B 44

[Subsidiary]

CAP. 32]

Companies (Forms) Regulations

[1984 Ed.

Please do not write in this binding margin.

Please complete legibly, preferably in black type, or bold block lettering

Statement as to affairs of § on 19 being the date of the appointment of the receiver showing assets at the estimated realizable values and liabilities expected to rank

Insert full name of company.

ASSETS NOT SPECIFICALLY PLEDGED (as per List 'A')

Balance at bank

Cash in hand

Marketable securities

Bills receivable

Trade debtors

Loans and advances

Unpaid calls

Stock in trade

Work in progress

Leasehold property

Plant and machinery

Furniture, fittings, utensils, etc.

Patents, trade marks, etc.

Investments other than marketable securities

Other property

Estimated realizable values $

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