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    Sample Ca Form Duly Filled - For Guidance Only

    Uploaded by

    Seema Sharma Dora
    1. Suman Sharma and Vinod Kumar Sharma have submitted a claim of Rs. 25,72,424.84 against Logix City Developers Private Limited, which is currently undergoing corporate insolvency resolution process. 2. The claim amount includes Rs. 14,75,249 paid by the claimants to the corporate debtor between 2015-2022 for purchase of a flat, along with accrued interest of Rs. 10,97,175.84 on the amount paid. 3. As security against the claim amount, the claimants hold ownership of flat no. SAT4-801 in Blossom Zest project located in Noida, with a current value of Rs. 17,

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    Sample Ca Form Duly Filled - For Guidance Only

    Uploaded by

    Seema Sharma Dora
    2K views3 pages
    1. Suman Sharma and Vinod Kumar Sharma have submitted a claim of Rs. 25,72,424.84 against Logix City Developers Private Limited, which is currently undergoing corporate insolvency resolution process. 2. The claim amount includes Rs. 14,75,249 paid by the claimants to the corporate debtor between 2015-2022 for purchase of a flat, along with accrued interest of Rs. 10,97,175.84 on the amount paid. 3. As security against the claim amount, the claimants hold ownership of flat no. SAT4-801 in Blossom Zest project located in Noida, with a current value of Rs. 17,

    Original Title

    SAMPLE CA FORM DULY FILLED - FOR GUIDANCE ONLY

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    1. Suman Sharma and Vinod Kumar Sharma have submitted a claim of Rs. 25,72,424.84 against Logix City Developers Private Limited, which is currently undergoing corporate insolvency resolution process. 2. The claim amount includes Rs. 14,75,249 paid by the claimants to the corporate debtor between 2015-2022 for purchase of a flat, along with accrued interest of Rs. 10,97,175.84 on the amount paid. 3. As security against the claim amount, the claimants hold ownership of flat no. SAT4-801 in Blossom Zest project located in Noida, with a current value of Rs. 17,

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    2K views3 pages

    Sample Ca Form Duly Filled - For Guidance Only

    Uploaded by

    Seema Sharma Dora
    1. Suman Sharma and Vinod Kumar Sharma have submitted a claim of Rs. 25,72,424.84 against Logix City Developers Private Limited, which is currently undergoing corporate insolvency resolution process. 2. The claim amount includes Rs. 14,75,249 paid by the claimants to the corporate debtor between 2015-2022 for purchase of a flat, along with accrued interest of Rs. 10,97,175.84 on the amount paid. 3. As security against the claim amount, the claimants hold ownership of flat no. SAT4-801 in Blossom Zest project located in Noida, with a current value of Rs. 17,

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    FORM CA

    SUBMISSION OF CLAIM BY FINANCIAL CREDITORS IN A CLASS


    (Under Regulation 8Aof the Insolvency and Bankruptcy (Insolvency Resolution Process for Corporate Persons)
    Regulations, 2016)
    [25.03.2022]
    From
    Suman Sharma
    Vinod Kumar Sharma
    20C, Block U/3,
    Dhawalgiri Apartment Sector-11
    Noida G.B.Nagar U.P 201301

    To
    The Interim Resolution Professional
    Mr.Yogesh Kumar Gupta
    C-17B LGF,Kalkaji New Delhi-110019
    [email protected]/[email protected]

    Subject: Submission of claim and proof of claim.

    Madam/Sir,

    I, Suman Sharma & Vinod Kumar Sharma, hereby submits this claim in respect of the corporate insolvency
    resolution process of M/s Logix City Developers Private Limited. The details for the same are set out below:
    RELEVANT PARTICULARS

    1. Name of the financial creditor Suman Sharma

    Vinod Kumar Sharma

    2. Identification number of the financial creditor PAN: ARCPS0596G

    (If an incorporated body, provide identification number and proof of


    incorporation. If a partnership or individual, provide identification
    records of all the partners or the individual)

    3. Address and e-mail address of the financial creditor for 20C,BlockU/3,Dhawalgiri


    correspondence. Apartment Sector-11 Noida
    G.B.Nagar (U.P)-201301 email:
    [email protected]
    Mob: 9999999236

    4. Total amount of claim (in Rs.) Rs 2572424.84/-

    5. Details of documents by reference to which the debt can be Flat Buyer Agreement
    substantiated
    Payment Receipts
    6. Details of how and when debt incurred SAT4-801,Blossom Zest
    Project, Plot No.GH-02,Sector-
    143 Noida -201304

    1. Amount Paid to Logix City


    Developers Pvt Ltd between
    15.09.2011 to 22.03.2022

    Rs 1475249/-

    2. Interest accrued on amount


    paid Rs 1097175.84

    Total claim: Rs 2572424.84/-

    7. Details of any mutual credit, mutual debts, or other mutual dealings NIL
    between the corporate debtor and the creditor which may be set-off
    against the claim

    8. Details of any security held, the value of the security, and the date it SAT4-801,Blossom Zest
    was given Project, Plot No. GH-02 Sector-
    143 Noida -201304

    Value of the security Rs


    1750876/-

    27.09.2011

    9. Details of the bank account to which the amount of the claim or any Suman Sharma
    part thereof can be transferred pursuant to a resolution plan
    Account No. 059701000009918
    IFSC IOBA0000597

    Indian Overseas Bank, Nithari


    Sector-31,Noida

    10. List of documents attached to this claim in order to prove the Flat Buyer Agreement
    existence and non-payment of claim due
    Payment Receipt

    11. Name of the insolvency professional who will act as the Authorized Mr. Sanjeev Ahuja
    representative of creditors of the class

    Signature of financial creditor or person authorised to act on its behalf


    [Please enclose the authority if this is being submitted on behalf of the financial creditor]

    SUMAN SHARMA, VINOD KUMAR SHARMA

    Position with or in relation to creditor

    20C,Block U/3, Dhawalgiri Apartment Sector-11 Noida G.B.Nagar (U.P) 201301


    *PAN number, passport, AADHAAR Card or the identity card issued by the Election Commission of India.

    DECLARATION
    I, Suman Sharma & Vinosd Kumar Sharma currently residing at 20C,Block U/3,Dhawalgiri Apartment Sector-
    11 Noida G.B.Nagar (U.P) 201301, do hereby declare and state as follows: -
    1. M/s Logix City Developers Pvt Ltd, the corporate debtor was, at the insolvency commencement
    date, being the 22nd of March.2022, actually indebted to me for a sum of Rs. 25,72,424.84/-.
    2. In respect of my claim of the said sum or any part thereof, I have relied on the documents specified
    below:
    Flat Buyer Agreement,
    Payment Receipts
    .
    3. The said documents are true, valid and genuine to the best of my knowledge, information and
    belief and no material facts have been concealed therefrom.
    4. In respect of the said sum or any part thereof, neither I, nor any person, by my order, to my
    knowledge or belief, for my use, had or received any manner of satisfaction or security
    whatsoever, save and except the following:
    There is no mutual credit, mutual debts, or other mutual dealings between the corporate debtor and the
    creditor which may be set-off against the claim
    5. I am not a related party of the corporate debtor, as defined under section 5 (24) of the Code.

    Date: 25.03.2022
    Place: Noida
    (Signature of the claimant)
    VERIFICATION
    I, Suman Sharma the claimant hereinabove, do hereby verify that the contents of this proof of claim are true and
    correct to my knowledge and belief and no material fact has been concealed there from.

    Verified at Noida on this 25 day of March 2022


    (Signature of claimant)
    [Note: In the case of company or limited liability partnership, the declaration and verification shall be made by
    the director/manager/secretary/designated partner and in the case of other entities, an officer authorized for the
    purpose by the entity.]

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