1977 Ed.]
Bankruptcy (Forms) Rules
[CAP. 6
B 23
[Subsidiary]
E
CONTINGENT OR OTHER LIABILITIES
(FULL PARTICULARS of all liabilities not otherwise scheduled to be given here.)
Amount
No.
Name of creditor or claimant
Address and occupation
of liability
or claim
Amount expected to rank for dividend
Date when liability incurred
Nature of liability
Month
Year
Dated this
day of
F
(Signature)
19
*
CREDITORS FOR RENT, ETC., RECOVERABLE BY DISTRESS
Period
No.
Name of creditor
Address
Nature
and
of occupation claim
during
Date
which
Amount
claim
when
of claim
due
Amount recoverable by
accrued
distress
due
Dated this
day of
G
Difference ranking for dividend (to be carried to
List A)
(Signature)
19
PREFERENTIAL CREDITORS FOR RATES, TAXES, AND WAGES
Period
Name
No.
of creditor
Address
Nature
and
of occupation | claim
which claim accrued due
during Date
when due
Amount of claim
Amount payable in full
Difference ranking for dividend (to be carried to List A)
$
Dated this
day of
(Signature)
+ 19