B 70

[Subsidiary]

CAP. 32]

Companies (Forms) Regulations

[1984 Ed.

Please do not write in this binding margin.

LIST 'E' (consisting of ... pages)

Statement of Affairs

Please complete legibly.

Unsecured creditors

The names to be arranged in alphabetical order and numbered consecutively

preferably in black type, or bold block lettering.

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

Please refer to notes before completing this form.

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:

$ Total amount of claim
Less: Contra account

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

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.

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