CAP. 32]

Companies.

FORM 23,-Continued.

STATEMENT OF AFFAIRS

II.-As regards Contributories.

Estimated surplus as above (if any) subject to cost of liquidation

(a) Where capital is issued as partly paid up the form should be altered accordingly.

Shares of Capital issued and alloted, viz-

Founder's Shares of $... per share (Shareholders.)

(a) Issued as fully paid.

Amount called up at $... per share, as per List "L"

Ordinary Shares of $... per share (Shareholders.)

(a) Issued as fully paid.

Amount called up at $... per share, as per List "M"

Preference Shares of $... per share (Shareholders.)

(a) Issued as fully paid.

Amount called up at $... per share, as per List "N"

(b) Add particulars of any other capital.

Amount, if any, paid in advance of call. $...

Less unpaid calls estimated to be irrecoverable ... $...

Add deficiency to meet liabilities as above

Total deficiency as explained in Statement "O"

$...

I, ... of ... make oath and say that the foregoing statement and the several lists hereunto annexed marked ... are, to the best of my knowledge and belief, a full, true, and complete statement of the affairs of the above-named company, on the date of the winding-up order (a).

Sworn at ... in the Colony of Hong Kong this ... day of ... 19...

Before me.

A Commissioner, &c.

Signature.

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