1977 Ed.]
Bankruptcy (Forms) Rules
[CAP. 6
B 35
[Subsidiary]
by the*
account endorsed hereon
account hereto annexed, marked “A”
for
which sum or any part thereof I say that I have not nor hath (g)
or any person by (h)
order to my knowledge or belief for (h)
use had or received any manner of satisfaction or security whatsoever, save and except the following (i)—
Admitted to vote for
the
of
$
day
19
Official Receiver,
Admitted to rank Sworn at
for
this
day
dividend for
of
19
*
$
Before me
this
day
of
19
Where the debt
proved for exceeds $100 a
must be affixed
here as otherwise
the proof cannot
be admitted.
You should attend carefully to these directions.
Nor-The stamp must not
be defaced by the creditor.
NOTE THIS
be-
(f) State consideration, as Goods sold and delivered by me (and my said partner) to him [or them] at his [or their] request between the dates of [or moneys advanced by me in respect of the undermentioned bill of exchange], or as the case may be.
* Strike out the words not applicable.
(g) "my said partners or any of them" or "the above-named creditor", as the case may be.
(h) "my" or "our" or "their" or "his", as the case may be.
(i) Here state the particulars of all securities held, and where the securities are on the property of the debtor, assess the value of the same, and if any bills or other negotiable securities be held, specify them in a schedule.
N.B.-bills or other negotiable securities must be produced before the proof can be admitted.
G.N.A. 124/55.
Trustee,
(Deponent's signature.)
The proof cannot be admitted for voting at the first meeting unless it is properly completed and lodged with the Official Receiver before the time named in the notice convening such meeting.
PARTICULARS OF ACCOUNT REFERRED TO ON OTHER SIDE
(Credit should be given for contra accounts)
If space is not sufficient, let the particulars be annexed, but where the particulars are on a separate sheet of paper the same must be marked by the person before whom the affidavit is sworn, thus-
IN BANKRUPTCY.-This is the account marked with the letter 'A' referred to in the annexed proof of the debt made by
in re
Sworn before me this
day of
19
A Commissioner, etc.
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