CAP. 6]

Bankruptcy.

FORM 3.

(s. 10; rule 49.)

DEBTOR'S PETITION.

(Title.)

(a) Insert the other address or addresses at which un-satisfied debts or liabilities may have been incurred.

I, A.B. [name and description of debtor], residing at [and carrying on business at (a) 1 and 2] 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.

19"

A.B.

Address.

Description.

Filed the day of 19"

NOTE.-Where the debtor resides at a place other than his place of business both addresses should be inserted.

1. I, in the FORM 4.

REQUEST FOR ISSUE OF BANKRUPTCY NOTICE.

(Title.)

of [s. 4; rule 43.]

(a) Insert description, name and address of judgment debtor.

(b) "me" or as the case may be.

hereby request that a bankruptcy notice be issued by the court against (a)

2, I produce a sealed copy of a final judgment or order against the said obtained by (b) on the day of in the Supreme Court 19

3. Execution on the said judgment or order has not been stayed.

-(c) Or "Solicitor for the judgment creditor."

Dated this day of 19

Judgment Creditor (c)

NOTE.-Where the debtor resides at a place other than his place of business both addresses should be inserted.

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