Specimen Form 34-Charge
Specimen Form 34-Charge
Specimen Form 34-Charge
FORM 34
Section 108(1) and 110(1)
STATEMENT OF PARTICULARS TO BE LODGED WITH CHARGE ...(name of company which executes the Charge )......(NAME OF COMPANY)
To the Registrar of Companies,
1.
the Charge ]
2. 3. 4. The *charge was created on : [date of the Charge ] The charge is *fixed/*floating/*fixed and floating: Fixed
* [First/Second etc.] Legal Charge under the National Land Code 1965 dated _______ (the Charge).
The description of the instrument(s) creating or evidencing the charge is: The liability (whether present or prospective) secured by the charge is:
5.
All sums of money and liabilities whether present, future, actual or contingent including all principal sums, interest (including default and capitalised interests), costs, charges and expense whatsoever which are now or shall from time to time or at any time hereafter become owing or remaining unpaid or incurred by [ insert name of Borrower] to Hong Leong Bank Berhad under any account, loans, credits or advances or in any manner whatsoever.
6. The liability secured is for the benefit of : [name and NRIC number of the
[address of branch]
10.
11.
Dated this
....................................................................
*Director/*Secretary/*Agent in Malaysia *Strike out whichever is applicable.