THE HONG KONG GOVERNMENT GAZETTE, NOVEMBER 18, 1932. 847
No. 28.
STATEMENT OF AFFAIRS.
(Title.)
R. 81, 150.
To the Debtor,
You are required to fill up, carefully and accurately, this sheet, and such of the several sheets A, B, C, D, E, F, G, H, I, J, K, L and M (1) as are applicable showing the state of your affairs on the day on which the receiving order was made against you, viz.: the
day of Such sheets, when filled up, will constitute your Statement of Affairs, and must be verified by oath, declaration or affirmation.
Liabilities
Gross
Expect Jiabili (as stated and estimated by ed to
ties.
Debtor).
rank.
19
Assets
Esti- (as stated and estimated by mated to
Debtor).
produce.
C.
Unsecured creditors as per
list (A)
Creditors fully secured as
per list (B)
Estimated value of secu-
rities
Surplus
Less amount thereof car-
ried to sheet (C)
Balance thereof to contra
Creditors partly secured.
as per list (C) Less estimated value of
securities
Liabilities on bills dis
counted other than debtor's own accep- tances for value as per list (D), viz. :-
¡On accommodation bills as drawer, acceptor, or indorser
Property as per list (H), viz
(a) Cash at bankers (b) Cash in hand
(c) Cash deposited with so- licitor for costs of peti- tion
(d) Stock-in-trade (cost $ } (e) Machinery
(/) Trade fixtures, fittings,
utensils, &c.
(g) Furniture (h) Life policies
(i) Stocks and shares
(1) Reversionary or other in-
terests under wills () Other property, viz.:
Total as per list (H)...
Book debts as per list
(I), viz. :--
Good
$
Doubtful Bad
On other bills as drawer
or indorser
Of which it is expected will rank against the estate for dividend
Contingent or other liabilities;
as per list (E)
Of which it is expected will rank against the estate for dividend
Creditors for rent, &c., recoverable by distress as per list (F)
Creditors for rates, taxes wages, &c., payable in full as per list (G)
Deducted contra
S
Estimated to produce...
Bills of exchange, or other
similar securities on hand as per list (J)
Estimated to produce...
Surplus from securities in the hands of creditors fully sec- ured (per contra)
Deduct Creditors for distrain- able rent and for preferenti- al rates, taxes, wages, sheriff's charges, &c. (per
contra)
(2) Surplus explained in state-
ment (K)
[(2) Deficiency
explained in
statement (K)
(1) Sheet "L" should be substituted for any one or more of such of
the sheets named as will have to be returned blank.
X
(2) Strike out words which do not apply.
C.