B 48

[Subsidiary]

Please do not write in

this binding margin.

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legibly, preferably in black type, or bold block lettering.

CAP. 32]

Companies (Forms) Regulations

[1984 Ed.

Statement of Affairs List 'A'

Assets not specifically pledged

Name of bankers

Address

Full statement and nature of property

book value

Estimated to produce

$

$

Note:

Full particulars of every description of property not specially pledged and not included in any other list are to be set forth in this list.

*State nature.

Balance at bank

Cash in hand

Marketable securities

Bills receivable (as per schedule I)

Trade debtors (as per schedule II)

Loans and advances

Unpaid calls (as per schedule III)

Stock in trade

Work in progress

Freehold property

Leasehold property

Plant and machinery

Furniture, fittings, utensils, etc.

Patents, trade marks, etc.

Investments other than marketable securities

Other property

Signed

Date

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