BANKRUPTCY.
Liabilities on bills other than the debtor's own acceptances, of which it is expected will rank against the estate for dividend.
Total Debts..
$
Total Assets.............
The above statement and the several lists hereunto annexed are, to the best of my knowledge and belief, full, true, and complete. (Signed.) A.B.
Sworn, etc.
List A. Preferential creditors for rent, rates, taxes, wages, etc., as per
List B.
Unsecured creditors other than preferential creditors, as per
Creditors fully secured, as per List C.
Estimated value of securities,....
Surplus to contra account $
Creditors partly secured, as per List D..
Less estimated value of securities
Other liabilities, as per List E $ of which it is expected will rank against the estate for dividend.
as per List F $
No.
No.