(h) "my" or "our" or "their" or "his", as the case may be.
(i) Here state the particulars of all securities held, and where the securities are on the property of the debtor, assess the value of same, and if any bills or other negotiable securities be held, specify them in this schedule.
Bankruptcy.
[CAP. 6
Admitted to rank for dividend for Sworn at this day of 19•1
Where the debt proved for exceeds twenty dollars a one dollar stamp must be affixed; otherwise the proof cannot be admitted.
Before me, day of 19 , here 28 other-wise
N.B.-Bills or other negotiable securities must be produced before the proof can be admitted.
You should attend carefully to these directions.
Trustee.
(Deponent's signature.)
NOTE. The stamp must not be defaced by the creditor.
The proof cannot be admitted for voting at the first meeting unless it is properly completed and lodged with the Official Receiver before the time named in the notice convening such meeting.
PARTICULARS OF ACCOUNT REFERRED TO ON OTHER SIDE.
(Credit should be given for contra accounts.)
If space is not sufficient, let the particulars be annexed, but where the particulars are on a separate sheet of paper the same must be marked by the person before whom the affidavit is sworn, thus-
IN BANKRUPTCY.-This is the account marked with the letter 'A' referred to in the annexed proof of the debt made by in re Sworn before me this day of 19 9
A Commissioner, etc.
Date. Consideration. Amount.
(Signature of Deponent)
449
Remarks.
The vouchers (if any) by which the account can be substantiated should be set out here.