THE HONGKONG GOVERNMENT GAZETTE, FEBRUARY 14, 1913.

73

"LIST""B".

CREDITORS FULLY SECURED (NOT INCUDING DEBENTURE HOLDERS).

No.

Name of Creditor.

Address and Amount of Occupation.

Date when Contracted.

Debt.

Considera- tion.

Particulars of Security..

Date when given.

Month. Year.

$

C.

Signature

Dated

LIST "C".

CREDITORS PARTLY SECURED.

(State whether also Contributories of the Company.)

No.

Name of Creditor.

Address and Occupation.

Amount of Debt.

Date when Contracted.

Considera- tion.

Particulars of Security.

Month. Year.

$

C.

Signature

Dated

Estimated

value of Security.

Estimated Surplus from Security.

C.

19

Month

and year when given.

Estimated value of Security.

Balance of Debt Unsecured.

LIST "D".

LIABILITIES OF COMPANY ON BILLS DISCOUNTED OTHER THAN THEIR OWN ACCEPTANCES. FOR VALUE.

No.

Acceptor's Name, Address, and Occupation.

Whether liable as Drawer or Indorser.

Date when due.

Amount.

Holder's Name, Address, and Occupation (if known).

Signature

Dated

C.

C.

C

19

Amount ex- pected to rank for Dividend.

19

Share This Page