PETITION BY DEBTOR TO BE DECIDED AN INSOLVENT





In the Court of District Judge of........................



Insolvency Case No. .................. of...............



Exparte—The debtor

Per matter of debtor's petition for insolvency, per s. 13(1) of the Provincial Insolvency Act

The humble petition of A resident at.................. and lately of...........(give address where debts were incurred)

Respectfully showeth:

1. That the applicant, who is living and residing ordinarily (or doing business, or personally working for gain, or in custody) at ...............being unable to pay his debts exceeding Rs. 500 praying for order of decision against him in the circumstances stated hereunder.

2. That on or abou............ day of .......... the applicant was arrested and sent to prison at......... in executing a decree for Rs........... dated ............ made in suit No. .......... of..................) per order dated ............... passed by..................or fas the case may be) the movable/immovable property of applicant as (give short details) stands attached, which attachment is still subsisting,

3. The amount/details of all financial claims against applicant, along with names/residences of his creditors, are given below:

4. The following being details of debts/claims outstanding against the applicant.

Names, occupation and address of creditors, details of amounts due with securities.

5. The following being the details of property belonging to applicant and their related values.

(1) Household furniture, utensils, etc., all worth about............
(2) One house at............ worth about............

The whole of above property, which is located at, etc., has been truly stated for which applicant is willing to surrender and put them completely at the disposal of this court,

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

Verification



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

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

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

verified and signed on this ............... day of..................... at the Court House at............................

Before me

Notary

Signature of A

Signature of Advocate