Affidavit of proof of debt

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..... solemnly affirm and state as follows : 1. The above-named company was, at the date of the order winding-up the same*, viz., the..............day of..............20...., and still is, justly and truly indebted to me [or to me and C.D., and E.F., my copartners in trade, or, as the case may be,] in the sum of Rs...............for [here state consideration, e.g., goods sold and delivered by me/my firm .....

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..... grounds on which the preference is claimed.] SCHEDULE Bills of Exchange Date Drawer Acceptor Amount Rs. P. Due Date Particulars of account referred to (Credit should be given for contra accounts) Date Consideration Amount Rs. P. Remarks The vouchers (if any) by which the account can be substantiated should be set out here Solemnly affirmed at........................................................ .....

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