628
No. 7 of 1891.
BANKRUPTCY,
FORM NO. 3.
[ss. 3 and 8.]
Debtor's petition. (TITLE.)
I, A.B., [name, address, and description of debtor] [and carrying on business at
being unable to pay my debts, hereby petition the court that a receiving order be made in respect of my estate [and that I may be adjudged bankrupt].
Dated this
day of
Signed by the debtor in my presence
Signature of witness
Address
Description.
Filed the
day of
19
(Signed.)
A.B.
FORM No. 4. Bankruptcy notice. (TITLE.)
To A.B. [or A.B. and Co.] of
Take notice that, within
days after service of this notice on you,
excluding the day of such service, you must pay to C.D. of
the sum of $
;
claimed by him as being the amount due on a final judgment obtained by him against you in the Supreme Court dated the
day of
19 whereon execution has not been stayed, or you must secure or compound for the said sum to his satisfaction or the satisfaction of the court, or you must satisfy the court that you have a counterclaim, set-off, or cross-demand against C.D. which equals or exceeds the sum claimed by him and which you could not set up in the action in which the judgment was obtained.
By the court,
(Signed.)
Registrar.
Dated this
[L.S.]
day of
19
Indorsement on notice.
You are specially to note—
That the consequences of not complying with the requisitions of this notice are that you will have committed an act of bankruptcy on which bankruptcy proceedings may be taken against you.
If, however, you have a counterclaim, set-off, or cross-demand which equals or exceeds the amount claimed by C.D. in respect of the judgment and which you could not set up in the action in which the said judgment was obtained, you must within days apply to the court to set aside this notice.
(Name and address of person taking out the notice.) (a.) This notice is taken out by C.D. in person.