P.U. 173/66
COMPANIES REGULATIONS, 1966
SECOND SCHEDULE (Regulation 3)



FORM 66. Declaration Of Solvency.

FORM 66

Companies Act, 1965
Section 257


DECLARATION OF SOLVENCY

………………………………. . (NAMA SYARIKAT)


We, …………………… ,of…………………… I/C Nos …………………… ,and …………………… ,of …………………… being* …………………… the directors of …………………… (Nama Syarikat) and being present at a meeting of the directors of the company, declare that -

Attached hereto and signed by us is a true and correct statement of the company's assets and liabilities as at the …………… day of …………………… ,19 ………, being the latest practicable date before the making of this declaration.


Declared at the above-mentioned meeting of directors held
at……………………………………………. in the State of
…………………………………this………………. . day of
. . . . . . . . . . . . . . . . . . . . . . . . . . . . ,19……….
. . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . .. . .
. . . . . . . . . . . . . . . . . . .
Directors


Companies Act, 1965
Section 257 (2)
STATEMENT AS AT……………………,19 ………,TO BE ATTACHED TO DECLARATION
OF SOLVENCY SHOWING ASSETS AT ESTIMATED REALIZABLE VALUES AND LIABILITIES EXPECTED TO RANK

………………………………. . (NAMA SYARIKAT)

Assets and Liabilities
Estimated to realize
or to rank for pay- (to nearest RM)
    ASSETS:
    Balance at bank . . . . . . . . . . . . . . . . . .
    Cash in hand . . . . . . . . . . . . . . . . . . . . .
    Marketable securities . . . . . . . . . . . . . . .
    Bills receivable . . . . . . . . . . . . . . . . . . . . .
    Trade, debtors . . . . . . . . . . . . . . . . . .
    Loans and advances . . . . . . . . . . . . . . . . . .
    Unpaid calls . . . . . . . . . . . . . . . . . . . . . . . . .
    Stock in trade . . . . . . . . . . . . . . .. . . . . . . .
    Work in progress . . . . . . . . . . . .
    . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
    Freehold property . . . . . . . . . . . . . . . . . . . . .
    Leasehold property . . . . . . . . . . . . . . . . . .
    Plant and machinery . . . . . . . . . . . .
    Furniture, fittings, utensils, & c. . . . . . . . . .
    Patents, trade marks, & c . . . . . . . . . . . .
    Investments other than marketable securities
    Other property, viz. : . . . . . . . . . . . . . . .
    Estimated realizable value of assets . . .
    RM sen
    LIABILITIES: RM
    Secured on specific assets, viz. :
    . . . . .
    Secured by floating charger(s)
    Estimated expenses of winding up . . . . . .
    Other estimated expenses, including interest accruing
    until payment of debts in full . . . . . . . . .
    Unsecured creditors (amounts estimated to
    rank for payment) . . . . . . . . . RM
    Trade accounts . . . . . . . . .
    Bills payable . . . . . .
    Accrued expenses . . . . . .
    Other liabilities:
    . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
    . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
    Contingent liabilities:
    . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
    . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .
    Total
    Estimated surplus after paying debts in full
    RM sen

Remarks ……………………………………………………………………………….

Dated this……………………. . day of………………………………. ,19………….
……………………
Directors


___________________________________________________
*Insert "all" or "a majority of".

† Insert a period of months not exceeding twelve.

NOTE

By virtue of section 257 (3) of the Companies Act, 1965, a declaration of solvency has no effect for the purposes of that Act unless it is made within five weeks immediately preceding the passing of the resolution for voluntary winding up and lodged with the Registrar of Companies before the date on which the notices of the meeting at which the resolution for the winding up of the company is to be proposed are sent out.


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