Petition by Debtor to be Adjudged an Insolvent

Petition by Debtor to be Adjudged an Insolvent

In the Court of District Judge of ……………………

Insolvency Case No. ……………… of ……………

Ex parte—The debtor

In the matter of debtor’s petition for insolvency, under s. 13(1) of the Provincial Insolvency Act

The humble petition of AB residing at ……………… and lately of …………… (give address where debts were incurred)

Most Respectfully Sheweth:

1. That the applicant, who is ordinarily living and residing (or carrying on business, or personally working for gain, or in custody) at …………… having been unable to pay his debts exceeding Rs. 500 prays for an order of adjudication against him in the circumstances hereunder mentioned.

2. That on or about the ………………… day of ………… the applicant was arrested and committed to prison at …………… in execution of a decree for Rs. …………… dated …………… made in suit No. ………… of ………… (…………… v …………) under order dated …………… made by ……………… or (as the case may be) the movable and immovable property of the applicant such as (give short particulars) have been attached and the said attachment is still subsisting.

3. The amount and particulars of all pecuniary claims against the applicant, together with the names and residences of his creditors, are as follows:

4. The following are the particulars of debts and claims outstanding against the applicant.

Names, addresses and occupation of the creditors, particulars of the amounts due and securities.

5. The following are the particulars of the property belonging to the applicant and their respective values.

(1)        Household furniture, utensils, etc., all worth about …………

(2)        One house at ………… worth about …………

The whole of the above property, which is situate at, etc., has been truly described, and the applicant is willing to surrender and put them entirely at the disposal of this court.

The applicant prays that the court may be pleased to adjudge him insolvent.

Verification

I, AB son of ………………………………… aged about …………… years by occupation service residing at ……………… do hereby solemnly affirm and say as follows:

I am the petitioner No. 1 above-named and I know and I have made myself acquainted with the facts and circumstances of this case.

The statements in paragraphs 1 to 5 are true to my knowledge and belief.

I sign this verification on this …………… day of ………………… at the Court House at ……………………….

Before me                                                                                 Signature of AB

Notary                                                                                       Signature of Advocate

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