Printed from www.taxmann.com FORM NO. 56CA [See clause (b) of sub-rule (3) of rule 2DA] Statement of assets and liabilities YEARS First Year Second Year Third Year (Mention years also) A. ASSETS 1. Fixed Assets (a) Gross block Rs. (b) Depreciation Rs. (c) Net value (a - b) Rs. 2. Current assets (a) Investments Rs. (b) Cash and bank balances Rs. (c) Others (please specify balances) Rs. (d) Total [(a) + (b) + (c)] Rs. 3. Current liabilities and provisions Rs. 4. Net worth (1+2-3) Rs. B. LIABILITIES 1. Monies raised/issued and paid-up capital Rs. 2. Free reserves (excluding revaluation reserves) Rs. 3. Total (1+2) Rs. Place ___________________ Date ________________ Signature and designation of the applicant Note : Please give full particulars of investments and also state whether you satisfy the conditions mentioned in sub-rule (5) of rule 2DA, if not, indicate reasons with details.
