THE HONG KONG GOVERNMENT GAZETTE, DECEMBER 31, 1936. 1215

No. 23,-Continued.

STATEMENT OF AFFAIRS.

II.-As regards Contributories.

(a) Where cap- ital is issued as partly paid up the form should be altered ac- cordingly.

lars of any other

(6) Add particu-

capital.

Capital issued and allotted,

viz.:

Founders' Shares of

per share Shareholders.)

(a) Issued as fully

paid.

Amount called up at per share,

$

as per List "L".

Ordinary Shares of $

per share (

holders.)

Share-

(a) Issued as fully

paid.

Amount called up at $ per share,

as per List "M".

Preference Shares of $

per share

holders.)

Share-

(a) Issued as fully

paid.

Amount called up at

$ per share, as per List "N”. (b)

Amount, if any, paid in advance of call.

Less unpaid calls estimated

to be irrecoverable

$5

Add deficiency to meet liabilities

as above

** $

as

Estimated Surplus

above (if any) subject to cost of Liquidation

Total deficiency as ex-

plained in Statement "0"

$

1,

of

make oath and say

that the foregoing Statement and the several Lists hereunto annexed marked

are, to the best of my knowledge and belief, a full, true, and complete statement of the affairs of the above-named Company, on the

day of the date of the winding-up order (a).

Sworn at

19.

in the Colony of Hong Kong

this day of

19

Before me,

A Commissioner, &c.

Signature.

NOTE.--The Commissioner is particularly requested, before swearing the Affidavit, to ascertain that the full name, address, and description of the Deponent are stated, and to initial all crossings-out or other alterations on the printed form. A deficiency in the Affidavit in any of the above respects will entail its refusal by the Court, and will necessitate its being re-sworn.

(a) Where the Official Receiver has directed any date other than the date of the winding-up order substitute such other date.

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