I (a)
of
oath and say:
Companies.
FORM 63. (rules 79-84.)
PROOF OF DEBT. GENERAL FORM,
(Title.)
make
(b) That I am in the employ of the under-mentioned creditor, and that I am duly authorized by
to
make this affidavit, and that it is within my own knowledge that the debt hereinafter deposed to was incurred and for the consideration stated, and that such debt, to the best of my knowledge and belief, still remains unpaid and unsatisfied.
You should attend carefully to these directions.
(c) That I am duly authorized, under the seal of the company hereinafter named, to make the proof of debt on its behalf.
1. That the above-named company was, at the date of the order for winding up the same, viz., the
to (a)
(e)
day of
•
19 and still is justly and truly indebted
in the sum of dollars
for
as shown by the account endorsed hereon, or
by the following account, viz.-for which sum or any part thereof I say that I have not nor hath (ƒ)
any person by (g)
belief for (g)
or
order to my knowledge or
use had or received any
manner of satisfaction or security whatsoever, save and except the following (h)—
[CAP. 32
(a) Fill in full name, address and occupation of deponent. If proof made by creditor strike out clauses (b) and (c). If made by clerk of creditor strike out (c). If by clerk or agent of the company strike out (b).
(d) Insert "me and to C.D. and E.F.,
my
co-partners
in trade
(if any)", or, if by clerk or agent insert name, address, and description of
principal.
:
:
Admitted to vote
for $
the
of
day 19
Official Receiver
or Liquidator.
Admitted to rank
for dividend for
$
this
of
day
19
Official Receiver
or Liquidator.
Date.
Drawer. Acceptor. Amount
Due date.
in the Colony of Hong Kong, [Deponent's
Sworn at
this
day of
Before me
159
19
Signature]
NOTE THIS. (e) State consideration [as goods sold and delivered by me (and my said
partner) to the company between
the dates of (or moneys advanced
by me in respect of the under-mentioned bill of exchange) or, (as the case may be). (f) "My
said partners
or any of them" or "the above-named creditor"
[as the case may be]. (g) "My", "their", "his" (as the case may be).
or
or
(h) [Here state the particulars of all
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