Form 4
(See clause (b) of sub-rule (1) of rule 5)
Form of Notice with which Invoice demanding payment is to be Attached
(Under Rule 5 of the
Insolvency and Bankruptcy (Application to Adjudicating Authority) Rules, 2016
Date
To,
[Name and address of registered office of the corporate
debtor]
From,
[ Name and address of the operational creditor]
Subject: Notice attached to invoice demanding payment
Madam/Sir,
[Name of operational creditor], hereby provides notice for
repayment of the unpaid amount of INR
[Insert amount] that is in default as
reflected in the invoice attached to this notice.
In the event you do
not repay the debt due to us within ten days of receipt of this invoice, we may
file an application before the Adjudicating Authority for initiating a
corporate insolvency resolution process under section 9 of the code.
Yours Sincerely,
Signature of person authorized to act on behalf of the
operational creditor
Name in Block Letters
Position with or in relation to the operation creditor
Address of person signing
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