[See Rule 50]
IN THE HIGH COURT AT.............
Company Petition No. ………. of 20…….
……………. Co., Ltd. - Petitioner

Affidavit verifying list of Creditors

I.E.F. of ………………......................... etc., solemnly affirm and say as follows:-

1. I am the .......................................................…………….. of the said company.
 
2. The writing now produced and shown to me and marked with the letter '…..……' contains a list of the creditors of, and persons having claims upon, the said company on the ……….. day of ………… 20…….., (the date fixed by the order made in this matter, dated ………….) together with their respective addresses and the nature and amount of their debts or claims and such list is to the best of my knowledge, information and belief a true and accurate list of such creditors and persons having claims on the day aforesaid, and in cases of debts payable on a contingency or not ascertained, or any claims admissible to proof in a winding-up, the values thereof as stated in such list, are, in my belief, just and proper estimates of the values of such debts and claims respectively.
 
3. To the best of my knowledge and belief there was not at the date aforesaid, any debt, claim or liability which, if such date were the commencement of the winding-up of the said company, would be admissible in proof against the said company, other than and except the debts, claims and liabilities set forth in the said list and the debts, claims and liabilities to which the enquiry directed by the order made herein and dated the ………. day of ………….. 20……, does not extend.

4. I am enabled to make the above statements from facts within my knowledge as the ……………. of the said company, and from information derived upon investigation of the affairs and the books, documents and papers of the said company.  

Solemnly affirmed, etc.

Deponent
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