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State of Rajasthan - Section
Section 1 in Rajasthan Insolvency Rules
1. That the said .................... was/were at the date of the petition, viz., day of 19.... and still is/are justly and truly indebted to me in the sum of Rs. p. for (c) as shown by the account endorsed hereon (or the following account), viz., for which sum or part thereof I say that I have not, nor, hath........or any person by ........order to my knowledge or belief for........use......had, or received, any manner of satisfaction or security whatsoever, save and except the following (d):
Admitted to vote for Rs.Judge or Official Receiver.Sworn at........... this............day of....................before me.Deponent's signaturesCommissioner| Date of application | Name of applicant with description and place ofabode | Serial number of the Register | How received in court | |||
| Whether received by transfer | Whether filed in court | |||||
| By debtors | ||||||
| Under arrest or imprisonment | Not under arrest or imprisonment | By creditors | ||||
| 1 | 2 | 3 | 4 | 5 | 6 | 7 |
| How disposed of | Composition approved by Court under section 38 | Whether any debtor sent for trial under section69 | Whether any undischarged insolvent sent for trialunder section 72(2) | |||||
| Date of disposal | Transferred to what Court | Withdrawn under section 14 | Dismissed under section 25 | Order of adjudication granted under Section 27 | ||||
| A receiver being appointed | A receiver not being appointed | |||||||
| 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 |
| Number of persons adjudged insolvents and theirdischarge | Date by which discharged is to be appointed for | ||||||
| Persons adjudged insolvents | Date | Disposal by discharge or otherwise | |||||
| Transferred to another Court undischarged | Died | Number absolutely discharged under section41(2)(a) | Number Conditionally discharged under section11(2)(c) | Number remaining undischarged Section 41(2)(b) | |||
| 17 | 18 | 19 | 20 | 21 | 22 | 23 | 24 |
| Date of appointment and name of Receiver | Number of case in Insolvency Register | Name of applicant | Amount of creditors claims | Assets realized | Disbursement | Creditor's claim not satisfied | Amount of realized assets in the hands ofReceiver section 62(1) | ||||||
| Proved section 49 | Disallowance Section 5 | Date | Amount | Date | Remuneration of Receiver section 57(4) | Charges other than creditor's claims section62(1)(d) | Creditor's claims satisfied section 62(2) | Total | |||||
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 |
| Date of receipt | Particluar's of income and from whom receivedwith name of estate | Number of receipts | Amount | Reference to the personal ledger folio | Date of Payment | Nature of payment and to whom paid with name ofestate | Number of cheque or the word cash | Amount | Reference to the personal ledger folio |
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| Date | Particulars | Amount. | Date | Particulars | Amount |
| 1 | 2 | 3 | 4 | 5 | 6 |
| Serial No. | Description of Property | Number quantity or weight | Estimated value | Official Receiver's initials | Manner of disposal | Date of disposal | Amount for which disposed of | Remarks |
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 |
| Serial number | From whom due | Particulars of demand | Official Receiver's initials | Partcular's of realisation | |||||
| Reference | Current | Arrears | Date of receipt | Number of receipt | Amount | Remarks | |||
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| Serial number | Description and situation of property | Extent of share and its approximate value | How managed with name of the lessee if any | If rented or leased amount thereof | Official Receiver's intials | Remarks |
| 1 | 2 | 3 | 4 | 5 | 6 | 7 |
| Serial number | Name of tenant | Reference to the patwaris Khatauni | Period of lease | Nature of demand | Amount | Date and number of receipt | Amount | Balance | Remarks |
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| Serial number | Date of document | Name and address of the party who executed thedocument | Amount | Official Receiver's initials | Particulars of collector | Remarks | ||||
| Month | Date | Principal | Interest | Date of realisation | Number of receipt | Amount realised | ||||
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 |
| Serial No. | Creditor's name | Amount of admitted debt | Secured of Scheduled | Reference to the Court's order | Official Receiver's initials | Rate of dividend paid | Date of payment | Amount paid | Remarks |
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| Serial No. | Particulars of suit | Date of filing the suit | Amount of suit | Date and amount of expenditure | Result of suit | Reference to entry in the demand register if thesuit is decreed | Official Receivers initials | Remarks |
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 |