1984 Ed.]

Companies (Forms) Regulations

[CAP. 32

LIST 'E' (consisting of pages)

Statement of Affairs

Unsecured creditors

The names to be arranged in alphabetical order and numbered consecutively

No. Name Address and occupation Amount of debt Date when contracted Consideration $ C Month Year Signed Date

NOTES

1. When there is a contra account against the creditor less than his claim against the company, the amount of the creditor's claim and the amount of the contra account should be shown in the third column and the balance only be inserted under the heading ‘Amount of debt' thus:

S

Total amount of claim

Less: Contra account

No such set-off should be included in Schedule I attached to List "A".

2. The particulars of any bills of exchange and promissory notes held by a creditor should be inserted immediately below the name and address of such creditor.

B 55 [Subsidiary]

Please do not write in this binding margin.

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

Please refer to notes before completing this form.

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