658

No. 7 of 1891.

BANKRUPTCY.

LIST F.

Liabilities of Debtor on Bills other than his own Acceptances.

No.

Acceptor's Name

Date when due.

Amount,

and Address.

Holder's Name and Address (if known).

Amount expected to

rank for Dividend.

1

LIST G.

Property.

Estimated to produce

Full Statement and Nature of Property.

Stock in Trade at

estimated cost $

taken at cost

Furniture, Fixtures, and Fittings on Trade Premises

at

Household Furniture and Effects

Other Property [state particulars]

of

LIST H.

Debts due to the Estate.

Amount of Debt.

Particulars

No.

Name of

Debtor.

Residence and Occupation.

Good.

Doubtful.

Bad.

When contracted.

Estimated to

produce.

Security

held

for debt.

FORM No. 12.

[s. 19.]

Order of Adjudication.

Pursuant to a Petition dated the

(TITLE.)

day of

day of

19

against

I, of

on the and on reading

it is ordered that

A.B. [name, address, and description of debtor] on which a receiving order was made

19 and on the application of and hearing the debtor be and the said debtor is hereby adjudged bankrupt.

Dated this

day of

19

By the Court,

LS

(Signed.)

Registrar.

19

On the application of A.B., adjudicated bankrupt on the

and on reading and he is hereby discharged [or that his discharge be suspended for (insert period) and

FORM No. 13. Order of Discharge.

(TITLE.)

and hearing

[s. 27.]

day of

it is ordered that he be

Sir,-

At

the c

ment


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