Affidavit Petition for Dissolution

Company Letterhead (Petitioner)

{{company_name}}

{{company_address}}

Phone: {{phone}}

Email: {{email}}

Website: {{website}}

AFFIDAVIT PETITION FOR DISSOLUTION

I, {{deponent_name}}, Identity Number {{deponent_id_number}}, being an adult male/female residing at {{deponent_address}}, do hereby make oath and state:

1. INTRODUCTION

1.1 I am a director/member/proprietor of {{company_name}}, a company/close corporation/sole proprietorship duly registered and operating under the laws of {{country}} (hereinafter referred to as 'the Entity').

1.2 The registered address of the Entity is {{company_address}}.

1.3 This affidavit serves as a formal petition for the dissolution of the Entity in accordance with applicable statutory provisions.

2. REASONS FOR DISSOLUTION

2.1 The Entity is unable to continue its operations profitably/effectively due to {{reason_1_details}}.

2.2 There has been an irreconcilable breakdown in the relationship between the members/shareholders/partners, rendering the continued operation of the Entity impractical/impossible. Details: {{reason_2_details}}.

2.3 The Entity has ceased to carry on business and has no intention of resuming operations. Further details: {{reason_3_details}}.

2.4 All liabilities of the Entity have been settled/will be settled from the proceeds of dissolution, as detailed in Annexure 'A' attached hereto.

3. RESOLUTION/CONSENT FOR DISSOLUTION

3.1 A resolution for the voluntary dissolution of the Entity was passed by the board of directors/members/shareholders on {{date_of_resolution}} at {{place_of_meeting}}.

3.2 A copy of the resolution/written consent is attached hereto as Annexure 'B'.

4. ASSETS AND LIABILITIES

4.1 A comprehensive list of assets and liabilities of the Entity as of {{current_date}} is attached hereto as Annexure 'C'.

4.2 The Entity has no outstanding contingent liabilities not disclosed in Annexure 'C'.

5. DECLARATION

I hereby declare that the information contained in this affidavit is true and correct to the best of my knowledge and belief, and that I have not withheld any material facts.

6. PRAYER

WHEREFORE, I humbly pray that this Honourable Court/relevant authority grant an order for the dissolution of {{company_name}} and for such further and/or alternative relief as may be deemed appropriate.

Signature Block

___________________________

Deponent: {{deponent_name}}

Date: {{date}}

Place: {{place}}

___________________________

Commissioner of Oaths

Full Names: {{commissioner_name}}

Designation: {{commissioner_designation}}

Address: {{commissioner_address}}

Date: {{date}}