Fraudulently procuring credit to be given to another person

Mr……..……………….., the above-named plaintiff, states as follows :

1.	On the ……………….. day of ……………. 20……., the defendant represented to the plaintiff that ……………, was solvent and in good credit, and worth …………. Rupees over all his liabilities [or that …………… then held a responsible situation and was in good circumstances, and might safely be trusted with goods on credit.]

2.	The plaintiff was thereby induced to sell to ……………… (Rice) of the value of ……….. rupees [on …………months credit.]

3.	The said representations were false and were then known by the defendant to be so, and were made by him with intent to deceive and defraud the plaintiff [or to deceive and injure the plaintiff]

4.	…………….. [did not pay for the said goods at the expiration of the credit aforesaid, or] has not paid for the said rice, and the plaintiff has wholly lost the same.