Affidavit Petition for Dissolution

Company Letterhead (To be removed if not applicable)

{{company_name}}

{{company_address}}

Phone: {{phone}}

Email: {{email}}

Website: {{website}}

AFFIDAVIT PETITION FOR DISSOLUTION

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

1. IDENTIFICATION OF ENTITY

1.1. I am a {{deponent_capacity}} of {{entity_name}}, a company/business duly incorporated/registered in {{country_of_registration}} under registration number {{registration_number}}, with its registered office at {{registered_office_address}} (hereinafter referred to as “the Entity”).

2. GROUNDS FOR DISSOLUTION

2.1. The grounds for seeking the dissolution of the Entity are as follows:

a) {{ground_1_description}}

b) {{ground_2_description}}

c) {{ground_3_description}}

(Add additional grounds as necessary)

3. FINANCIAL POSITION OF THE ENTITY

3.1. The current financial position of the Entity is as follows:

a) Total Assets: {{total_assets_amount}}

b) Total Liabilities: {{total_liabilities_amount}}

c) Details of major creditors and their respective claims are attached hereto as Annexure 'A'.

4. COMPLIANCE WITH STATUTORY REQUIREMENTS

4.1. All relevant statutory requirements pertaining to the dissolution of an entity in {{country_of_registration}} have been considered and, where applicable, provisions have been made for their adherence. (e.g., notice to creditors, tax clearance, etc.)

4.2. I confirm that all outstanding tax obligations have been addressed or provisions for their settlement have been made.

5. PRAYER FOR DISSOLUTION

5.1. In light of the above, I respectfully petition the relevant authority for the dissolution of {{entity_name}}.

6. CONFIRMATION

6.1. I declare that the facts contained herein are, to the best of my knowledge and belief, both true and correct.

6.2. I understand the implications of making a false statement under oath.

SIGNATURE BLOCK

_________________________

Deponent: {{deponent_full_name}}

Date: {{date}}