S.I. No. 45/1964 - Companies (Forms) Order, 1964.


S.I. No. 45 of 1964.

COMPANIES (FORMS) ORDER, 1964.

I, JOHN LYNCH, Minister for Industry and Commerce, in exercise of the powers conferred on me by sections 47 , 99 , 101 , 111 , 128 , 204 , 352 , 353 , 354 , 361 , 364 and 396 of the Companies Act, 1963 (No. 33 of 1963), hereby order as follows :

1. This Order may be cited as the Companies (Forms) Order, 1964.

2. In this Order—

"the Act" means the Companies Act, 1963 ;

"Irish diplomatic or consular officer" means a person to whom section 2 of the Commissioners for Oaths (Diplomatic and Consular) Act, 1931 (No. 9 of 1931), applies.

3. The Forms set out in the Schedule hereto are hereby prescribed as the forms to be used for the purposes of the Act with such variations as circumstances require and the particulars indicated therein are hereby prescribed as the particulars required for the said purposes.

4. A copy of the charter, statutes or memorandum and articles of a company, or other instrument constituting or defining the constitution of a company, shall, for the purposes of section 352 of the Act, be certified, in the country in which the company is incorporated, as follows :

(a) certified as a true copy by an official of the Government to whose custody the original is committed, the signature or seal of such official being authenticated by an Irish diplomatic or consular officer ; or

(b) certified as a true copy by a notary of the country in which the company is incorporated, the certificate of the notary being authenticated as aforesaid ; or

(c) duly certified as a true copy on oath by some officer of the company before a person having authority to administer an oath, the status of the person administering the oath being authenticated as aforesaid.

5. The time within which a return containing the particulars of alterations is to be delivered to the registrar under section 353 of the Act shall be 21 days after the date of making such alterations or 21 days after the date on which notice thereof could, in due course of post and if despatched with due diligence, have been received in the State.

6. A translation of a charter, statutes or memorandum and articles of association, or other instrument constituting or defining the constitution of a company, or any account or other document to be delivered to the registrar under the Act shall be certified to be a correct translation—

(a) if made outside the State, by an Irish diplomatic or consular officer, or by any person whom any such officer certifies to be known to him as competent to translate it into the Irish or English language ;

(b) if made within the State, by a notary public or a solicitor.

7.—(1) A notice under subsection (1) of section 204 of the Act shall be given in Form 18, and a notice under subsection (4) (a) of that section shall be given in Form 19, in the Schedule hereto.

(2) A notice to be given by the transferee company pursuant to section 204 of the Act shall—

(a) in the case of a shareholder other than the holder of a share warrant to bearer, be given to him personally or by sending it by registered post to him at his address registered in the books of the transferor company, or to the address, if any, within the State supplied by him to the transferor company for the giving of notices to him ;

(b) in the case of a shareholder who is the holder of a share warrant to bearer, be given by advertisement published in at least two daily newspapers circulating in the district where the registered office of the transferor company is situate.

(3) A notice to which paragraph (2) relates may be given—

(a) to the joint holders of a share by giving the notice to the joint holder first named in the register in respect of the share ;

(b) to the persons entitled to a share in consequence of the death or bankruptcy of a member by sending it through the post in a prepaid letter addressed to them by name or by the title of representatives of the deceased or Official Assignee in bankruptcy or by any like description at the address supplied to the transferor company by the persons claiming to be so entitled or (until such an address has been so supplied) by giving the notice in any manner in which notices may properly be given by the transferor company.

8.—(1) Where registration of a charge is applied for by a company, the prescribed particulars of the charge required to be delivered to the registrar of companies under section 99, 101 or 111 of the Act shall be verified by some person interested therein otherwise than on behalf of the company and that person shall state the nature of his interest in the charge.

(2) Where registration is applied for by some person interested in the charge otherwise than on behalf of the company, the prescribed particulars shall be verified under the seal of the company or by submitting to the registrar the original or a copy of the instrument by which the charge is created or evidenced, being a copy certified by the applicant to be a true copy.

9. Each of the following instruments is hereby revoked ;

S.R. & O., No. 324/L. 11 of 1909.

S. R. & O. No. 370 of 1919.

S. R. & O. No. 12 of 1923.

Companies Acts Forms Order, No. 1, 1924 (S. R. & O. No. 19 of 1924).

Companies Acts Forms Order, No. 1, 1925 ( S. R. & O. No. 9 of 1925 ).

Companies Acts, 1908 and 1959 (Forms) Order, 1960 ( S.I. No. 16 of 1960 ).

SCHEDULE

FORMS

CERTIFICATE NO...................                       FORM NO. 52

COMPANIES ACT, 1963

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A 5s. Companies RegistrationFee Stamp must be impressed here.

PARTICULARS OF A CONTRACT RELATING TO SHARES

Pursuant to Section 58 (2)

Name of Company............................................................ ............................................................ .........Limited

The particulars must be stamped with the same stamp duty as would have been payable if the contract had been reduced to writing.

Presented by

.............................................

.............................................

.............................................

_______________________________________________________________________

Particulars of contract relating to shares allotted as fully or partly paid up otherwise than in cash by............................................................ ............................................................ ...................................................

............................................................ ............................................................ .......................................... Limited.

(1) The number of shares allotted as fully or partly paid up otherwise than in cash

(2) The nominal amount of each such share

£

(3) The amount to be considered as paid up on each such share otherise than in cash

£

(4) If the consideratin for the allotment of such shares is services, or any consideration other than that mentioned below in (5), state the nature of such consideration, and the number of shares so allotated.

(5) If the allotment is made in satisfaction or part satisfaction of the purchase price of property, give a brief description of such property, and full particulars of manner in which the purchase price is to be satisfied.

(1) Brief description of property.

(2) Purchase price

£

(a) Total amount considered as paid on ........ shares allotted otherwise than in cash.

£

(b) Cash

£

(c) Amount of debt released or liabilities assumed by the purchaser (including mortgages on property acquired).

Total purchase price

£

(6) Give full particulars, in the form of the following table, of the property which is the subject of the sale, showing in detail how the total purchase price is apportioned between the respective heads :—

£

s.

d.

Freehold Property (a)

Leasehold Property (a)

Plant and Machinery

Stock-in-Trade and other Chattels

Goodwill and Benefit of Contracts

Patents, Designs, Trade Marks, Licences, Copyrights, etc.

Book and other Debts

Cash in Hand and at Bank on Current Account, Bills, Notes, etc.

Cash on Deposit at Bank or elsewhere

Shares, Debentures and other investments

Other property, viz.

£

(b) (Signature)............................................................ ...

(State whether Director or Secretary)............................................................ ..................

Dated the...........................................day of............................................................ ........................19......

(a) Where such properties are sold subject to mortgage, the gross value should be shown.

(b This form must be signed by a director or the secretary.

____________________________________________________________________

(a) Where such properties are sold subject to mortgage, the gross value should be shown.

(b) This form must be signed by a director or the secretary.

CERTIFICATE NO...................                       FORM NO. 58

COMPANIES ACT, 1963

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A5s. Companies registration Fee Stamp must be impressed here.

STATEMENT OF THE AMOUNT AND RATE PER CENT. OF THE COMMISSION PAYABLE IN RESPECT OF SHARE AND OF THE NUMBER OF SHARES FOR WHICH PERSONS HAVE AGREED FOR A COMMISSION TO SUBSCRIBE ABSOLUTELY

Pursuant to Section 59 (1) (c) (ii) and (d).

Name of Company............................................................ ............................................................ .....................Limited.

Presented by

.............................................

.............................................

.............................................

______________________________________________________________________

(a) Name of company

{

............................................................ ...................

............................................................ ...................

............................................................ ......Limited.

(b) Article of association authorising commission.

No...................

(c) Particulars of amount payable as commission for subscribing, or agreeing to subscribe, or for procuring or agreeing to procure, subscriptions for any shares in the company ;

}

£..................

(d) Rate of such commission

Rate per cent...................

(e) Number of shares for which persons have agreed for a commission to subscribe absolute.

}

No..............................................

(f) Date of circular or notice (if any), not being a prospectus, inviting subscriptions for the shares and disclosing the information at (c), (d) and (e) above.

}

Date.............................................

(Signatures of all the Directors or of their agents authorised in writing.)

............................................................ ..........................

............................................................ ..........................

............................................................ ..........................

............................................................ ..........................

............................................................ ..........................

............................................................ ...........................

Dated the..........................................................day of............................................................ ............................19......

CERTIFICATE NO...................                       FORM NO. 10

COMPANIES ACT, 1963

NOTICE OF INCREASE IN NOMINAL CAPITAL

Pursuant to Section 70

Name of Company............................................................ ............................................................ .........Limited.

Presented by

.............................................

.............................................

.............................................

____________________________________________________________________

To the Registrar of Companies.

............................................................ ............................................................ ............................................................ .....

............................................................ ............................................................ .............................................. Limited, hereby gives you notice pursuant to Section 70 of the Companies Act, 1963 , that by (a).................................resolution of the company dated the............day of.................................19...... the nominal capital of the company has been increased by the addition thereto of the sum of £...........................beyond the registered capital of £...........................

The additional capital is divided as follows :—

Number of shares

Class of share

Nominal amount of each share

The conditions (e.g., voting rights, dividend rights, winding-up rights, etc.) subject to which the new shares have been or are to be issued are as follows :—

(if any of the new shares are preference shares state whether they are redeemable or not.)

(b) (Signature)............................................................ ........................................

(State whether Director or Secretary)............................................................ .................................

Dated the..................................................day of............................................................ ...............................19......

(a) " Ordinary," or " special."

(b) This form must be signed by a director or the secretary.

CERTIFICATE NO...................                       FORM NO. 47

COMPANIES ACT, 1963

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See below

PARTICULARS OF A CHARGE* CREATED BY A COMPANY INCORPORATED IN THE STATE

Pursuant to Section 99

Name of Company............................................................ ............................................................ ......... Limited.

The fee payable on registration of a Charge is 10s. if the amount secured does not exceed £200, and £1 if it exceeds £200.

Presented by

.............................................

.............................................

.............................................

_____________________________________________________________________

Particulars of a Charge created by......................................................... ............................................................ ..................................... Limited, by a company incorporated in the State.

(1)

(2)

(3)

(4)

(5)

Date and description of the instrument creating or evidencing the charge (a)

Amount secured by the charge

Short particulars of the property charged

Names, addresses and occupations of the persons entitled to the charge

Amount and rate per cent. of the commission, allowance or discount (if any) paid or made either directly or indirectly by the company to any person in consideration of his subscribing or agreeing to subscribe, whether absolutely or conditionally, or procuring or agreeing to procure subscriptions, whether absolute or conditional, for any of the debentures included in this return (b)

(Signature)............................................................ ...

(Designation of position in relation to the company)............................................................ ...............................

Dated the..........................................................day of..........................................................19......

(c) The above particulars are hereby verified.

(Signature)................................................

Nature of interest of Signatory in the charge............................................................ .............................................

Dated the..........................................................day of..........................................................19......

*Includes mortgage : section 99 (10).

(a) A description of the instrument, e.g., " Trust Deed ", " Mortgage ", " Debenture ", etc., as the case may be, should be given.

(b) The rate of interest payable under the terms of the debentures need not be entered.

(c) (i) Where registration is applied for by the company itself, the particulars must be verified by some person interested in the charge otherwise than on behalf of the company and such person must state the nature of his interest in the charge.

(ii) Where registration is applied for by some person interested in the charge otherwise than on behalf of the company, the particulars must be verified under the seal of the company or by submitting to the registrar the original or a copy of the instrument by which the charge is created or evidenced being a copy certified by the applicant to be a true copy.

CERTIFICATE NO...................                      FORM NO. 47C

COMPANIES ACT, 1963

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A 5s. Companies Registration Fee Stamp must be impressed here.

CERTIFICATE THAT A CHARGE* COMPRISING PROPERTY OUTSIDE THE STATE HAS BEEN PRESENTED FOR REGISTRATION IN THE COUNTRY WHERE THE PROPERTY IS SITUATE.

Pursuant to Section 99 (5)

Name of Company............................................................ ............................................................ .........Limited.

Presented by

.............................................

.............................................

.............................................

_______________________________________________________________________

CERTIFICATE

............................................................ .................................................

............................................................ ...............................................

I or We, ............................................................ ............................................................ .................................................

............................................................ ............................................................ ............................................................ .........

of ............................................................ ............................................................ ............................................................ ...

being (a) ............................................................ ............................................................ ....................................................

hereby certify that the charge (b) ............................................................ ............................................................ .........

was presented for registration on ..............................day of............................................................ 19.......................

at (c)............................................................ ............................................................ ...........................................................

(Signature)................................................

_______________________________________________________________________________

*Includes mortgagae : section 99 (10).

(a) This certificate must be given by a director or secretary of the company or by a person interested in the charge otherwise than on behalf of the company, or by a solicitor acting on behalf of the company or of some person so interested as aforesaid. The capacity in which the certificate is given must be stated.

(b) Give date and parties to charge.)

(c) State description and situation of office of registration.

REGISTERED NO. E...................                     FORM NO. 8E

COMPANIES ACT, 1963

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See below

PARTICULARS OF A CHARGE* ON PROPERTY IN THE STATE CREATED BY A COMPANY INCORPORATED OUTSIDE THE STATE

Pursuant to Sections 99 and 111

Name of Company............................................................ ............................................................ ........................

The fee payable on registration of a Charge is 10s. if the amount secured does not exceed £200 and £1 if it exceeds £200.

Presented by

.............................................

.............................................

.............................................

_____________________________________________________________________

Particulars of a Charge created by ............................................................ ............................................................  ............................................................ ......................... a company incorporated in (a)............................................................ ......and which has established its principal place of business in the State at ............................................................ ............................................................ ...............

(1)

(2)

(3)

(4)

(5)

Date and description of the instrument creating or evidencing the charge (b)

Amount secured by the charge

Short particulars of the property charged

Names, addresses and occupations of the persons entitled to the charge

Amount and rate per cent. of the commission, allowance or discount (if any) paid or made either directly or indirectly by the company to any person in consideration of his subscribing or agreeing to subscribe, whether absolutely or conditionally, or procuring or agreeing to procure subscriptions, whether absolute or conditional, for any of the debentures included in this return (c)

Signatures of the persons authorised under Section 352 (1) (c) of the Companies Act, 1963 or of some other person in the State duly authorised by the Company.

/images/si045y64p0023b.jpg

............................................................ ......

............................................................ ......

............................................................ ......

Dated the............................day of...........................................19......(d) The above particulars are hereby verified.

(Signature)........................................

Nature of interest of signatory in the charge............................................................ ................................................

Dated the.....................................................day of............................................................ ..................19.....................

*Includes mortgage : section 99 (10).

(a) Country of origin.

(b) A description of the instrument, e.g., " Trust Deed ", " Mortgage ", " Debenture ", etc., as the case may be, should be given.

(c) The rate of interest payable under the terms of the debentures need not be stated.

(d) (i) Where registration is applied for by the company itself the particulars must be verified by some person interested in the charge otherwise than on behalf of the company and such person must state the nature of his interest in the charge.

(ii) Where registration is applied for by some person interested in the charge otherwise than on behalf of the company, the particulars must be verified under the seal of the company or by submitting to the registrar the original or a copy of the instrument by which the charge is created or evidenced, being a copy certified by the applicant to be a true copy.

CERTIFICATE NO...................                      FORM NO. 47B

COMPANIES ACT, 1963

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See below

PARTICULARS OF A CHARGE* SUBJECT TO WHICH PROPERTY HAS BEEN ACQUIRED BY A COMPANY INCORPORATED IN THE STATE

* Includes mortgage : Section 99 (10).

Pursuant to Section 101

Name of Company............................................................ ............................................................ .........Limited

The fee payable on registration of a Charge is 10s. if the amount secured does not exceed £200, and £1 if it exceeds £200.

Presented by

.............................................

.............................................

.............................................

_____________________________________________________________________

Particulars of a Charge subject to which property has been acquired by .............................. ............................................................ ............................................................ . Limited, a Company incorporated in the State.

(1)

(2)

(3)

(4)

(5)

Date and description of the instrument creating or evidencing the charge (a)

Date of the acquisition of the property

Amount owing on security of the charge

Short particulars of the property charged

Names, addresses and occupations of the persons entitled to the charge

(Signature)............................................................ ...

(Designation of position in relation to the company)............................................................ ..................................

Dated the.............................................day of......................................................19......

(b) The above particulars are hereby verified.

(Signature).....................................................

Nature of interest of signatory in the charge............................................................ ..................................................

Dated the..........................................day of............................................................ ...............19......

(a) A description of the instrument e.g. "Trust Deed," "Mortgage," "Debenture," "Judgment Mortgage" etc., as the case may be should be given. In the case of a judgment mortgage, the date of the registration of the relevant affidavit in the Land Registry or Registry of Deeds should be given.

(b) The particulars must be verified by some person interested in the charge otherwise than on behalf of the company and such person must state the nature of his interest in the charge.

REGISTERED NO. E...................                      FORM NO. 9E

COMPANIES ACT, 1963

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See below

PARTICULARS OF A CHARGE* SUBJECT TO WHICH PROPERTY IN THE STATE HAS BEEN ACQUIRED BY A COMPANY INCORPORATED OUTSIDE THE STATE

*Includes mortgage : Section 99 (10).

Pursuant to Sections 101 and 111

Name of Company ............................................................ ............................................................ ................................

The fee payable on registration of a Charge is 10s. if the amount secured does not exceed £200 and £1 if it exceeds £200.

Presented by............................................................ ............................................................ ..........................................

.............................................

.............................................

.............................................

_________________________________________-____________________________

Particulars of a Charge subject to which property in the State has been acquired by ............................................................ ............................................................ ............................................................ .........................a company incorporated (a)............................................................ ......and which has established its principal place of business in the State at............

(1)

(2)

(3)

(4)

(5)

Date and description of the instrument creating or evidencing the charge (b)

Date of the acquisition of the property

Amount owing on security of the charge

Short particulars of the property charged

Names, addresses and occupations of the persons entitled to the charge

Signature of the persons authorised under Section 352 (1) (c) of the Companies Act, 1963 , or of some other person in the State duly authorised by the company.

/images/si045y64p0031b.jpg

............................................................ ......

............................................................ ......

............................................................ .......

Dated the.....................................................day of............................................................ ...........19......

(c) The above particulars are hereby verified.

(Signature)............................................................ ..................

Nature of interest of signatory in the charge............................................................ ..................................................

Dated the.....................................................day of............................................................ ........................19......

(a) Country of origin.

(b) A description of the instrument,e.g. "Trust Deed", "Mortgage", "Debenture", "Judgment Mortgage", etc., as the case may be, should be given. In the case of a judgment mortgage, the date of the registration of the relevant affidavit in the Land Registry or Registry of Deeds should be given.

(c) The particulars must be verified by some person interested in the charge otherwise than on behalf of the company and such person must state the nature of his interest in the charge.

CERTIFICATE NO...................                       FORM NO. 91

REGISTERED NO. E.          COMPANIES ACT, 1963

Pursuant to Sections 103 and 105.

REGISTER of Charges,* and of Memorandums of Satisfactions of

............................................................ ............................................................ ..................................................Limited

*Include mortgage : Section 99(10)

(1)

(2)

(3)

(4)

(5)

(6)

(7)

Particulars relating to issues of Debentures of a series

(14)

(15)

(16)

(8)

(9)

(10)

(11)

(12)

(13)

Amount and rate per cent. of the commission, allowance, or discount

Memorandums of Satisfaction

Receiver

Date of registration

Serial number of document on file

Date of creation of each charge and description thereof

Date of the acquisition of the property

Amount secured by the charge

Short particulars of the property charged

Names of the persons entitled to the charge

Total amount secured by a series of debentures

Date and amounts of each issue of the series

Dates of the resolutions authorising the issue of the series

Date of the covering deed

General description of the property charged

Names of the Trustees for the debenture holders

£

(a) In the case of a judgment mortgage, the date of Registration of the relevant affidavit in the Land Registry or Registry of Deeds should be given.

CERTIFICATE NO...................                       FORM NO. 53

REGISTERED NO. E...................

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A 5s.Companies Registration Fee Stamp must be impressed here.

COMPANIES ACT, 1963

NOTICE OF APPOINTMENT OF A RECEIVER

Pursuant to Section 107 (1)

Name of Company............................................................ ............................................................ ..............Limited.

Presented by

.............................................

.............................................

.............................................

_______________________________________________________________________

To the Registrar of Companies.

I, ............................................................ ......of ............................................................ ........................ with reference to............................................................ ............................................................ ........................................................... Limited,

*a company incorporated in the State/outside the State, hereby give notice that :—

*Delete words which do not apply

(a) I have obtained an Order of the (b)...................................................dated the............day of...........................19...... for the appointment of ............................................................ ................................................ of ............................................................ ......................................... as (c) ......................................

*(1) of the whole or substantially the whole of the property of this company,

*(2) of part of the property of this company,

*(3) of the income arising from the property or part of the property of this company,

on behalf of the holders of (d)............................................................ ............................................................ ....

(a) On the.........................................day of.................................19......... I appointed

............................................................ ....................of............................................................ ........................................... as (c)............................................................ ............................................................ ......................................................

* Delete as necessary.

*(1) of the whole or substantially the whole of the property of this company,

*(2) of part of the property of this company,

*(3) of the income arising from the property or part of the property of this company,

* Delete as necessary.

on behalf of the holders of (d) ............................................................ ..

under the powers contained in that instrument.

(Signature)............................................................ ......................

Dated the............................................................ ......day of............................................................ ........................19......

________________________________________________________________________________

(a) Of these two paragraphs strike out that which does not apply.

(b) Name of Court making the order.

(c) " Receiver " or " Manager " or " Receiver and Manager " as the case may be.

(d) Describe the instrument fully and state whether it is a debenture secured by floating charge

CERTIFICATE NO...................                     FORM NO. 57A

REGISTERED No. E...................

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A 5s. Companies Registration Fee Stamp must be impressed here.

COMPANIES ACT, 1963

NOTICE OF APPOINTMENT OF A RECEIVER

Pursuant to Section 107 (2)

Name of Company............................................................ ......................................................Limited.

Presented by

.............................................

.............................................

.............................................

_____________________________________________________________________

To the Registrar of Companies.

I, ............................................................ ............................................................ ...........................................................

of ............................................................ ......................................... hereby give you notice that I ceased to act as Receiver and/or Manager of ............................................................ ............................................................ .......

............................................................ .............. Limited on the............day of...........................19......

(Signature)............................................................ ................................................

Dated the........................................................day of............................................................ .........................19......

CERTIFICATE NO...................                      FORM NO. 47D

Companies Act, 1963

/images/si045y64p0085.jpg

A 5s. Companies Registration Fee Stamp must be impressed here.

Pursuant to Section 112

PARTICULARS OF CHARGES* CREATED AND CHARGES ON PROPERTY ACQUIRED BEFORE THE 1st DAY OF APRIL, 1964, BY A COMPANY INCORPORATED IN THE STATE.

*Includes mortage : Section 99 (10)

Name of Company............................................................ ............................................................ .....................Limited

............................................................ ............................................................ ...........................................................

Presented by

.............................................

.............................................

.............................................

_______________________________________________________________________

Particulars supplied by............................................................ Limited, a Company incorporated in the State, of :

A. Charges created by the company before 1st April, 1964, and remaining unsatisfied at that date, which would have been required to be registered under the provisions of paragraphs (g), (h) or (i) of subsection (2) of Section 99 of the Act if the charges had been created after that date ;

B. Charges to which any property acquired by the company before 1st April, 1964, is subject and which would have been required to be registered under the provisions of Section 101 of the Act, if the property had been acquired after that date ; and

C. Judgment Mortgages created before 1st April, 1964, to which any of the property of the company is subject and which would have required registration under Section 102 of the Act if created after that date.

(1)

(2)

(3)

(4)

(5)

Date and description of the instrument creating or evidencing the Charge (a)

Date of acquisition of the property (b)

Amount owing on the security of the Charge at the 1st day of April, 1964

Short particulars of the property charged

Names, addresses and occupations of the persons entitled to the Charge

(Signature) (c)............................................................ ...

(State whether director or secretary)............................................................ ...

Dated the...................................................day of............................................................ ..............................19......

(a) A description of the instruments, e.g., " Trust Deed ", " Mortgage " " Judgment Mortgage ", " Debenture ", etc., as the case may be should be given. In the case of a judgment mortgage, the date of the registration of the relevant affidavit in the Land Registry or Registry of Deeds should be given.

(b) This column should be completed only when the charge is a charge to which the property was subject when acquired by the company.

(c) This form must be signed by a director or the secretary.

REGISTERED NO. E...................                     FORM NO. 10E

COMPANIES ACT, 1963

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A 5s. Companies Registration Fee Stamp must be impressed here.

PARTICULARS OF CHARGES* CREATED AND CHARGES ON PROPERTY ACQUIRED BEFORE 1st DAY OF APRIL, 1964 (a) BY A COMPANY INCORPORATED OUTSIDE THE STATE

*Includes mortage: Section 99 (10).

Pursuant to Section 112

Name of Company............................................................ ............................................................ ..................Limited.

Presented by............................................................ ............................................................ ..........................................

.............................................

.............................................

..............................................

_____________________________________________________________________

Particulars supplied by............................................................ ............................................................ ............................

a company incorporated in (b)............................................................ ............................................................ ...............

and which has established its principal place of business in the State at ............................................................ .

............................................................ ............................................................ ............................................................ ........

of (A) any charge created by the company before 1st April, 1964 (a) on property in the State, and remaining unsatisfied at that date, which would have been required to be registered under sections 99 and 111 of the the Act if created after that date ; (B) any charge to which any property in the State acquired by the company before 1st April, 1964 (a) is subject, and which would have been required to be registered under the provisions of sections 101 and 111 of the the Act, if the property had been acquired by the company after that date ; (C) any judgment mortgage created before 1st April, 1964 (a) to which any property of the company in the State is subject which would have been required to be registered under sections 102 and 111 of the the Act if created after that date.

(1)

(2)

(3)

(4)

(5)

Date and description of the instrument creating or evidencing the Charge (c)

Date of acquisition of the property (d)

Amount owing on the security of the Charge at the 1st day of April, 1964 (a)

Short particulars of the property charged

Names, addresses and occupations of the persons entitled to the Charge

Signature of the persons authorised under Section 352 (1) (c) of the Companies Act, 1963 , or of some other person in the State duly authorised by the Company

/images/si045y64p0045b.jpg

............................................................ ......

............................................................ ......

............................................................ .......

Dated the.......................................................day of............................................................ .......................19......

(a)In the case of a company which established a place of business in the State on or after 1st April, 1964, references to that date should be regarded as references to the date of such establishment.

(b)Country of origin.

(c)A description of the instrument, e.g. "Trust Deed," "Mortgage," "Judgment Mortgage," "Debenture" etc., as the case may be, should be given. In the case of a judgment mortgage, the date of registration of the relevant affidavit in the Land Registry or Registry of Deeds should be given.

(d)This column should be completed only when the Charge is a Charge to which the property was subject when acquired by the Company.

CERTIFICATE NO...................                       FORM NO. 44

COMPANIES ACT, 1963

COMPANIES ACT, 1963

/images/si045y64p0044.jpg

A 5s. Companies Registration Fee Stamp must be impressed here.

DECLARATION THAT THE CONDITIONS OF SECTION 115 (1) (a), (b) and (c) OF THE COMPANIES ACT, 1963 HAVE BEEN COMPLIED WITH

Pursuant to Section 115 (1) (d)

(To be used by a company which issued a prospectus inviting the public to subscribe for its shares.)

Name of Company............................................................ ............................................................ ...................Limited

Presented by............................................................ ............................................................ ....................................

.............................................

.............................................

.............................................

_______________________________________________________________________

I,....................................of....................................being (a)...............of..........................................Limited, do solemnly and sincerely declare :—

(a) " the secretary " or " the director".

That the amount stated in the prospectus as the minimum amount which in the opinion of the directors must be raised by the issue of share capital in order to provide for the matters specified in paragraph 4 of the Third Schedule to the Companies Act, 1963 is £..............................

That shares held subject to the payment of the whole amount thereof in cash have been allotted to the amount of £..............................

*That every director of the company has paid to the company on each of the shares taken or contracted to be taken by him and for which he is liable to pay in cash, a proportion equal to the proportion payable on application and allotment on the shares offered for public subscription,* except the following director(s) namely..........................................who has/have not taken or contracted to take any shares for which he is/they are liable to pay in cash.

*Delete words not applicable

*That no director of the company has taken or contracted to take any shares for which he is liable to pay in cash.

*Delete words not applicable

That no money is or may become liable to be repaid to applicants for any shares or debentures which have been offered for public subscription by reason of any failure to apply for or to obtain permission for the shares or debentures to be dealt in on any stock exchange.

And I make this solemn declaration conscientiously believing the same to be true, and by virtue of the Statutory Declarations Act, 1938 .

Declared before me by................

/images/si045y64p0049b.jpg

who is personally known to me (or who is)

identified to me by...................who

is personally known to me) at.................

this........................day of.............

Commissioner for Oaths (b).

CERTIFICATE NO...................                      FORM NO. 44A

COMPANIES ACT, 1963

COMPANIES ACT, 1963

/images/si045y64p0049.jpg

A 5s. Companies rregistration Fee Stamp must be impressed here

DECLARATION THAT THE PROVISIONS OF SECTION 115 (2) (b) OF THE COMPANIES ACT, 1963 HAVE BEEN COMPLIED WITH

Pursuant to Section 115 (2) (c)

(To be used by a company having a share capital has not issued a prospectus inviting the public to subscribe for its shares.)

Name of Company............................................................ ............................................................ ...................Limited

Presented by

.............................................

.............................................

.............................................

_______________________________________________________________________

I,............................................................ ..............................of ............................................................ ................. being(a)............................................................ ...........................of............................................................ ......................

(a) " the secretary " or "a director."

Limited, do solemnly and sincerely declare :—

* That every director of the company has paid to the company on each of the shares taken or contracted to be taken by him and for which he is liable to pay in cash, a proportion equal to the proportion payable on application and allotment on the shares payable in cash,* except the following directors namely............... who has/have not taken or contracted to take any shares for which he is/they are liable to pay in cash.

*Delete words not applicable.

* That no director of the company has taken or contracted to take any shares for which he is liable to pay in cash.

*Delete words not applicable.

And I make this solemn declaration conscientiously believing the same to be true, and by virtue of the Statutory Declaration Act, 1938.

Declared before me by................

/images/si045y64p0051b.jpg

who is personally known to me (or who is)

identified to me by...................who

is personally known to me) at.................

this........................day of.............

Commissioner for Oaths (b).

(b) or Notary Public or Peace Commissioner.

CERTIFICATE NO...................                    FORM NO. 9A

COMPANIES ACT, 1963

COMPANIES ACT, 1963

/images/si045y64p0051.jpg

A 5s. Companies Registration Fee Stamp must be impressed here.

PARTICULARS OF DIRECTORS AND SECRETARIES

Pursuant to Section 195

Name of Company............................................................ ............................................................ ...................Limited

Presented by

.............................................

.............................................

.............................................

_______________________________________________________________________

PARTICULARS OF THE PERSONS WHO ARE DIRECTORS* OF THE COMPANY AT THE DATE OF THIS RETURN

1.

2.

3.

4.

5.

Present Christian name or names and surname†

Any former Christian name or names and surname ‡

Usual residential address

Nationality if not Irish

Business occupation and particulars of other directorships of bodies corporate incorporated in the State§

PARTICULARS OF THE PERSONS WHO IS THE SECRETARY OF THE COMPANY AT THE DATE OF THIS RETURN

1.

2.

3.

Name (In the case of an individual, present Christian name or names and surname.† In the case of a body corporate, the corporate names)¶

Any former Christian name or names and surname‡

Usual residential address (In the case of a body corporate, the registered office)¶

Date...................................19......

Signed**............................................................ ............................................................ ..........................................

(State whether Director or Secretary)

¶ Where all the partners in a firm are joint secretaries, the name and principal office of the firm may be stated.

**This form must be signed by a director or the secretary.

NOTES

*"Director" includes any person who occupies the position of a director by whatever name called, and any person in accordance with whose directions or instructions the directors of the company are accustomed to act.

†"Christian name" includes a forename, and "surname" in the case of a person usually known by a title different from his surname means that title.

‡"Former Christian name" and "former surname" do not include:—

(a) in the case of a person usually known by a title different from his surname, the name by which he was known previous to the adoption of or succession to the title ; or

(b) in the case of any person, a former Christian name or surname where that name or surname was changed or disused before the person bearing the name attained the age of eighteen years or has been changed or disused for a period of not less than twenty years ; or

(c) in the case of a married woman the name or surname by which she was known previous to the marriage.

§Directorships. The names of all bodies corporate incorporated in the State of which the director is also a director should be given, except bodies corporate of which the company making the return is the wholly-owned subsidiary or bodies corporate which are the wholly-owned subsidiaries either of the company, or of another body corporate of which the company is the wholly-owned subsidiary. A body corporate is deemed to be the wholly-owned subsidiary of another if it has no members except that other and that other's wholly-owned subsidiaries and its or their nominees. If the space provided in the form is insufficient, particulars of other directorships should be listed on a separate statement attached to this form.

CERTIFICATE NO...................                    FORM NO. 9

COMPANIES ACT, 1963

/images/si045y64p0053.jpg

A 5s. Companies Registration Fee Stamp must be impressed here.

NOTIFICATION OF CHANGE OF DIRECTORS OR SECRETARY OR IN THEIR PARTICULARS

Pursuant to Section 195

Name of Company............................................................ ............................................................ .............Limited

Presented by

.............................................

.............................................

.............................................

______________________________________________________________________

To the Registrar of Companies.

............................................................ Limited hereby notifies you in accordance with Section 195 of the Companies Act, 1963 , that :—

(Here specify nature and date of change. If change consists of the appointment of a new Director or Secretary fill in particulars below.)

Particulars of new Director* or Secretary (Columns 1, 2 and 3 only need be completed for a Secretary)

1.

2.

3.

4.

5.

Name (In the case of an individual, present Christian name or names and surname.† In the case of a body corporate, the corporate name.)¶

Any former Christian name or names and surname‡

Usual residential address (In the case of a body corporate, the registered office)¶

Nationality if not Irish

Business occupation and particulars of other directorships of bodies corporate incorporated in the State.§

Date....................................19......            Signature||.................................................

(State whether Director or Secretary)

NOTES

*"Director" includes any person who occupies the position of a director by whatever name called, and any person in accordance with whose directions or instructions the directors of the company are accustomed to act.

†"Christian name" includes a forename, and "surname" in the case of a person usually known by a title different from his surname means that title.

‡"Former Christian name" and "former surname" do not include:—

(a) in the case of a person usually known by a title different from his surname, the name by which he was known previous to the adoption of or succession to the title ; or

(b) in the case of any person, a former Christian name or surname where that name or surname was changed or disused before the person bearing the name attained the age of eighteen years or has been changed or disused for a period of not less than twenty years ; or

(c) in the case of a married woman the name or surname by which she was known previous to the marriage.

¶ Where all the partners in a firm are joint secretaries, the name and principal office of the firm may be stated.

§Directorships. The names of all bodies corporate incorporated in the State of which the director is also a director should be given, except bodies corporate of which the company making the return is the wholly-owned subsidiary or bodies corporate which are the wholly-owned subsidiaries either of the company, or of another body corporate of which the company is the wholly-owned subsidiary. A body corporate is deemed to be the wholly-owned subsidiary of another if it has no members except that other and that other's wholly-owned subsidiaries and its or their nominees. If the space provided in the form is insufficient particulars of other directorships should be listed on a separate statement attached to this form.

||This form must be signed by a director or the secretary.

FORM NO. 18

COMPANIES ACT, 1963

NOTICE TO DISSENTING SHAREHOLDERS

Pursuant to Section 204(1)

re (a)............................................................ ............................................................ ...................................Limited (hereinafter called "the transferor company")

(a) Name of transferor company.

Notice by (b)............................................................ ............................................................ ......................Limited (hereinafter called "the transferee company")

(b) Name of transferee company.

To (c)............................................................ ............................................................ ................................................

(c) Name(s) and address(es) of dissenting shareholder(s).

(1) Whereas on the.................................day of...........................19...... publication generally was made of a scheme, contract or offer by the transferee company to all the holders of (d)..............................shares in the transferor company (state shortly the nature of the scheme, contract or offer and alternative sets of terms, if any)............................................................ ......; and......

( d ) If the offer is limited to a certain class or classes of shareholders state description of that class or those classes.

(2) Whereas up to the..............................day of...........................19...... being a date not later than four months from the date of the publication generally thereof, the scheme, contract or offer became binding or was approved or accepted in respect of not less than four-fifths in value of the shares affected,

(3) Now therefore the transferee company in pursuance of the provisions of Section 204 (1) of the Companies Act, 1963 , hereby gives you notice that it desires to acquire the beneficial ownership of (d)........................shares held by you in the transferor company.

(4) And further take notice, in accordance with Section 204 (10) of the Companies Act, 1963 , that unless within fourteen days from the date of this notice you notify the transferee company in writing of your election as between the alternative sets of terms stated above, the terms upon which the transferee company shall be entitled and bound to acquire the beneficial ownership of the shares held by you shall be the following set of terms............................................................ ............................................................ ................ ............................................................ ............................................................ ............................................................ .........

Delete if not applicable.

(5) And further take notice that unless upon an application made to the Court by you the said (c)........................on or before the........................ day of..............................19...... being one month from the date of this notice the Court thinks fit to order otherwise the transferee company will be entitled and bound to acquire the beneficial ownership of (d).....................shares held by you in the transferor company *on the terms of the above mentioned scheme, contract or offer *on the set of terms notified by you or, in default of such notification, the set of terms specified at paragraph (4) above.

* Delete whichever does not apply.

Signature (e)............................................................ ....................

(e) This form must be signed by a director or the secretary.

for (b)............................................................ ....................

(State whether Director or Secretary)

(b) Name of transferee company.

Dated the...........................................................day of............................................................ .................19......

___________________________________________________________________

FORM NO. 19

COMPANIES ACT, 1963

NOTICE TO SHAREHOLDERS

Pursuant to Section 204(4)

re (a)............................................................ ............................................................ ...................................Limited (hereinafter called "the transferor company")

(a) Name of transferor company.

Notice by (b)............................................................ ............................................................ ......................Limited (hereinafter called "the transferee company")

(b) Name of transferee company.

To (c)............................................................ ............................................................ ................................................

(c) Name(s) and address(es) of dissenting shareholder(s).

WHEREAS in pursuance of a scheme, contract or offer involving the acquisition of the beneficial ownership of the(d).............................shares in the transferor company by the transferee company the beneficial ownership of certain shares was on the.....................day of.....................19......acquired by the transferee company.

( d ) If the offer is limited to a certain class or classes of shareholders state description of that class or those classes.

NOW THEREFORE the transferee company in pursuance of subsection (4) (a) of section 204 of the Companies Act, 1963 , hereby gives you notice that as a result of such acquisition the transferee company has become the beneficial owner of four-fifths in value to all the (d)......................shares in the transferor company.

(a) Name of transferor company.

( d ) If the offer is limited to a certain class or classes of shareholders state description of that class or those classes.

AND take notice that you may within three months from the giving of this notice give notice that you require the transferee company to acquire your holding of (d)........................shares in the transferor company, and that if you give such notice the transferee company shall be entitled and bound to acquire the beneficial ownership of those shares on the terms on which under the said scheme, contract or offer the shares of the assenting shareholders were acquired by it, or on such other terms as may be agreed or as the Court on the application of either the transferee company or yourself/yourselves thinks fit to order.

( d ) If the offer is limited to a certain class or classes of shareholders state description of that class or those classes.

AND FURTHER take notice that you are entitled to elect between the following sets of terms............................................................ ............................................................ ..........................................................

Signature (e)............................................................ ....................

(e) This form must be signed by a director or the secretary.

for (b)............................................................ ....................

(b) Name of transferee company.

(State whether Director or Secretary)

Dated the............................................................ ........day of............................................................ .............19......

_______________________________________________________________________

CERTIFICATE NO................................

FORM No. 17

COMPANIES ACT, 1963

Pursuant to Sections 319(1) (b) and 320

STATEMENT OF AFFAIRS

TO BE ANNEXED TO AFFIDAVIT OR STATUTORY DECLARATION

STATEMENT AS TO THE AFFAIRS OF

............................................................ ................................................LIMITED

ON THE ......................................19............, THE DATE OF THE APPOINTMENT OF THE RECEIVER, SHOWING ASSETS AT ESTIMATED REALISABLE VALUES AND LIABILITIES EXPECTED TO RANK

ESTIMATED TOTAL ASSETS AVAILABLE FOR PREFERENTIAL CREDITORS, DEBENTURE HOLDERS SECURED BY A FLOATING CHARGE, AND UNSECURED CREDITORS* (brought forward from preceding page).

£

Estimated Realisable Values £

(e)

Gross Liabilities

£

LIABILITIES

(to be deducted from surplus or added to dificiency as the case may be)

ASSETS NOT SPECIFICALLY PLEDGED (as per List "A")

SECURED CREDITORS (as per List "B") to extent to which claims are estimated to be covered by Assets specifically pledged (item (a) or (b) on preceding page, whichever is the less)

_________

Balance at Bank

[Insert in "Gross Liabilities" column only.]

Cash in Hand

PREFERENTIAL CREDITORS (as per List "C")

Estimated balance of assets available for Debenture

_________

Marketable Securities

Holders secured by a floating charge, and Unsecured Creditors* £

Bill Receivable

DEBENTURE HOLDERS secured by a floating charge (as per List "D")

_________

Trade Debtors

Estimated SURPLUS/DEFECIENCY as regards Debenture Holders* £

Loans and Advances

UNSECURED CREDITORS (as per List "E") :—

£

Unpaid Calls

Estimated unsecured balance of claims ofCreditors partly secured on specific assets, brought from preceding page (c).

Stock in Trade

Trade Accounts

Work in Progress

Bills Payable

..............................

Outstanding Expenses

..............................

.............................

Freehold Property

..............................

Leasehold Property

Contingent Liabilities (State nature):—

Plant and Machinery

..............................

Furniture, Fittings, Utensils, etc.

ESTIMATED SURPLUS/DEFICIENCY AS REGARDSCREDITORS*

£

Patents, Trade Marks, etc.

being difference between:

Investments other than marketable securities

GROSS ASSETS brought from preceding page (d)

Other property, viz. :—

and GROSS LIABILITIES as per coulumn (e)

........................................

ISSUED AND CALLED-UP CAPITAL:0.0104167>

£

........................................

.......................preference sares of ............................each

(a)

(b)

(c)

.......................called -up

Estimated Realisable Values

Due to Secured Creditors

Deficiency ranking as Unsecured (see next page)

Surplus carried to last column

.......................ordinary shares of .............................each

ASSETS SPECIFICALLY PLEDGED (as per List "B")

......................called-up

£

£

£

£

............................................................ ...................................

Freehold Property

............................................................ ...................................

................................. ...

ESTIMATED SURPLUS/DEFICIENCY AS REGARDS

MEMBERS* (as per List "F")

£

................................ ...

*These figures must be rd subject to the following notes:—

£

£

£

£

(1) (f) There is no unpaid capital liable to be called-up or

Estimated surplus from Assets specially pledged

(g) The nominal amount of unpaid capital liable to be

Strike out

ESTIMATED TOTAL ASSETS AVAILABLE FOR PREFERENTIAL CREDITORS, DEBENTURE HOLDERS SECURED BY A FLOATING CHARGE, AND UNSECURED CREDITORS* (carried forward to next page) £

called-up id £  estimated to produce £

(f) or (g)

(d)

which is/is not charged in favour of Debenture

SUMMARY OF GROSS ASSETS

£

Holders.

Gross realisable value of assets specifically pledged

(2) The estimates are subject to costs of the Reveivership

Other Assets

and to any surplus or deficiency on trading pending

Gross Assets

£

realisation of the Assets.

LIST " A "—ASSETS NOT SPECIFICALLY PLEDGED

Statement of affairs

List " A "

Full particulars of every description of property not specifically pledged and not included in any other list are to be set forth in this list.

Full statement and nature of property

Book value

Estimated to produce

State name of bankers

Balance at bank

Cash in hand

Marketable securities, viz :—

Bills receivable (as per Schedule I)

Trade debtors (as per Schedule II)

Loans and advances, viz. :—

Unpaid calls (as per Schedule II)

State nature

Stock in Trade

State nature

Work in progress

Freehold property, viz. :—

Leasehold property, viz. :—

Plant and machinery, viz. :—

Furniture, fittings, utensils, etc.

Patents, trade marks, etc., viz. :—

Investments other than marketable securities, viz.:—

Other property, viz. :—

Signature 

Dated

19

SCHEDULE I.

BILLS OF EXCHANGE, PROMISSORY NOTES, &c., ON HAND AVAILABLE AS ASSETS

Statement of Affairs The names to be arranged in alphabetical order and numbered consecutively.

Schedule I to List " A "

No.

Name of Acceptor of Bill or Note

Address, &c.

Amount of Bill or Note

Date when due

Estimated to produce

Particulars of any property held as security for payment of Bill or Note

£

s.

d.

£

s.

d.

Signature 

Dated

 19

SCHEDULE II.

TRADE DEBTORS

Statement of Affairs The names to be arranged in alphabetical order and numbered consecutively.

Schedule II to List " A " 

NOTE :—If the debtor to the company is also a creditor, but for a less amount than his indebtedness, the gross amount due to the company and the amount of the contra account should be shown in the third column, and the balance only be inserted under the heading " Amount of Debt " thus :—

£

s.

d.

Due to company

Less : Contra account

No such claim should be included in List " E ".

No.

Name

Residence and Occupation

Amount of Debt

Folio of Ledger or other book where particulars are to be found

When contracted

Estimated to produce

Particulars of any securities held for debt

Good

Doubtful

Bad

Month

Year

£

s.

d.

£

s.

d.

£

s.

d.

£

s.

d.

Signature

 Dated

19   .

SCHEDULE III.

UNPAID CALLS

Statement of Affairs

Schedule III to List " A "    The names to be arranged in alphabetical order and numbered consecutively.

Consecutive No.

No. in share register

Name of Shareholder

Address

No. of shares held

Amount of call per share unpaid

Total amount due

Estimated to realize

£

s.

d.

£

s.

d.

£

s.

d.

Signature

 Dated

19

.

  LIST " B "—ASSETS SPECIFICALLY PLEDGED AND CREDITORS FULLY OR PARTLY SECURED

Statement of Affairs (Not including Debenture Holders Secured by a Floating Charge)

List " B " The names of secured creditors are to be shown against the assets on which their claims are secured, numbered consecutively, and arranged in alphabetical order as far as possible.

Particulars of assets specifically pledged

Date when security given

Estimated value of security

No.

Name of Creditor

Address and Occupation

Amount of debt

Date when contracted

Consideration

Balance of debt unsecured carried to List "E"

Estimated surplus from security

Month

Year

£

s.

d.

£

s.

d.

Signature

Dated

  19

.

LIST "C"—PREFERENTIAL CREDITORS FOR RATES, TAXES, SALARIES, WAGES AND OTHERWISE

Statement of Affairs

List "C"      The names to be arranged in alphabetical order and numbered consecutively.

No.

Name of Creditor

Address and Occupation

Nature of Claim

Period during which claim accrued due

Date when due

Amount of Claim

Amount payable in full

Balance not preferential carried to List "E"

£

s.

d.

£

s.

d.

£

s.

d.

Signature

Dated

19

.

 LIST " D "—LIST OF DEBENTURE HOLDERS SECURE BY A FLOATING CHARGE

State of Affairs

List " D "     The names to be arranged in alphabetical order and numbered consecutively.

Separate Lists must be furnished of holders of each issue of Debentures, should more than one issue have been made.

No.

Name of Holder

Address

Amount

Description of assets over which security extends

£

s.

d.

Signature

 Dated

 19  .

LIST " E "—UNSECURED CREDITORS

Statement of Affairs

List " E "     The names to be arranged in alphabetical order and numbered consecutively.

Notes.— 1. When there is a contra account against the creditor less than his claim against the company, the amount of the creditor's claim and the amount of the contra account should be shown in the third column and the balance only be inserted under the heading " Amount of Debt " thus :—

£

s.

d.

Total amount of claim

Less : Contra account

No such set off should be included in Schedule I attached to List " A ".

2. The particulars of any Bills of Exchange and Promissory Notes held by a creditor should be inserted immediately below the name and address of such creditor.

No.

Name

Address and Occupation

Amount of Debt

Date when contracted

Consideration

£

s.

d.

Month

Year

Unsecured balance of creditors partly secured—brought from List " B "

Balance not preferential of preferential creditors—brought from List " C "

Signature

 Dated 

19.

Statement of Affairs

List "F"       LIST " F "—DEFICIENCY OR SURPLUS ACCOUNT

The period covered by this Account must commence on a date not less than three years before the appointment of the Receiver or, if the company has not been incorporated for the whole of that period, the date of formation of the company, unless the Receiver otherwise agrees.

ITEMS CONTRIBUTING TO DEFICIENCY (OR REDUCING SURPLUS) :

£

1. Excess (if any) of Capital and Liabilities over Assets on the...........................19... as shown by Balance Sheet (copy annexed)

2. Net dividends and bonuses declared during the period from..........................19... to the date of the Statement

3. Net trading losses (after charging items shown in note below) for the same period

4. Losses other than trading losses written off or for which provision has been made in the books during the same period (give particulars or annex schedule)

5. Estimated losses now written off or for which provision has been made for the purpose of preparing the Statement (give particulars or annex schedule)

6. Other items contributing to Deficiency or reducing Surplus:

............................................................ ..............................

ITEMS REDUCING DEFICIENCY (OR CONTRIBUTING TO SURPLUS) :

£

£

7. Excess (if any) of Assets over Capital and Liabilities on the ...........................19... as shown on the Balance Sheet (copy annexed)

8. Net trading profits (after charging items shown in note below) for the period from the..................................19... to the date of the statement

9. Profits and income other than trading profits during the same period (give particulars or annex schedule)

10. Other items reducing Deficiency or contributing to Surplus:

............................................................ ..............................

DEFICIENCY/SURPLUS as show by Statement

£

NOTE AS TO NET TRADING PROFITS AND LOSSES :

Particulars are to be inserted here (so far as applicable) of the items mentioned below, which are to be taken into account in arriving at the amount of net trading profits or losses shown in this Account:—

£

Provisions for depreciation, renewals or diminution in value of fixed assets

Charges for income tax and other taxation on profits

Interest on debentures and other fixed loans

Payments to directors made by the company and required by law to be disclosed in the accounts

Exceptional or non-recurring expenditure:—

............................................................ ...........................

Less:—Exceptional or non-recurring receipts :—

.............................................                £

Balance, being other trading profits or losses          £

Net trading profits or losses as shown in Deficiency or Surplus Account above                       £

Signature                   Dated 

 19 .

"Statement of Affairs            LIST " G "

List " G "    In substitution for such of the lists " A " to " F " as will have to be returned blank

List

Particulars

Remarks

Where no entries are made on any one or more of the Lists " A " to " F " the word " Nil " should be inserted in this column opposite the List or Lists thus left blank.

A

Assets not specifically pledged

B

Assets specifically pledged and creditors fully or partly secured (not including debenture holders secured by a floating charge).

C

Preferential creditors for Rates, Taxes, Salaries, Wages and otherwise.

D

Debenture holders secured by floating charge

E

Unsecured creditors

F

Deficiency of Surplus Account

Signature

Dated        19 .

CERTIFICATE NO................                     FORM NO. 57

COMPANIES ACT, 1963

A 5s. companies registration Fee Stamp must be

RECEIVER'S ABSTRACT

Pursuant to Section 319 (2) or 321 (1)

Name of Company............................................................ ............................................................ ...........................

Name and address of Receiver............................................................ ............................................................ .......

Date and Description of authority under which receiver is appointed............................................................ ....

............................................................ ............................................................ ...........................................................

Period covered by this abstract. From....................................................... to.......................................................

Itemised description of the assets of the company of which possession has been taken since appointment of receiver (1)

Date on which possession was taken

Estimated realisable value included in statement of affairs under section 319 (1) (b) (2)

If realised

Date of realisation

Purchaser

Proceeds of realisation

RECEIPTS AND PAYMENTS(3)

Receipts

Payments

£

s.

d.

£

s.

d.

Brought forward

Brought forward

Carried forward

Carried forward

(Signature)............................................................ .........................

(State whether Receiver, Receiver and Manager, or Manager)............................................................ ........

Dated the...............................................day of............................................................ .......................19......

_______________________________________________________________________

(1) In a case to which section 319 (2) of the Act applies each entry must be so set out that it can be identified with the appropriate entry in the lists and schedules in Form No. 17.

(2) Where section 321 applies, the estimated value at the date on which possession was taken should be inserted here.

(3) Where section 319 (2) of the Act applies, each entry under the heading of " payments " must be so set out that it can be identified with the appropriate entry in the lists in Form No. 17. The receipts and payments must severally be added up at the foot of each sheet and the totals carried forward from one summary to another without any intermediate balance, so that the gross totals shall represent the total amounts received and paid by the Receiver since the date of appointment.

REGISTERED NO. E...................                   FORM NO. 4E

COMPANIES ACT, 1963

A 5s. Companies Registration Fee Stamp must be impressed here.

RETURN OF ALTERATION IN THE CHARTER, STATUTES, MEMORANDUM OR ARTICLES OF ASSOCIATION OR OTHER INSTRUMENT CONSTITUTING OR DEFINING THE CONSTITUTION OF A COMPANY TO WHICH PART XI OF THE ACT APPLIES.

Pursuant to Section 353

Name of Company............................................................ ............................................................ ...........................

Presented by

..............................................

..............................................

..............................................

_______________________________________________________________________

Return of alteration in the (a)............................................................ ............................................................ ........

constituting or defining the constitution of............................................................ ..............................................

............................................................ ............................................................ ...........................................................

a company incorporated in (b)............................................................ ............................................................ .......

and which has established its principal place of business in the State at............................................................ 

............................................................ ............................................................ ...........................................................

_____________________________________________________________________

(c) Certified copy of alteration or certified copy of new deed, if one has been executed, and certified translation of alteration or deed, if not in the Irish language or the English language, must accompany this Return and be shortly referred to here.

_______________________________________________________________________

Signature of the persons authorised under Section 352 (1)(c) of the Companies Act, 1963, or of some other person in the State duly authorised by the company.

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............................................................ .......

............................................................ .......

............................................................ .......

............................................................ .......

............................................................ .......

............................................................ .......

Dated the..............................day of.................................................19......

____________________________________________________________________

(a) " Charter ", " Statutes ", " Memorandum or Articles of Association " or other instrument as the case may be.

(b) Country of origin.

(c) The copy and translation (if any) must be certified in the manner prescribed in paragraphs 4 and 6 of the Companies (Forms) Order, 1964.

REGISTERED NO. E..............                    FORM NO. 5E

COMPANIES ACT, 1963

/images/si045y64p0057.jpg

A 5s. Companies Registration Fee Stamp must be impressed here.

RETURN OF ALTERATION IN THE LIST OR PARTICULARS OF DIRECTORS AND THE SECRETARY OF A COMPANY TO WHICH PART XI OF THE ACT APPLIES.

Pursuant to Section 353

Name of Company............................................................ ............................................................ ...........................

Where incorporated............................................................ ............................................................ ........................

Address of principal place of business in the State............................................................ .................................

............................................................ ............................................................ ..........................................................

Presented by

..................................................

..................................................

..................................................

_____________________________________________________________________

RETURN OF ALTERATION IN THE LIST OR PARTICULARS OF DIRECTORS AND THE SECRETARY

PARTICULARS OF THE PERSONS WHO ARE DIRECTORS* OF THE COMPANY

1.

2.

3.

4.

5.

6.

Name (in the case of an individual, present Christian name or names and Surname†. In the case of a body corporate, the corporate name)

Any former Christian name or names and Surname‡.

Usual residential address (In the case of a body corporate, the registered or principal office)

Nationality if not Irish

Business occupation and particulars of other directorships of bodies corporate incorporated in the State.

Remarks as to the alteration¶.

PARTICULARS OF THE PERSON WHO IS THE SECRETARY OF THE COMPANY

1.

2.

3.

4.

Name (In the case of an individual present Christian name or names and surname.† In the case of a body corporate the corporate name)§

Any former Christian name or names and Surname.‡

Usual residential address (In the case of a body corporate, the registered or principal Office)§

Remarks as to the alteration¶.

Dated 19......................................19......

Signature of the persons authorised under Section 352 (1) (c) of the Companies Act, 1963, or of some other person in the State duly authorised by the Company.

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............................................................ ..................................

............................................................ ..................................

............................................................ ..................................

............................................................ ..................................

............................................................ ..................................

NOTES.

*" Director " includes any person who occupies the position of a director by whatever name called, and any person in accordance with whose directions or instructions the directors of the company are accustomed to act.

†" Christian name " includes a forename, and " surname " in the case of a person usually known by a title different from his surname means that title.

‡" Former Christian name " and " former surname " do not include—

(a) In the case of a person usually known by a title different from his surname, the name by which he was known previous to the adoption of or succession to the title; or

(b) in the case of any person, a former Christian name or surname where that name or surname was changed or disused before the person bearing the name attained the age of eighteen years or has been changed or disused for a period of not less than twenty years; or

(c) in the case of a married woman the name or surname by which she was known previous to the marriage.

¶ A complete list of the directors and secretary shown as existing in the last return must always be given. A note of the changes since the last list was filed should be made in this column, e.g., by placing against a new director's name the words " in place of —," and by writing against any former director's name the words " dead ", " resigned ", or as the case may be.

§Where all the partners in a firm are joint secretaries, the name and principal office of the firm may be stated.

REGISTERED NO. E..............                     FORM NO. 6E

COMPANIES ACT, 1963

/images/si045y64p0083.jpg

A 5s. Companies Registration Fee Stamp must be impressed here.

RETURN OF ALTERATION IN (A) THE NAMES OR ADDRESSES OF THE PERSONS RESIDENT IN THE STATE AUTHORISED TO ACCEPT SERVICE ON BEHALF OF A COMPANY TO WHICH PART XI OF THE ACT APPLIES OR (B) THE ADDRESS OF THE PRINCIPAL PLACE OF BUSINESS IN THE STATE OF SUCH A COMPANY.

Pursuant to Section 353

Name of Company............................................................ ............................................................ ...........................

Presented by

..............................................

..............................................

..............................................

_______________________________________________________________________

(A) Return of alteration in the names or addresses of the persons resident in the State authorized to accept on behalf of the company service of process and any notices required to be served on............................................................ ..... a company incorporated in (a) ............................................................ ... and which has established its principal place of business in the State at............................................................ ......................................................

*PARTICULARS OF ALTERATION

______________________________________________________________________

______________________________________________________________________

*Where any persons are appointed, the full names and addresses of the persons so appointed should be given.

______________________________________________________________________

(B) Return of alteration in the address of the principal place of business of ............................................................ ............................................................ ............................................................ ....... a company incorporated in (a).

PARTICULARS OF ALTERATION

______________________________________________________________________

Signature of the persons authorised under Section 352 (1) (c) of the Companies Act, 1963, or of some other person in the State duly authorised by the Company

/images/si045y64p0091b.jpg

............................................................ .....................................

............................................................ .....................................

............................................................ .....................................

............................................................ .....................................

............................................................ .....................................

Dated the............................................................ ..day of...........................................................19...................

(a) Country of origin.

*Where any persons are appointed, the full names and addresses of the persons so appointed should be given.

GIVEN under my Official Seal, this 2nd day of March, 1964.

JOHN LYNCH,

Minister for Industry and Commerce.

EXPLANATORY NOTE.

The purpose of this Order is to prescribe the forms to be used under the Companies Act, 1963 , and the procedure to be followed in relation to the certification of documents, the giving of notices and other matters.