Borang Terimaan & Bayaran Pelikuidasi - Borang 75

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Company No:

FORM 75

Companies Act, 1965 Section 281

LIQUIDATOR’S ACCOUNT OF RECEIPTS AND PAYMENTS

AND

STATEMENT OF THE POSITION IN THE WINDING UP

(In Provisional Liquidation)

Nature of winding up : Court Provisional Winding Up

Date of commencement of winding up

Date to which the account and statement are made up :

Name and address of liquidator :

ACCOUNTS OF RECEIPTS AND PAYMENTS

Receipts Payments

Of Whom Nature of To Whom Nature of


Date Received Receipts Amount Date Paid Payments Amount
RM RM

Refer to Appendix 1 Refer to Appendix 1

RM

Total receipts
Total payments Balance
Company No. 241912-A

STATEMENT OF THE POSITION IN THE WINDING UP

1. The amount of the estimated Liabilities (after deducting amounts charged to secured
assets and liabilities at the date of creditors and debenture-holders) – Estimated at
the commencement of the RM
winding up
Liabilities:-
Secured creditors -
Debenture holders - RM
Unsecured creditors - RM

2. The total amount of the capital Paid up in cash RM


paid at the date of the
commencement of the winding up Issued as paid up otherwise than for cash

3. The general description and Assets comprise of land together with office and factory
estimated value of outstanding buildings, plant and machinery and other assets namely,
assets (if any) machinery tools, motor vehicles and stocks (the
“Assets”). Currently there is an offer of the Assets for
RM
4. Total amount of unsecured debts
in respect of which proofs have
been admitted

5. Estimated amount of debts or RM


claims remaining for proof

6. Details of any arrangement


whereby assets of the company
have been disposed of by the
liquidator for a consideration other
than cash

7. The causes which delay the


termination of the winding up

8. The period within which the


winding up may probably be
completed
Company No:

PARTICULARS OF DATES AND RATE PER SHARE OF RETURN OF


SURPLUS ASSETS PAYABLE TO CONTRIBUTORIES

Return of surplus assets to contributories at rate of … per share paid on the …. day of …. 20….

Names of creditors in Amount returned on shares


alphabetical order Number of Shares Paid Unclaimed

Total - NIL -
Company No:

STATUTORY DECLARATION VERIFYING LIQUIDATOR’S ACCOUNT AND


STATEMENT

I, (I/C No ) c/o

The provisional liquidator of


do solemnly and sincerely declare

1. That the account of receipts and payments set out above contains a full and true
account of our receipts and payments in the winding up of that company, from the
day of to the day of , and that we have
not, nor has any other person by our order of for our use during that period, received or
paid any moneys on account of the company other than and except the items mentioned
and specified in the account.

2. That the particulars contained in the statement of the position in the winding up set out
above are true to the best of our knowledge and belief.

And I make this solemn declaration conscientiously believing the same to be true, and by virtue
of the provisions of the Statutory Declarations Act, 1960.

Declared at ………………….. in the State


of …..…………..this ………………… day

of ………………………………….. 2007

Before me

Filed by :

Address :

Telephone :

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