Bankruptcy.
1. That I am a householder [or as the case may be], residing [describing particularly the street or place and the number of the house, if any].
2. That I am worth property to the amount of $ [the amount required] over and above what will pay my just debts [if security in any other action or for any other purpose, add and every other sum for which I am now security].
3. That I am not bail or security in any other matter, action or proceedings, or for any other person [or if security in any other action or actions, add except for C.D., at the suit of E.F., in the Supreme Court in the sum of $; for G.H., at the suit of I.K., in the Supreme Court in the sum of $ specifying the several actions or matters, and courts, and the sums in which he has become bound].
4. That my property, to the amount of the said sum of [and if security in any other action, etc. over and above all other sums for which I am now security as aforesaid], consist of [here specify the nature and value of the property in respect of which the deponent proposes to become bondsman as follows, stock in trade, in my business of carried on by me at of the value of $; debts owing to me to the amount of $; my house at situate at of the value of $; of good book of furniture in of leasehold or of property of the value of $; other property, particularizing each description of property, with the value thereof].
5. That I have for the last six months resided at [describing the place of such residence, or if he has had more than one residence during that period, state in the same manner as above directed].
Sworn at, etc.
FORM 22.
E.F.
ADJOURNMENT OF PETITION.
(Title.)
Upon the hearing of the petition this day, and hearing for the petitioner and the Official Receiver, and reading for the debtor and it is ordered that the further hearing of this petition be adjourned until the day of at o'clock in the noon.
Dated this day of 19.
Registrar.
[CAP. 6
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