Affidavit Petition for Dissolution

Company Letterhead

{{company_name}}

{{company_address}}

Phone: {{phone}}

Email: {{email}}

Website: {{website}}

Affidavit Petition for Dissolution

I, {{deponent_name}}, of {{deponent_address}}, do hereby make oath and state:

Identity of Petitioner

1. I am an adult male/female residing at the above-mentioned address, and the {{relationship_to_entity}} of {{entity_name}} (hereinafter referred to as 'the Entity'), with registration number {{entity_registration_number}}.

Jurisdiction and Grounds for Dissolution

2. The Entity was incorporated/registered on {{incorporation_date}} in {{country_of_registration}} and conducts its business at {{business_address}}.

3. The grounds for this petition for dissolution are as follows:

a) {{reason_for_dissolution_1}}

b) {{reason_for_dissolution_2}}

c) {{reason_for_dissolution_3}} (add more as necessary)

Financial Status and Liabilities

4. The Entity's current financial status is as follows: {{financial_status_summary}}.

5. To the best of my knowledge, the Entity's outstanding liabilities amount to approximately {{total_liabilities_amount}} and are primarily owed to {{list_of_major_creditors}}.

Assets and Proposed Distribution

6. The Entity's major assets include: {{list_of_major_assets}}.

7. Upon dissolution, I propose that the assets be distributed as follows: {{proposed_asset_distribution_plan}}.

Compliance with Statutory Requirements

8. All necessary steps have been taken to ensure compliance with the {{relevant_legislation_name}} regarding the dissolution of entities, including {{list_of_compliance_actions}}.

Prayer for Relief

9. WHEREFORE, I respectfully pray for an order of this Honourable Court/Authority for the dissolution of {{entity_name}}.

Oath and Attestation

I know and understand the contents of this affidavit.

I have no objection to taking the prescribed oath.

I consider the prescribed oath to be binding on my conscience.

DECLARED UNDER OATH AT {{city_of_declaration}} ON THIS THE {{day_of_declaration}} DAY OF {{month_of_declaration}} {{year_of_declaration}}.

Signature Block

___________________________

Deponent: {{deponent_name}}

___________________________

Commissioner of Oaths

Full Names: {{commissioner_name}}

Designation: {{commissioner_designation}}

Business Address: {{commissioner_address}}