ................. and of ................. being all the/majority of the directors of ................. do solemnly affirm and declare that we have made a full enquiry into the affairs of the company, and that having done so, we have formed the opinion that this company has no debts/will be able to pay its debts in full within a period of* ................ months from the commencement of the winding-up, and we append a statement of the company's assets and liabilities as at .........., being the latest practicable date before the making of this declaration. And we make this solemn declaration believing the same to be true. Solemnly affirmed and declared at ................. the ................. day of ................. 19 ........ before me. Signatures Commissioner for Oaths or Notary Public or Justice of the Peace Statement as at ................. 19 ........ showing assets at estimated realisable values and liabilities expected to rank. Assets Book value Rs. Estimated to realize Rs. ......... 1. Balance at Bank 2. Cash in hand 3. Marketable Securities 4. Bills Receivable 5. Trade Debtors 6. Loans Advances 7. Unpaid Calls 8. Stock-in-trade 9. Work in progress viz., .................................. .................................. .................................. 10. Freehold Property 11. Leasehold Property 12. Plant Machinery 13. Furniture, fittings, utensils, etc. 14. Patents, Trade Marks, etc. 15. Investments other than Marketable Securities 16. Other property viz., .................................. .................................. .................................. Total Liabilities Estimated to rank for payment (to the nearest rupee) 1. Secured on specific assets viz. , .................................. 2. Secured by floating charge(s) viz ., .................................. 3. Estimated cost of liquidation and other expenses including interest accruing until payment of debts in full 4. Unsecured creditors (amounts estimated to rank for payment) ( a ) Trade accounts ( b ) Bills payable ( c ) Accrued expenses ( d ) Other liabilities ................. ................. ................. ................. ( e ) Contingent liabilities: ................. ................. ................. ................. Total Total estimated value of assets Rs. ............... Total liabilities Rs. ............... Estimated surplus after paying debts in full Rs. ............... Remarks Signatures Dated ................. Directors of the Company * The period to be filled in should not exceed 3 years.