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MSME Recovery Application Form | PDF
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MSME Recovery Application Form

The document is an MSME Recovery Application Form designed for sellers and buyers to provide essential details for recovering outstanding dues. It includes sections for seller and buyer information, transaction details, and a checklist of supporting documents required for the application. The form aims to facilitate the recovery process by gathering necessary data and documentation.

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jags jain
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0% found this document useful (0 votes)
238 views2 pages

MSME Recovery Application Form

The document is an MSME Recovery Application Form designed for sellers and buyers to provide essential details for recovering outstanding dues. It includes sections for seller and buyer information, transaction details, and a checklist of supporting documents required for the application. The form aims to facilitate the recovery process by gathering necessary data and documentation.

Uploaded by

jags jain
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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MSME Recovery Application Form

Section A - Seller (MSME) Details

Name of MSME (Seller): _________________________________

Legal Entity Type (Proprietorship/Partnership/LLP/Company): _________________________________

Authorized Person Name: _________________________________

Contact Number: _________________________________

Email ID: _________________________________

PAN Number: _________________________________

GST Number: _________________________________

Udyam Registration Number: _________________________________

Registered Business Address: _________________________________

Section B - Buyer Details

Name of Buyer: _________________________________

Legal Entity Type (Proprietorship/Partnership/LLP/Company): _________________________________

Authorized Person Name: _________________________________

Contact Number: _________________________________

Email ID: _________________________________

PAN Number: _________________________________

GST Number: _________________________________

Business Address: _________________________________

Section C - Transaction & Dues Details

Total Principal Amount Due (Rs.): _________________________________

Interest Claimed (if any) - as per invoice or @18%: _________________________________

Total Outstanding Amount (Rs.): _________________________________

No. of Invoices Raised: _________________________________


Period of Supply (From - To): _________________________________

Purchase Order / Agreement Available (Yes/No): _________________________________

Brief Description of Goods/Services Supplied: _________________________________

Section D - Supporting Documents Checklist

[ ] Udyam Registration Certificate

[ ] PAN Card (Both Parties)

[ ] GST Certificate (Both Parties)

[ ] Invoice(s)

[ ] Ledger of Outstanding

[ ] Purchase Order / Work Order (if available)

[ ] Affidavit (if PO not available)

[ ] Communication Proof (Emails/WhatsApp)

[ ] Bank Statement (optional)

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