Companies.
FORM 23. (rule 39.)
STATEMENT OF AFFAIRS.
(Title.)
STATEMENT OF AFFAIRS on the
day of
19
the date of the winding-up order (or such other date as the Official Receiver has for special reasons directed).
Gross
liabili-
ties.
$
¢
I. As regards Creditors.
Liabilities.
$
Expected
to rank.
$
Assets.
$
Estimated
to
produce.
$
Debts and liabilities, viz-
(a) Unsecured creditors as per List "A" (state number),
(b) Creditors fully secured (not including debenture holders), as per List "B"
Estimated value of securities
$
Estimated surplus $ Carried to List "C"
Balance to con-
tra (d)
$
(a) Property as per List "H", viz-
(a) Cash at bankers
(b) Cash in hand
(c) Stock in trade (Estimated cost, $
)
(d) Machinery
(e) Trade fixtures, fittings, utensils, &c.
(f) Investments shares, &c. in
(g) Loans on mortgage.
(h) Other
viz-
(b) Book debts (debtors), as per List "I", viz-
Good
$
property,
as per List
(c) Creditors partly secured, as per List "C"
Less estimated value of securities
$
Estimated to rank for dividend
$
Doubtful
$
Bad
$4
Estimated to produce..
$
(d) Liabilities on bills discounted other than the company's own acceptances for value, as per List "D"
Of which it is expected will rank for dividend
$
(e) Other liabilities, as per List "E"
Of which it is expected will rank for dividend
$
(f) Preferential creditors for rates, taxes, wages, &c., as per List "F"
deducted
contra (f)
(g) Loan on debenture bonds, as per List "G"
deducted contra (holders)
$
(c) Bills
of exchange, or other similar securities on hand, as per List "J"
Estimated to produce
$
(d) Surplus from securities in the hands of creditors fully secured (per contra)
(b)
$
(e) Unpaid calls (debtors), as per List "K"
$
¢
Estimated to produce
$
Estimated total assets...
Deduct
preferential creditors as per contra (f)
$
Estimated amount available to meet claims of debenture holders
Deduct loans on debenture bonds secured on the assets of the company as per contra (g)
$
Estimated amount available to meet unsecured creditors, subject to cost of liquidation
Estimated deficiency of assets to meet liabilities of the company, subject to cost of liquidation
*
which is
The nominal amount of unpaid capital liable to be called up is $
[available to meet above deficiency] or [charged to debenture holders], or as the case may be.
123
[CAP. 32