Form D-01

___________________________
(Name of cooperative)
___________________________
(Address of cooperative)

________________
(Date)

Board Resolution
Series of ____

WHEREAS, after due examination of the present condition of this cooperative, it is

deemed advisable by the Board of Directors to dissolve the same;

WHEREAS, this cooperative has no outstanding debts and obligations, and its dissolution
will not affect third persons;

Be it resolved, therefore, as it is hereby resolved, that this cooperative be dissolved and

its affairs wound up, and for that purpose, a special meeting of the share holders be held on the
______ day of ____________, 20___, at________ a.m., at the office of the cooperative
_____________________, Philippines; to take action on this resolution; and the Secretary is
hereby ordered to give due notice of said meeting.

______________________ _____________________
Director Director

______________________ _____________________
Director Director

______________________ _____________________
Director Director

_____________________
Director

1
 Form D-02

________________________
(Name of Cooperative)
___________________________
(Address of Cooperative)

NOTICE OF GENERAL ASSEMBLY MEETING

Date _________

___________________
(Name of Member)
___________________
(Address)

Sir/Madam:

Pursuant to Board Resolution No. ____ dated ____________, 20___ notice is hereby given that a
meeting of all the members of the ____________________________on records as of
(name of cooperative)
__________, 20___ shall be held at _______________on ______________________.
(place of meeting) (date and time of meeting)

The purpose of the meeting is to enable the members to deliberate and decide on the
recommendation of the Board of Directors/petition of the members for the voluntary dissolution of the
cooperative and to elect liquidators or empower the Board of Directors to elect liquidators in case the
members voted for the dissolution of the cooperative.

_____________________
(Secretary)

2
 Form D-03

________________________
(Name of Cooperative)
___________________________
(Address of Cooperative)

NOTICE TO DISSOLVE THE COOPERATIVE

Date _________

___________________
(Name of Member)
___________________
(Address)

Sir/Madam:

Pursuant to Board Resolution No. ____ dated ____________, 20___ notice is hereby given that a
meeting of all the members of the ____________________________on records as of
(name of cooperative)
__________, 20___ shall be held at _______________on ______________________.
(place of meeting) (date and time of meeting)

The purpose of the meeting is to enable the members to deliberate and decide on the
recommendation of the Board of Directors/petition of the members for the dissolution of the
cooperative and to elect liquidators or empower the Board of Directors to elect liquidators in case the
members voted for the dissolution of the cooperative.

_____________________
(Secretary)

3
 Form D-04

________________________
(Name of Cooperative)
___________________________
(Address of Cooperative)

(General Assembly resolution approving dissolution)

G.A. RESOLUTION NO. _______ S, 20_____

WHEREAS, the Board of Directors during its regular board meeting held on (State date) at the
Cooperative office passed and approved Board Resolution No, ______ S, 20____ voluntarily dissolving
the cooperative;

WHEREAS, the same aforesaid Board Resolution No. _____ S, 20____ also called for the holding
of a Special General Assembly on (state date and time) at the office of the cooperative for the purpose
of presenting this issue to the members and for them to decide;

WHEREAS, due notice of said special general assembly was issued by the Secretary pursuant to
the aforesaid Board Resolution and in accordance with the cooperative by laws;

WHEREAS, after a thorough deliberation of the issues presented before the assembly and
hearing the pros and cons;

BE IT RESOLVED, as it is hereby resolved, that this cooperative be voluntarily dissolved and its affairs
wound up in accordance with the provision of R.A. 9520 and its implementing rules and regulations;

BE IT RESOLVED FURTHER, that copies of this Resolution be furnished to the Cooperative

Development Authority for its information and appropriate action.

Done this _________ day of _______________, 20____ at ____________, Philippines.

(TO BE SIGNED BY THE BOARD OF DIRECTORS)

4
 Form D-05

________________________
(Name of Cooperative)
___________________________
(Address of Cooperative)

(General resolution disapproving dissolution)

G.A. RESOLUTION NO. _______ S, 20_____

WHEREAS, the Board of Directors during its regular board meeting held on (State date) at the
Cooperative office passed and approved Board Resolution No, ______ S, 20____ voluntarily dissolving
the cooperative;

WHEREAS, the same aforesaid Board Resolution No. _____ S, 20____ also called for the holding
of a Special General Assembly on (state date and time) at the office of the cooperative for the purpose
of presenting this issue to the members and for them to decide;

WHEREAS, due notice of said special general assembly was issued by the Secretary pursuant to
the aforesaid Board Resolution and in accordance with the cooperative by laws;

WHEREAS, after a thorough deliberation of the issues presented before the assembly and
hearing the pros and cons;

BE IT RESOLVED, as it is hereby resolved, that the dissolution of this cooperative voluntarily shall be
disapproved;

BE IT RESOLVED FURTHER, that copies of this Resolution be furnished to the Cooperative

Development Authority for its information and appropriate action.

Done this _________ day of _______________, 20____ at ____________, Philippines.

(TO BE SIGNED BY THE BOARD OF DIRECTORS)

5
 Form D-06

Voluntary Dissolution when no

creditors are prejudiced, Art. 64,
R.A. 9520

In the Matter of the Dissolution of______________________

(Name of Cooperative)
x--------------------------------------x

CERTIFICATION
of the approval of resolution authorizing the dissolution & that no third party
creditors will be affected by the dissolution

WHEREAS, the (Name of Cooperative) with official address at (address of cooperative) is a

registered cooperative organization pursuant to the provisions of R.A. 9520 under Certificate of
Registration/Confirmation No. _________ dated _______________.

WHEREAS, by majority vote of the Board of Directors in its regular/special meeting held on
(date) at (place) passed Resolution No. ____________ Series of ____ to voluntarily dissolve the
aforesaid cooperative.

WHEREAS, in the General/Special/Regular Assembly held on (Date) , by affirmative vote of

3/4 of all members with voting rights adopted General Assembly No. __________ S-_____ to voluntarily
dissolve the said cooperative.

WHEREAS, notice of time, place and object of the general assembly was published for three
consecutive weeks in the (name of newspaper) on (date of publication) .

WHEREAS, the creditors having claims against the cooperative are not prejudice by its
dissolution or (has no creditors having claims against it).

NOW, THEREFORE, by virtue of the powers and duties vested in us by law, we hereby issue this
Certification.

Done in ____________ this _____ day of ________in the year of our Lord 20_____.

To be signed by majority
of the Board of Directors
________________

Countersigned by:
__________________
BOD Secretary

6
 Form -07

AFFIDAVIT OF PUBLICATION

REPUBLIC OF THE PHILIPPINES )

_____________________________ ) SS.

I, ( name of affiant) , Filipino, of legal age, single/married to

(name of spouse) , and a resident ( address of affiant) , after
having been duly sworn in accordance with law, hereby depose and say:

1) That, I am the Publisher/Manager of the _______________________________________, a

(Name of Newspaper)
daily newspaper of general circulation in the province of ________________________, printed and
published in the, (Name of Province) ,Philippines;

2) That herein attached written matter has been published in said newspaper as shown by the
_________________ and _______________ issues of said newspaper;

3) That said issues copies of which are hereby initiated by the undersigned affiant and hereto annexed,
have been circulated to the public in general and to the readers of the province of ________________ in
particular.

IN WITNESS WHEREOF, I have hereunto affixed my signature this _____day of______________ 20_____,
Philippines.

_________________________________          

(Signature of Affiant over Printed Name) 

Government issued ID
Issued on_________
Expires on________

  
 BEFORE ME, a Notary Public, in and for________________, Philippines, this _____ day of _______________ 20_____,
personally came and appeared (name of Affiant) with (Government ID presented) the same as indicated under his/her
printed name and signature, who is known to me to be the same person who executed the foregoing instrument and
acknowledged to me that the same is his/her free and voluntary act and deed.

Notary Public                      

Doc. No. ……..;

Page No. …….;
Book No. …….;
Series of 20___.

7
 Form D-08

________________________
(Name of Cooperative)
___________________________
(Address of Cooperative)

(General resolution containing names of elected/appointed Board of Liquidators)

G.A. RESOLUTION NO. _______ S, 20_____

WHEREAS, the Board of Directors during its regular board meeting held on (State date) at the
Cooperative office passed and approved Board Resolution No, ______ S, 20____ voluntarily dissolving
the cooperative;

WHEREAS, the same aforesaid Board Resolution No. _____ S, 20____ also called for the holding
of a Special General Assembly on (state date and time) at the office of the cooperative for the purpose
of presenting this issue to the members and for them to decide;

WHEREAS, due notice of said special general assembly was issued by the Secretary pursuant to
the aforesaid Board Resolution and in accordance with the cooperative by laws;

WHEREAS, after a thorough deliberation of the issues presented before the assembly and
hearing the pros and cons;

BE IT RESOLVED, that the General Assembly elected/appointed from among themselves the
following cooperative Board of Liquidators:

1._______________________
2._______________________
3._______________________
4._______________________
5._______________________

Who shall take charge of the activities of the winding up of the affairs of the cooperative.

BE IT RESOLVED, as it is hereby resolved, that this cooperative be voluntarily dissolved and its affairs
wound up in accordance with the provision of R.A. 9520 and its implementing rules and regulations;

8
 BE IT RESOLVED FURTHER, that copies of this Resolution be furnished to the Cooperative
Development Authority for its information and appropriate action.

Done this _________ day of _______________, 20____ at ____________, Philippines.

(TO BE SIGNED BY THE BOARD OF DIRECTORS)

9
 Form D-09

CERTIFICATE OF DISSOLUTION
of
___________________________________
(Name and address of cooperative)

KNOW ALL MEN BY THESE PRESENTS:

We, the undersigned, a majority of the Board of Directors of the

_____________________ Cooperative, hereby certify:

That on ______________ 20__, ______ a.m., a special general assembly meeting of the
members/shareholders of said cooperative was, upon call of the Board of Directors, held at the
office of the Cooperative at _______________ for the purpose of securing the consent of the
members/shareholders to the dissolution of the Cooperative;

That written notice of the proposed dissolution was for three (3) consecutive weeks
published in the daily newspaper “______________” a newspaper in the place where the
principal office of said cooperative is located, and a copy of said notice was addressed to each
member by registered mail, at least thirty (30) days prior to said meeting;

That, in pursuance of said notice, there appeared in person, on the date of the
“meeting, members constituting more than the three-fourths of all members with voting rights’

That at said meeting, upon motion duly seconded, the following resolution; which had
previously been approved by the Board of Directors on ____________, 20__ was submitted to
the members for approval and was duly adopted by the unanimous vote of all the members
present, being more than three-fourths of all the members with voting rights:

RESOLUTION

“WHEREAS, it is not deemed advisable by the Board of Directors of the

_________________ to continue operations as a cooperative;

“WHEREAS, this cooperative is solvent and has no outstanding debts, and its dissolution
will not affect the rights of any creditor whatsoever;

10
 “WHEREFORE, be it resolved as it is hereby resolved, pursuant to Article 64 of the
Cooperative Code, that this cooperative be forthwith dissolved; and for this purpose, it is
hereby ordered that a Special General Assembly Meeting of the members be called on
______________ at ______ at the Office of the Cooperative to take action upon this
resolution”.

That the foregoing resolution, as above quoted, was unanimously approved by the
members constituting more than two-thirds of all members entitled to vote.

That the requirements of Article 64 of the Cooperative Code have been complied with.

IN WITNESS WHEREOF, the undersigned directors of said Cooperative have signed this
Certificate of Dissolution, this _____ day of ___________, 20___ in _________________,
Philippines.

CERTIFIED CORRECT
(to be signed by a majority of the
Board of Directors)

COUNTERSIGNED

_____________________________
Board Secretary

11
 Form D-10

(Letterhead of CDA)

ORDER TO COMMENCE WINDING UP OF

AFFAIRS OF THE COOPERATIVE

Date_______________

____________________________
(Name of Cooperative)
_______________________________
(address of Cooperative)

Attention: ____________________________________
(Name of Chairman of the Board of Directors)

Gentlemen:

Our review of your Notice of Voluntary Dissolution and the required supporting documents filed
and received by this office on (date) indicates that the (name of cooperative) has
substantially complied with the requirements for voluntary dissolution set forth in the guidelines for the
liquidation of cooperatives.

In this connection, you are hereby authorized to commence with the winding up of the affairs of
the (name of cooperative) immediately upon receipt of this order. We wish to remind you that as set forth
in the law and the guidelines for liquidation of cooperative, the winding up period shall be for three (3)
years only from commencement date.

____________________________________
(Name and Signature of CDA Authorized Signatory)

12
 Form D-11

________________________
(Name of Cooperative)
___________________________
(Address of Cooperative)

INRE PETITION FOR VOLUNTARY DISSOLUTION

(Where Creditors are affected) of_____________________ CDA-VDCA-Case No.________
________________________________________________
Petitioner.

X------------------------------------------------------------------------X

PETITION

PETITIONERS, unto this Honorable Office, most respectfully allege the following:

1. That herein petitioners are the present members of the board of directors of (name of
cooperative) duly organized and existing under RA 9520 with Certificate or
Registration/Confirmation No.______________ issued on _____________________ and
with principal address at _________________________________________;
2. That the said cooperative has a total membership of
_____________________________of such comprising members with voting rights;
3. That this Petition for Voluntary Dissolution has rights in a General Assembly meeting
held on _________________( Copy of resolution and attendance sheet are hereto
attached as Annexes ______respectively and made integral part hereof);
4. That said cooperative has an outstanding assets in the amount
of______________________ while its outstanding liabilities amounts
to________________________.( copy of the Financial Statement is hereto attached as
Annex_____ and made an integral part hereof);
5. That this Petition will prejudice a number of creditors. (copy of the list of Creditors with
their corresponding claims is hereto attached as Annex ____ and made an integral part
hereof;
6. That this Petition is filed in conformity with Article 65 RA 9520 (Philippine Cooperative
Code of 2008) and for the purpose of dissolving the (name of cooperative).

WHEREFORE, premises considered, after due notice and hearing, it is respectfully prayed to this
Honorable office to grant the Petition and thereby issue an Order of Dissolution.

_______day of____________ 20______._________________________, Philippines.

(Signed by at least majority of members of the Board of Directors or other officers managing its affairs.)

13
 VERIFICATION

I,______________________(Chairperson or Board Secretary or one of its directors), of legal age, Filipino,

single/married and a resident of______________________________, under oath deposes and states:

1. That I am the present(indicate position)with principal address at_____________________ ;

2. That I have caused the preparation of herein Petition at the instance of the Board of
Directors;

3. That I have read the Petition and attest that the factual allegations contained are true and
correct based on my personal knowledge and information and the authenticity of
documents/data related thereto.

_____________________________________
(signed by Chairperson or Board Secretary
or one of its directors)
(government issued ID)
(Issued on_______)
(Issued in________)

SUBSCRIBED AND SWORN to before me this ________day of ___________, 20_____, affiant exhibiting to
me his/her government ID the same as indicated under his name.

NOTARY PUBLIC

Doc. No,_____
Page No._____
Book No._____
Series of 20___

14
 Form D-12

(CDA LETTERHEAD)

IN THE MATTER OF THE PETITION FOR

VOULUNTARY DISSOLUTION
(Where creditors are affected) of
(name of cooperative)
_______________________________________
Petitioner.
x--------------------------------x

ORDER
Before the Authority is a petition for Voluntary dissolution filed by____________________(majority),
Board of Directors, (name of cooperative) (principal address) under Certificate/confirmation No. _______________
issued on___________________________.

Finding the petition to be sufficient in form and substance, the authority hereby orders all persons
(natural and juridical) to file their objection, stating their claims and interests on said Petition on or before ( 5 day
notice to file objection). After due hearing, an Order of Dissolution be forthwith issued. The initial
hearing(jurisdictional requirements) is set on (date and time, which shall not be less than 30 days nor more than 60
days after entry of order) before this Office located at 3 rd Floor, CDA Bldg., No. 827 Aurora Blvd., Brgy. Immaculate
Conception, Quezon City.

Let a copy of this Order be published at least once a week for three (3) consecutive weeks in a newspaper
of general circulation published in the municipality or city where the principal office of the cooperative is situated,
or in the absence if such local newspaper, then in a newspaper of general circulation in the Philippines, and a copy
shall likewise be posted for three (3) consecutive weeks in three public places in the municipality or city where the
cooperative’s office is located at the expense of the Petitioner.

SO ORDERED.

Given this______ day of ____________ 20___. Quezon City, Philippines.

_____________________
(CDA Regional Director

Form D-13

15
 (CDA LETTERHEAD)

IN THE MATTER OF THE PETITION FOR

VOULUNTARY DISSOLUTION
(Where creditors are affected) of
(name of cooperative)

_______________________________________
Petitioner.
x--------------------------------x

NOTICE OF HEARING
Before the Authority is an objection/opposition on the Petition for Voluntary dissolution of (name of
cooperative), filed by (any person, natural or juridical).

You (all interested parties) are hereby notified to appear on (date which shall be within 15 days from the
end of period to file objection) before this Office located at 3 rd Floor, CDA Bldg., No. 827 Aurora Blvd., Brgy.
Immaculate Conception, Quezon City.

SO ORDERED.

Given this______ day of ____________ 20___. Quezon City, Philippines.

_____________________
(CDA Regional Director)

Form D-14

CDA LETTERHEAD

16
(Voluntary Dissolution where creditors
are affected Art. 64, RA 9520)

In the matter of the Petition for

Voluntary Dissolution of
_____________________,
(name of cooperative)
Petitioner.
x------------------------------------x

ORDER OF DISSOLUTION

WHEREAS, the (name of cooperative) with address at (address of cooperative) is a registered

cooperative pursuant to the provisions of RA 9520 under Certificate of Registration/Confirmation No.
___________ dated ____________;

WHEREAS, the said cooperative filed a petition for voluntary dissolution with CDA;

WHEREAS, after due notice and hearing by the Authority it was found out that the said petition
is meritorious and all material allegations therein are found to be true.

NOW, THEREFORE, by virtue of the powers and duties vested in me by law, I hereby order the
dissolution of the (name of cooperative) under Certificate of Registration/Confirmation No. _________-
dated _______________ pursuant to Article 64, RA 9520.

As required by law pertinent data of the cooperative are herein set forth to wit:

Assets : P ______________
Liabilities : ______________
The Claim of Creditors : ______________
No. of Members : ______________
Share Capital : ______________
Interest on Share : ______________
Subscription Receivables: ______________
Patronage Refund : ______________
Others (specify) : ______________

It is further ordered that the General Assembly shall elect from among themselves the
cooperative Board of Liquidators who shall take charge of the activities of the winding-up of the affairs
of the cooperative. In case the general assembly cannot be convened due to lack of quorum, the Board
of Directors and Audit Committee is hereby authorized to jointly appoint/elect a liquidator or Board of
Liquidators to liquidate the internal affairs of the cooperative for a period of three (3) years.

17
 Done in ______________ at this _____ day of __________20_____._____________________,
Philippines.

_______________________________
(Signature of CDA Authorized Representative)

Form D-15

18
 (CDA LETTERHEAD)

IN THE MATTER OF THE PETITION

FOR INVOLUNTARY DISSOLUTION
OF(NAME AND ADDRESS OF COOP)

Case No. ________________

(NAME OF PETITIONER)
x----------------------------x

THE BOARD OF DIRECTORS

(Name and address of Coop)

SUMMONS

A complaint has been filed with the Authority against your cooperative by (Name of
Complainant) for involuntary dissolution on the following grounds, viz:

(STATE GROUNDS)

By virtue of the powers vested by law on the Authority, you are hereby directed to appear
before this office on (State date, time and place) together with all pertinent documents showing proof
why your cooperative should not be dissolved.

(STATE PLACE AND DATE OF ISSUANCE)

CDA AUTHORIZED REPRESENTATIVE

Form D-16

(Letterhead of CDA)

19
 Date_____________

SHOW CAUSE ORDER

THE BOARD OF DIRECTORS

________________________________

Attention: The Chairman

Gentlemen:

Our records indicate that your cooperative _____________________________ has committed

the following act(s):

 Existing for an illegal purpose

Article 67 of RA 9520 states that:

“The Authority may suspend or revoke, after due notice and hearing , the
certificate of registration of a cooperative on any of the following grounds:

1. Having obtained its registration by fraud;

2. Existing for an illegal purpose ;
3. Willful violation, despite notice by the
Authority of the provisions of this Code or its by-laws;
4. Willful failure to operate on a cooperative basis; and
5. Failure to meet the required minimum number of
members in the cooperative. “

In this note, you are hereby ordered to show cause or submit your explanation within fifteen
(15) days from receipt hereof why your cooperative should not be subjected to dissolution.

_____________________
CDA Authorized Official

Note:
--For cooperatives registered with the CDA CO - Executive Director
-- For cooperatives registered with the CDA EOs – Regional Director

Form D-17

20
 (CDA LETTERHEAD)

_______________________________________
Complainant,

-versus- CDA Case No: For: Involuntary Dissolution

of (name of cooperative)
_______________________________________
Respondents.
x--------------------------------x

NOTICE OF HEARING

Before the Authority is a complaint for involuntary dissolution of (name of cooperative), filed by (any
person, natural or juridical).

You (all interested parties) are hereby notified to appear on the _____day of ____________20____ for
the hearing of the above entitled complaint for an opportunity to present your evidence for/against the dissolution
of the cooperative(name of cooperative) before this Office located at 3 rd Floor, CDA Bldg., No. 827 Aurora Blvd.,
Brgy. Immaculate Conception, Quezon City.

SO ORDERED.

Given this______ day of ____________ 20___. Quezon City, Philippines.

_____________________
(CDA Regional Director)

Form D-18

21
 (CDA LETTERHEAD)

_______________________________________
Complainant,

-Versus- Case No: For: Involuntary Dissolution of (name of

Cooperative)
______________________________________
Respondents.
x--------------------------------x

ORDER OF DISSOLUTION

WHEREAS, the (name of cooperative) with official address at (address of the cooperative) is a
registered cooperative organization pursuant to the provisions of RA 9520 under Certificate of
Registration No. __________ dated _____________.

WHEREAS, this cooperative after due hearing, has been found to have committed the following:
(indicate cause for involuntary dissolution)
__________________________________________________
__________________________________________________
__________________________________________________
in violation of RA 9520.

WHEREAS, this/these violation(s) constitute grounds for dissolution.

NOW, THEREFORE, by virtue of the powers and duties vested in me, I hereby order the
dissolution of the (name of cooperative) under Certificate of Registration No.___________ dated
_____________.

Done in ____________, this______day of_______________20_____.__________________,

Philippines.

_______________________
(Authorized CDA Signatory)

Form D-19

22
_______________________________________
Complainant,

-Versus- CDA Case No: For: Involuntary Dissolution

of (name of Cooperative)
______________________________________
Respondents.
x--------------------------------x

ORDER
(dismissal of complaint)

A Complaint (Annex “A”) was filed on (State date of filing).

On (state date of issuance), the Authority issued a Summon (Annex “B”).

Respondent filed his Answer (Annex “C”) on (State date of filing).

A Hearing was conducted on (State date of hearing).

Presented as evidence are the following:

(STATE EVIDENCE PRESENTED)

(ANALYSIS OF EVIDENCE)

WHEREFORE, premises considered finding the grounds to be without merit, the Complaint is
hereby dismissed.

SO ORDERED.

(Date and place of issuance)

CDA REGIONAL DIRECTOR

Form D-20

23
 (CDA LETTERHEAD)

_______________________________________
Complainant,

-Versus- CDA Case No: For: Involuntary Dissolution of

(name of Cooperative)
______________________________________
Respondents.
x--------------------------------x

APPOINTMENT OF LIQUIDATOR(S) AND COMMENCEMENT

OF LIQUIDATION ORDER

Sir/Madam:

You are hereby appointed as liquidator of (name of cooperative) in connection with its
dissolution and pursuant to the provisions of RA 9520 and in the interest of public service.
As such liquidator, you are empowered to perform the following functions:
a. To make an inventory of ---
b. To convert all assets --- ;
c. To transact business with the cooperative’s depository bank for and in behalf of the
cooperative; and
d. Such other powers to carry out the complete liquidation of cooperative.

Further, your attention is invited to the pertinent provisions regarding liquidation found in Rule
9, Rules and regulations implementing certain provisions of Philippine Cooperative Code of 2008 and
Chapter II of the Manual on Dissolution, Liquidation, Cancellation and Delisting of Cooperatives.
You should wind up the affairs of the cooperative within a period of three (3) years from receipt
of order to commence winding up of affairs, and submit to this office quarterly reports of liquidation and
final report within thirty (30) days period after the completion of liquidation.
For your strict compliance.

___________________________
(Authorized CDA Signatory)

24
 Form D-21

IN THE MATTER OF PETITION FOR

DISSOLUTION OF__________________________________,
(name of cooperative)

PETITIONER/S.
x----------------------------x
CDA Case No. _________

MOTION TO LIFT ORDER OF DISSOLUTION

AND TO LIFT ORDER TO COMMENCE THE WINDING UP OF AFFAIRS

Petitioner, through counsel/undersigned liquidator, respectfully alleges:

1. That an order for the dissolution of the petitioner cooperative was issued on ______________, in
which Order, petitioner was ordered to appoint liquidator/s and to commence the winding-up of its
affairs consequent to the order of dissolution;

2. That the appointed liquidator/s finds evidence that the continued existence and
operation of the cooperative may be viable and beneficial to its members and other
concerned parties, report of the liquidator/s attached as Annex “A”;

3. That the general assembly constituting a quorum has approved to continue the
operation of the above stated cooperative, general assembly resolution attached as
Annex “B”.

WHEREFORE, petitioner/liquidator/s prays for the following remedies:

a. upon filing of this motion, an order be issued to lift the order of dissolution issued by
this honorable office dated _____________;

b. after hearing of this motion, direct the general assembly to elect new set of officers
and management staff to commence the cooperative business.

_____________, this _____ day of ___________, 20___.

_______________________________
Counsel for the petitioner/liquidator

25
 Form D-22

___________________________
(Name of Cooperative)
_________________________________
(Address of Cooperative)

NOTICE
(BIR,SSS,HDMDF DOLE and other concerned agencies)

__________________
(date)

Name of government agency concerned

Address

Gentlemen:

We would like to inform you that the Cooperative Development Authority (CDA) has
approved/ordered the dissolution of (name of cooperative) effective __________.

The CDA/Board of Directors of the cooperative has likewise authorized the undersigned being
duly elected/appointed Board of Liquidators of the cooperative to wind up the affairs of the cooperative
within a period of three (3) years starting from __________ to _________.

This notice is issued for information and record purposes.

_______________________
Board of Liquidators

26
 Form D-23
Name of Cooperative
Address of Cooperative
Registration /Confirmation No.______
Statement of Inventory of Assets and Outstanding Liabilities
As of ________20(A) _______20(B)

Upon
Commencement Increase
ACCOUNTS This Month of Winding Up ( Decrease )
( Indicate Date )
ASSETS
CURRENT ASSETS p P p
NON-CURRENT ASSETS
TOTAL ASSETS p p p
LIABILITIES AND EQUITY
LIABILITIES
CURRENT LIABILITIES p p p
NON-CURRENT LIABILITIES
TOTAL LIABILITIES p p p
EQUITY
MEMBERS EQUITY p p p
RESERVES
UNREALIZED GAINS /LOSSES
TOTAL EQUITY p p p
TOTAL LIABITILITIES AND EQUITY p p p

Note: This Statement is for illustration purposes only. Provide for the itemized accounts and the account
classification depend on the type of cooperative.

27
 Form D-24

NAME OF COOPERATIVE
Address of Cooperative
Registration/Confirmation No.
Statement of Financial Condition
As of _____________________

Account Title Current Year Prior Year Increase

(decrease)
ASSETS
Current Assets:
Total Current Assets
Non-Current Assets
Total Non-Current Assets
TOTAL ASSETS

LIABILITIES
Current Liabilities:

Total Current Liabilities

Non-Current Liabilities
Total Non-Current Liabilities
TOTAL LIABILITIES

EQUITY
Members’ Equity
Donations and Grants
Statutory Reserves
Net Surplus
TOTAL EQUITY
TOTAL LIABILITIES AND EQUITY

Note: This is for illustration purposes only. Provide for the itemized accounts. Classification of accounts
depends upon the type of cooperative.

28
 Form D-25

Name of Cooperative
Address of Cooperative
Registration/Confirmation No.___
Statement of Operations
For the Year Ended ______________

Current Year Prior Year

REVENUES ( Sch 1 )
GROSS REVENUES
LESS EXPENSES ( Sch 2)
Total Expenses
NET SURPLUS before Other Items
ADD( LESS) OTHER ITEMS:
Total Other Items
NET SURPLUS ( FOR ALLOCATION) NET LOSS

Note: This is for illustration purposes only. Provide for the itemized accounts. The classification of the accounts
depends on the type of cooperative.

29
 Form D-26

NAME OF COOPERATIVE
Address
Registration/Confirmation No._____
STATEMENT OF CHANGES IN EQUITY, DONATION, GRANTS AND STATUTORY FUNDS

EQUITY
Share Capital Common, Beginning P xxx
Add: Additional Capital Build Up xxx
Total xxx
Less: Withdrawal in Capital (xxx)
Share Capital, Common End P xxx

Share Capital, Preferred, Beginning P xxx

Add: Additional Capital Build Up xxx
Total xxx
Less: Withdrawal in Capital ( xxx )
Share Capital Preferred, End P xxx

RESERVE FUND
Balance Dec. 31, 200_____ P xxx
Add Credits xxx
10% Net Surplus from Operations xxx
Total xxx
Less: Charges ( xxx )
Total Charge ( xxx )
Balance Dec. 31, 200_____ P xxx

Cooperative Education and Training Fund

Balance, Dec. 31, 200_____ P xxx
Add: Credits xxx
½ of 10% Net Surplus from Operations xxx
Total xxx
Less: Charges ( xxx )
Total Charges ( xxx )
Balance, Dec.31, 200__ P xxx

OPTIONAL FUND
Balance, Dec. 31 200____ P xxx
Add: Credits xxx
10% Net Surplus from Operations xxx
Total xxx
Less: Charges ( xxx )

30
Total Charges ( xxx )
Balance Dec.31, 200____ P xxx

DUE TO UNION/FEDERATION
Balance, Dec. 31,200___ P xxx
Add: Credits xxx
½ of 10% Net Surplus from Operation xxx
Total xxx
Less: Charges
Remittances to Union/Federation ( xxx )
Total Charges ( xxx )
Balance Dec. 31, 200_____ P xxx

Note: In lieu of Statement of Affairs

31
 Form D-27

______________________________
(Name of Cooperative)
_________________________________
(Address of Cooperative)

NOTICE TO CREDITORS

____________
(date)

_____________________
(Name and address of creditor)

Sir/Madam:

We would like to inform you that the Cooperative Development Authority (CDA)/General
Assembly/Board of Directors has approved/ordered the dissolution of (name of cooperative) effective
(date).

The CDA/Board of Directors of the cooperative has likewise authorized the undersigned being
the duly elected/appointed Board of Liquidators of the cooperative to wind up the affairs of the
cooperative within a period of three (3) years starting from (date).

In this connection, please confirm the balance(s) of the following account(s) due to you as
appearing in the records of (name of cooperative) as of (date) by signing and returning to us this notice not
later that (date) .

NATURE AMOUNT
______________________________ P _____________
______________________________ _____________
______________________________ _____________
TOTAL P vvvvvvvvvvvvv

If the balances of the above account(s) do not tally with your records, please indicate your
exceptions in the confirmation slip to be returned upon receipt of this notice.

You may claim your payment on or after (date) .

______________________
(Signature of Elected Liquidator)

32
 Form D-28

_________________________
(Name of Cooperative)
_________________________________
(Address of Cooperative)

CONFIRMATION SLIP

____________
(date)

_____________________
(Name and address of creditor)

Sir/Madam:

This is in reference to the Notice dated______________, received by the undersigned

on__________________.

I would like to confirm the balance(s) of the following account(s) due to me as appearing in the
records of (name of cooperative) as of (date).

NATURE AMOUNT
______________________________ P _____________
______________________________ _____________
______________________________ _____________
TOTAL P vvvvvvvvvvvvv

[Note:If the balances appearing in the notice received do not tally with your records, indicate your
exceptions.]

Account Balance(s) Confirmed:

(Indicate name and date)

33
 Form D-29
LETTERHEAD

Date

The Chairman
Cooperative Development Authority
827 Aurora Blvd. Service Road, Brgy. Immaculate Conception
1111 Cubao, Quezon City

Dear Chairman__________:

Our cooperative has been undergoing liquidation. In this regard, may we seek approval from your office
to distribute the remaining assets to our members on records as of ______________ (date of the
commencement of the winding up period) in accordance with the attached schedule (Form D-30).

For your kind approval.

Very truly yours,

__________________________
Board of Liquidators

34
 Form D-30

NAME OF COOPERATIVE
SCHEDULE OF MEMBER’ SHARE IN THE REMAINING ASSETS
AS OF ________________,200___
(Date of the Commencement of the Winding Period)

UNSETTLED TOTAL
NAME OF MEMBER SUBSCRIBED PAID UP SHARE RECEIVABLE MEMBER
(ON RECORD ) SHARE CAPITAL OF COOP SHARE IN
CAPITAL CONTRIBUTION FROM THE
CONTRIBUTION MEMBER REMAINING
ASSETS
1. P p p p
2.
3.
4.
5. ETC.
TOTAL P P p P

35
 Form D-31

____________________________
(Name of Cooperative)
____________________________
(Address of Cooperative)

FINAL REPORT OF LIQUIDATION

________________
(date)

COOPERATIVE DEVELOPMENT AUTHORITY

827 Aurora Blvd., Service Road, Brgy. Conception
1111 Cubao, Quezon City

Gentlemen:

I am pleased to report that the winding up of the affairs of the (Name of Cooperative) which was
authorized to start on (date) has been completed as of (date) .

The results of the realization of the assets of the cooperative and the application of the amount
realized are summarized as follows:

Net Book Gain (Loss) Proceed from

Value on Realization Realization
Realization of Assets
Assets Sold P _________ P _________ P __________
Assets Written of
As Worthless _________ _________ __________
Assets Donated _________ _________ __________
TOTAL Pxxxxxxxxxxxx P xxxxxxxxxxx Pxxxxxxxxxxxxx

Application of the Proceeds from Realization

Expenses in Liquidation __________

Payment of Liabilities __________

36
 Settlement of Reserves __________
Returned to Members __________
TOTAL P xxxxxxxxxxxxx

Enclosed for your reference are the following:

 Copy of final income tax return;
 Duly certified affidavit regarding the settlement of all claims and return or remaining assets to
member;
 Statement of Income and Expenses in Liquidation and Case Receipts and Disbursement covering
the entire winding up period;
 Deed of donation for properties donated; and
 Authorization for the write-off of worthless properties.

Enclosed also for your disposition is a check for P ____________ representing unclaimed payments to
creditors and members amounting to P __________ and P __________ respectively as detailed in the attached
list.

_____________________________
(Signatures of elected/appointed Board of Liquidators)

37
 Form D-32

STATEMENT OF REALIZATION AND LIQUIDATION OF ASSETS

(Name of Cooperative)
For the Month Ended _________

Assets

Assets to be realized: Assets realized:

a) Marketable securities P45,000 e) Accounts receivable P40,000

a) Accounts receivable 60,000 g) Marketable securities 49,000
a) Merchandise inventory 55,000 Assets not realized:
a) Furniture 18,000 k) Accounts receivable 38,500
Assets acquired: k) Merchandise inventory 29,500
c) Accounts receivable 22,000 k) Furniture 17,750

Liabilities

Liabilities liquidated: Liabilities to be liquidated:

i) Accounts payable 35,000 a) Accounts payable 80,000
Liabilities not Liquidated: a) Loans payable 70,000
k) Accounts payable 50,500 a) Deferred revenue 12,500
k) Accrues expenses 2,150Liabilities assumed:
k) Loans payable 70,000 b) Accounts payable 5,500
k) Deferred revenue 12,000

Revenues and Expenses

Supplementary Charges: Supplementary credits:

b) Purchases on account 5,500 c) Sales account 22,000
h) Assignee’s expenses 6,500 d) Cash sales 18,000
j) Cash purchases 12,000 f) Interest on marketable
securities 2,300
1) Net loss 8,600
______ ______

38
 P393,650 P393,650
======= =======

Form D-33

________________________
(Name of Cooperative)

SUMMARY STATEMENT OF CASH RECEIPTS AND DISBURSEMENT IN LIQUIDATION

_________________________, 20 _____

Accumulated amount or Balance to

This Month __________________

CASH RECEIPTS

Collection of Accounts Receivable – Trade

Collection of Accounts Receivable – Others
Liquidation of Advances to Officers and Employees
Sale of Office Supplies
Sale of Inventories
Disposal of Investments in Cooperatives
Disposal of Other Investments
Sale of Building
Sale of Furniture and Fixtures
Sale of Transportation Equipment __________ __________

Total Cash Receipts __________ __________

CASH DISBURSEMENTS

Payment of Expenses in Liquidation

Salaries, Wages and Allowances

39
 Legal Fees
Stationery and Supplies
Postage, Telephone & Telegraph
Miscellaneous Expenses __________ __________

Total Expenses in Liquidation Paid __________ __________

Payment of Liabilities

Accrued Taxes and Licenses

Accrued Expenses
Accounts Payable
Interest on Shares Payable
Loan Payable __________ __________

Total Liabilities Paid __________ __________

Accumulated Amount or Balance to

This Month ___________________

Settlement of Reserves

General Reserve Fund __________ __________

Total Reserves Settled __________ __________

Return of members’ Capital __________ __________

Total Cash Disbursement __________ __________

NET CASH RECEIPTS __________ __________

CASH BALANCE – BEGINNING __________ __________

40
CASH BALANCE – END __________ __________

Form D-34

(CDA LETTERHEAD)

IN THE MATTER OF THE DISSOLUTION OF

_______________________________________,
(Name of Cooperative)
Petitioner.
x - ------ --------------- ------------x

ORDER OF CANCELLATION
(of Certificate of Registration)

WHEREAS, the (Name of Cooperative) with official address at (address of cooperative) is a

registered cooperative organization pursuant to the provisions of R.A. 6938 under Certificate of
Registration/Confirmation No. _________ dated _______________;

WHEREAS, this cooperative after due notice and hearing for voluntary/involuntary dissolution
has been found incapable of continuing its cooperative business as evidenced by the report of the Board
of liquidators;

WHEREAS, this office in its order of dissolution dated ___________ ordered the winding up of
its affairs to commence on _________ and to end on __________, the following Board of liquidators
whose names stated below were appointed on ____________:

_____________________
_____________________
_____________________

WHEREAS, the dissolution and winding up process were undertaken in accordance with law, and
the implementing rules and regulations on the dissolution and liquidation of cooperatives;

WHEREAS, the Board of Liquidators has submitted its Final Report of Liquidation (Annex “A”)
and has been cleared of money and property accountabilities;

NOW, THEREFORE, by virtue of the powers and duties vested in me by law, I hereby order the
cancellation of the Certificate of Registration of the (Name of Cooperative) under Certificate of
Registration/Confirmation No. ________ dated _____________pursuant to Section 3(g) of R.A. 6939.

41
 It is likewise ordered that upon receipt of this Order, the Board of Directors and Board of
Liquidators shall post copies of the same in at least three (3) strategic places in the community where
the cooperatives has its principal office.

Further, the Authority shall remove the name of the above stated cooperative in the Registry of
Cooperatives, and cause the publication of the Notice of the Cancelled Cooperatives, the order of
cancellation posted in the Authority’s bulletin boards.

Done this _____ day of ________20____. _________________, Philippines.

____________________
(Signature of CDA Director)

42
 Form D-35

___________________________
(Name of Cooperative)

STATEMENT OF INCOME AND EXPENSES IN LIQUIDATION

________________, 20______

Accumulated amount or balance

This month _________________

PROCEEDS FROM DISPOSAL OF ASSETS

Office Supplies
Inventories
Land
Buildings
Furniture & Fixtures
Transportation Equipment __________ _______________
Total Revenue from Disposal of Assets __________ _______________

LESS: NET BOOK VALUE OF ASSETS DISPOSED

Office Supplies
Inventories
Land
Buildings
Furniture & Fixtures
Transportation Equipment __________ _______________

Total Net Book Value of Assets Disposed __________ _______________

GAIN (LOSS) From Disposal of Assets __________ _______________

LESS: EXPENSES IN LIQUIDATION

Salaries, Wages and Allowances

43
 Legal Fees
Stationery and Supplies
Postage, Telephone & Telegraph
Miscellaneous Expenses __________ _______________
Total Expenses in Liquidation __________ _______________

NET GAIN (LOSS) __________ _______________

UNDISTRIBUTED GAIN (LOSS) ON REALIZATION

BEGINNING OF THE MONTH __________

UNDISTRIBUTED GAIN (LOSS) ON REALIZATION

END OF THE MONTH __________

Note: This is for illustration purposes only. The account classification in actual Statement of Income and Expenses in
Liquidation to be prepared by the various cooperatives may therefore differ from the account classification
presented here.

44
 Form D-36

Name of Cooperative
Address
Registration/Confirmation No.____
STATEMENT OF COLLECTIONS AND EXPENSES IN LIQUIDATION
__________________________, 200____

COLLECTIONS IN LIQUIDATION:
Total Collections p XXX

LESS: EXPENSES IN LIQUIDATION:

Total Expenses in Liquidation P XXX

_______________

NET COLLECTIONS (EXPENSES) P XXX

==============

NOTE: This is for illustration purposes only. Provide for the itemized accounts and the account classification shall
differ on the type of cooperative.

45
46