Companies.
FORM 100. (rule 189).
STATEMENT TO ACCOMPANY NOTICE OF APPLICATION FOR RELEASE.
(Title).
Statement showing position of company at date of application for release.
Dr.
Cr.
To total receipts from date of winding-up order, viz-
(State particulars under the several headings specified in the statement of affairs.)
Receipts per trading account Other receipts
Less-
Total
Payments to redeem securities
Costs of execution
Payments per trading account
Net realizations
Estimated to produce as per company's statement of affairs.
Amounts received from calls on contributories made by the liquidator
Receipts.
By court fees (including stationery, printing, and postages in respect of contributories, creditors, and debtors, and fee for audit)
Law costs of petition Law costs of solicitor to liquidator
Other law costs
Liquidator's remuneration, viz- per cent on $ assets realized per cent on $ assets distributed dividend in
Shorthand writer's charges
Special manager's charges
Person appointed to assist in preparation of statement affairs
Auctioneer's charges as taxed
Other taxed costs of
Costs of possession and maintenance of estate
Costs of notices in Gazette and local papers
Incidental outlay
...
Total costs and charges
Creditors, viz-
(a) Preferential (a) Unsecured:
dend of $ per cent ... divi-
The estimate of amount expected to rank for
Amount returned to contributories
Balance
$
$
$
Pay- ments.
Assets not yet realized, including calls, estimated to produce
(Add here any special remarks the liquidator thinks desirable). Creditors can obtain any further information by inquiry at the office of the liquidator.
Dated this day of (Signature of Liquidator) 19 (Address)
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[CAP. 32
(a) State number of creditors.