[«OTII—*3"S3(i)] ma n̂ -mm •. smmy 13 l< Form 8 [See rule 24] Statement of Account & Solvency Note - All fields marked In 'are to be mandatorily filled.
'Annual or Interim C Annual C Interim "Statement of Account and Solvency as at: 31/March/ •LLPIN/FLLPIN C LLPIN C FLLPIN LLPIN Name of LLP Pre-fill Part A: Statement of Solvency We authorized representatives of being the designated partners or I name of LLP/FLLP C name of LLP C name of FLLP do solemnly affirm and sincerely declare that we have made a full inquiry into the affairs of this C Limited Liability Partnership C Foreign Limited Liability Partnership, and that, having done so, have formed the opinion that the C Limited Liability Partnership C Foreign Limited Liability Partnership C is C is not able to pay its debts lit full aa they become due in the normal course of business.
i We append a Statement of the Assets and Liabilities as at | Expenditure for the period ended on making of this declaration, (DD/MM/YYYY) and Income and (DD/MM/YYYY) being the latest practicable date before the We append a Statement indicating creation of charges or modification or satisfaction thereof during the financial year We declare that the turnover f does n o t exceed C exceeds 4 0 l a k n o r ' n e contribution C does not exceed C exceeds 25 lakh rupees. The partners/authorized representatives have taken proper s ire and responsibility for maintenance of adequate accounting records and preparation of accounts in accordance with the provisions of the LLP Act and the Rules made thereunder We being the authorized representative* of THE GAZETTE OF INDIA : EXTRAORDINARY [PART H—SEC, 3(i)] (name of the foreign LLP) do solemnly Srrn and sincerely declare that we have made a full enquiry into the affairs of the limited liabifity partnership incorporated outside Jia, and that, having done so, have fanned the opinion that such foreign limited liability partnership incorporated outside India Is/It not able to pay its debts in full as they become due in the normal course of business.
We make this statement conscientiously believing it to be true, and by virtue of the provisions of the Limited Liability Partnership Act, 2008, the rules made thereunder.
Made on this day of Place:
Signature of Designated Partners of LLP or authorized representatives (AR) of a Foreign LLP OPIN/PAN Signature of Designated Partners of LLP or authorized representatives (AR) of a Foreign LLP DPIN/PAN I Pre-fili Pre-ftll Part B Statement of Account Statement of Assets and Liabilities of as at (OD/MM/YYYY) (period) (In Rupees, Particulars Figures as at the end of the current reporting period Figures as at the end of the previous reporting period I. CONTRIBUTION AND LIABILITIES
(1) Partners' funds
(a) Contribution
(b) Reserves and surplus (Surplus being the profit/loss made during the year) tWI ll—*3*S 3(i)3 *rra ^i wre : OTTWI 13 (39 Liabilities fa) Secured loan?
(b) Unsecured loans
(c) Short term borrowings
(d) Creditors/trade payables • Advance from customers
(e) other liabilities (to specify) 0 0 b 0 B ° 0 0 0 0
(f) Provisions
(i) for taxation
(ii) for contingencies
(iii) for insurance
(iv) other provisions (if any) TOTAL 0 0 0 0 0 0 0 0 0 0 II ASSETS
(a) Fixed assets
(b) Investments
(c) Loans and advances
(d) Inventories
(e) Debtors/trade receivables
(f) Cash and cash equivalents
(g) other assets (to specify) TOTAL • • • r " o 0 0 0 0 0 0 0 0 0 0 0 Notes:
(a) Contingent liabilities not provided for.
(b) The disclosures under provisions of section 22 of the Micro, Small and Medium Enterprises Development Act, 2U06 may be at as attachment to this Form
(c) Any other disclosures the LLP thinks proper to disclose.
Signature of Designated Partners of LLP or authorized representatives (AR) of a Foreign LLP DPIN/PAN Signature of Designated Partners of L or authorized representatives (AR) of a Foreign LP -LP 16 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC 3(i)] • Statement of DPIWPA Statemenl _ j ^ . ; , 1 N 1 of Income and Expenditure (DO/MM/YYYY) to [ (DD/MM/YYYY) for the period from Income Currant Year Previous Year Turnover Other income (to specify) increase/(decrease) in stocks [including for raw materials, work in progress and finished goods] TOTAL INCOME 0 0 0 0 0 0 0 0 Expenses Purchases Personnel Expenses Administrative expenses Selling expenses Depreciation Interest Other expenses (to specify) Profit before taxes Provision for Tax Profit after Tax Profit transferred to Partners'account Profit transferred to Reserves and surplus 0 0 0 0 0 0 0 0 0 0 0 0 0 1 Q 0 0 0 0 0 0 0 0 1 0 1 0 Note:-
(a) Turnover means the aggregate of the gross value of the realization made from the sales, supply or distribution of the goods or on account of services rendered or both during the financial year. The amount of total excise duty/service tax deducted from turnover shall be disclosed separately.
(b) Any other disclosures the LLP thinks proper to disclose.
[*IR II—*sFS 3(i)] *fRrf ^T TIW& : miam 17 Attachments: Attachments
(i) optional attachment.
Signature of Designated Partners of LLP or authorized representative* (AR) of a Foreign LLP DPIN/PAN Signature oJ Designated Partners of LLP or authorized representatives (AR) of a Foreign LLP DPIN/PAN Certificate by the Designa It is hereby certified that 1 have verified the particulars contain Statements of assets and liabilities as at Attach | Remove attachment ted partner or the auditor ed in the Statement of Account and Solvency including the (DD/MM/YYYY) and the income and expenditure for the period ending I (DD/MM/YYYY) from the accounting records and other books and papers of 1 name of the LLP) and found them to be true and fair.
Name of the auditor/designated partner:
"Address "Line 1 Line 2 'City 'Country 'ISO Country Code 'State 'Pin Code Phone Q 3442GI/H—3 18 * THE GAZETTE OF INDIA : EXTRAORDINARY [PART C—SEC. 3(i)] « Fax 'Email 10 Membership numbar/DPIN*:
Digital Signature of Auditor/Designated Partrw Place:
Date: j Appendix to Statement of Account and Solvency Particulars for creation l.'LLPIN j ~ ~ ar modification or satisfaction of charges by an LLP C creation of charge 2 (a) This form is few C modification of charge C satis fa ctio •(b) charge tdentification ID number of the cha
3. "Type of Charge 1~ Immoveable property I~ Any interest In immoveable property V Book debts [~ Moveable property (not being pledge) r~ Floating charge (~ if others, specify
4. "Whether joint charge is involved
5. "Number of charge holdefs 6 Particulars of charge holders.
CIN/LLPIN "Name "Address "Line 1 Line 2 I Q n of charge •ge to be modified or satisfied: | F Ship f~ Goodwill |~ Patent, licence under a patent I - Trade marks !~~ Copyright or licence under copy right r Yes r Mo LI:U r~ i [ W D - W 5 3(i)] ma ^i T&m : smw*] 19 'City 'County •ISO Country Code 'State 'PIN Code Phone Fax 'Email 10
7. 'Nature or description of instrument's) creating or modifying the charge.
B. 'Date of the instrument creating or modifying the charge
9. (a)'whether charge created or modified outside India: f~ y e g (bl In case charge created or modified outside India on the r property situated outside India, the date of receipt of the | documents in India:
r No (DD/MM/YYYY) (DD/MM/YYYY)
10. 'Amount secured by charge in Rs 11 Brief particulars of the principal terms and conditions and extent and operation of the charge
(a) 'Rate of interest
(b) 'terms of repayment
(c) "margin
(d) 'extent and operation of the charge
(e) others 12 In case of acquisition of property, subject to charge, furnish the following details relating to existing charge on the property so acquired:
' (DD/MM/YYYY) (a) date of instrument creating or evidencing the charge, |
(b) descnption of the instrument creating or evidencing the charge,
(c) date of acquisition of the property,
(d) amount of the charge in rupees,
(e) particuiars of the property charged
13. 'Short particulars of the property charged (including location of the property) (DD/MM/YYYY) 14 (a) 'whether any of the property or interest therein under reference is not registered in the name of the company. I Yes ("No Note, if more than one charge holder involved, details of extent of charge, particulars of property charged, amount secured to be provided in attachment.
(b) If yes, in whose name it is registered 20 THE GAZETTE OF INDIA : EXTRAORDINARY [PART n—SEC. 3(I>]
15. Beta of latest modification prior to present modification:
14- Wttcuiara of present modification (DD/MM/YYYY)
17. (Me of satisfaction in full Attachments :
(i) instrument of creation or modification (H) instrument evidencing creation or modification of charge in case of acquisition of property which s already subject to charge (i«) particulars of all joint charge holders
(tv) letter of charge holder stating that the amount has been satisfied
(v) optional attachment.
(DD/MM<YYYY) To be digitally signed by designated partner DPIN Modify J Check Form Attachments Attach Remove attachment PfB-scrutlny This e-f orm has been taken on the file maintained by the Registrar through electronic mode and on the basis of certification of correctness given by filing LLP.
For office use only This e-form is hereby approved This e-form is hereby rejected Digital Signature of the authorizing officer 3i ' rrit to BO [F. No. 2/17/2011-CL-V] AVTNASH K. SRTVASTAVA, Jt. Secy.
Note :—The principal notification was published vide number G.S.R. 229(E), dated The 1st April, 2009 and last amended vide G.S.R. 506 (E), dated the 5.07.2011.
Printed by the Manager. Government of India Press, Ring Road. Mayapuri, New Delhi-11006'i and Published by the Controller of Publications, Delhi-110054.