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    Form B Proof of Claim by Operational Creditors Except Workmen and Employees

    Uploaded by

    Nikhil
    This document contains a proof of claim form for operational creditors to submit in the voluntary liquidation of a corporate person under the Insolvency and Bankruptcy Code of India. The 10-part form requests details of the creditor, total amount of claim, nature of debt, any disputes, how debt was incurred, mutual dealings/set-offs, security/collateral, assignment or transfer of debt, bank account for distribution of proceeds, and supporting documents. The form is to be signed and accompanied by an affidavit from the creditor verifying the claim and contents of the affidavit.

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    Form B Proof of Claim by Operational Creditors Except Workmen and Employees

    Uploaded by

    Nikhil
    119 views3 pages
    This document contains a proof of claim form for operational creditors to submit in the voluntary liquidation of a corporate person under the Insolvency and Bankruptcy Code of India. The 10-part form requests details of the creditor, total amount of claim, nature of debt, any disputes, how debt was incurred, mutual dealings/set-offs, security/collateral, assignment or transfer of debt, bank account for distribution of proceeds, and supporting documents. The form is to be signed and accompanied by an affidavit from the creditor verifying the claim and contents of the affidavit.

    Original Description:

    Form_B_VL

    Original Title

    Form_B_VL

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    This document contains a proof of claim form for operational creditors to submit in the voluntary liquidation of a corporate person under the Insolvency and Bankruptcy Code of India. The 10-part form requests details of the creditor, total amount of claim, nature of debt, any disputes, how debt was incurred, mutual dealings/set-offs, security/collateral, assignment or transfer of debt, bank account for distribution of proceeds, and supporting documents. The form is to be signed and accompanied by an affidavit from the creditor verifying the claim and contents of the affidavit.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    119 views3 pages

    Form B Proof of Claim by Operational Creditors Except Workmen and Employees

    Uploaded by

    Nikhil
    This document contains a proof of claim form for operational creditors to submit in the voluntary liquidation of a corporate person under the Insolvency and Bankruptcy Code of India. The 10-part form requests details of the creditor, total amount of claim, nature of debt, any disputes, how debt was incurred, mutual dealings/set-offs, security/collateral, assignment or transfer of debt, bank account for distribution of proceeds, and supporting documents. The form is to be signed and accompanied by an affidavit from the creditor verifying the claim and contents of the affidavit.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 3

    FORM B

    PROOF OF CLAIM BY OPERATIONAL CREDITORS EXCEPT WORKMEN AND


    EMPLOYEES
    (Under Regulation 16 of the Insolvency and Bankruptcy Board of India (Voluntary Liquidation
    Process) Regulations, 2017)
    [Date]
    To
    The Liquidator
    [Name of the Liquidator]
    [Address as set out in the public announcement]
    From
    [Name and address of the operational creditor]

    Subject: Submission of proof of claim in respect of the voluntary liquidation of [name of corporate
    person] under the Insolvency and Bankruptcy Code, 2016.
    Madam/Sir,
    [Name of the operational creditor] hereby submits this proof of claim in respect of the voluntary
    liquidation of [name of corporate person]. The details for the same are set out below:

    1. NAME OF OPERATIONAL CREDITOR

    (IF AN INCORPORATED BODY PROVIDE IDENTIFICATION


    NUMBER AND PROOF OF INCORPORATION, IF A PARTNERSHIP
    OR INDIVIDUAL PROVIDE IDENTIFICATION RECORDS* OF ALL
    THE PARTNERS OR THE INDIVIDUAL)
    2. ADDRESS OF OPERATIONAL CREDITOR FOR
    CORRESPONDENCE
    3. TOTAL AMOUNT OF CLAIM, INCLUDING ANY INTEREST, AS
    AT VOLUNTARY LIQUIDATION PROCESS COMMENCEMENT
    DATE AND DETAILS OF NATURE OF CLAIM

    4. DETAILS OF ANY DISPUTE AS WELL AS THE RECORD OF


    PENDENCY OF SUIT OR ARBITRATION PROCEEDINGS
    5. DETAILS OF HOW AND WHEN DEBT INCURRED

    6. DETAILS OF ANY MUTUAL CREDIT, MUTUAL DEBTS, OR


    OTHER MUTUAL DEALINGS BETWEEN THE CORPORATE
    PERSON AND THE OPERATIONAL CREDITOR WHICH MAY
    BE SET-OFF AGAINST THE CLAIM

    7. DETAILS OF ANY RETENTION OF TITLE IN RESPECT OF GOODS


    OR PROPERTIES TO WHICH THE DEBT REFERS OR ANY OTHER
    SECURITY
    8. DETAILS OF ANY ASSIGNMENT OR TRANSFER OF DEBT IN
    HIS FAVOUR
    9. DETAILS OF THE BANK ACCOUNT TO WHICH THE
    OPERATIONAL CREDITOR’S SHARE OF THE PROCEEDS OF
    LIQUIDATION CAN BE TRANSFERRED
    10. LIST OUT AND ATTACH THE DOCUMENTS RELIED ON IN
    SUPPORT OF THE CLAIM.

    Signature of operational creditor or person authorised to act on his behalf


    (Please enclose the authority if this is being submitted on behalf of the operational creditor)

    Name in BLOCK LETTERS


    Position with or in relation to creditor
    Address of person signing
    *PAN, Passport, AADHAAR Card or the identity card issued by the Election Commission of India.

    AFFIDAVIT
    I, [name of deponent], currently residing at [address of deponent], do solemnly affirm and state as
    follows:
    1. The above named corporate person was, at liquidation commencement date, that is, the
    __________ day of __________ 20______ and still is, justly and truly indebted to me [or to
    me and [insert name of co-partners], my co-partners in trade, or, as the case may be] for a sum
    of Rs. __________ for _____ [please state consideration].
    2. In respect of my claim of the said sum or any part thereof, I have relied on the documents
    specified below:
    [Please list out the documents relied on as evidence of debt.]
    3. The said documents are true, valid and genuine to the best of my knowledge, information and
    belief.
    4. In respect of the said sum or any part thereof, I have not, nor have my partners or any of them,
    nor has any person, by my/our order, to my/our knowledge or belief, for my/ our use, had or
    received any manner of satisfaction or security whatsoever, save and except the following:
    [Please state details of any mutual credit, mutual debts, or other mutual dealings between the
    corporate person and the operational creditor which may be set-off against the claim.]

    Solemnly, affirmed at _____________________ on _________________ day, the __________day


    of__________ 20_____
    Before me,

    Notary / Oath Commissioner Deponent's signature

    VERIFICATION
    I, the Deponent hereinabove, do hereby verify and affirm that the contents of para ___ to __of this
    affidavit are true and correct to my knowledge and belief. Nothing is false and nothing material has
    been concealed therefrom.

    Verified at ________ on this ________ day of ________ 201_____


    Deponent's signature

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