1984 Ed.]

Companies (Winding-up) Rules

[CAP. 32

H 109

[Subsidiary]

FORM 63

[rules 79-84.]

PROOF OF DEBT. GENERAL FORM

(Title)

$

the

of

You should attend carefully

to these directions.

I (a)

of

oath and say:

make

(b) That I am in the employ of the under-mentioned creditor, and that I am duly authorized by

to make this affidavit, and that it is within my own knowledge that the debt hereinafter deposed to was incurred and for the consideration stated, and that such debt, to the best of my knowledge and belief, still remains unpaid and unsatisfied.

(c) That I am duly authorized, under the seal of the company hereinafter named, to make the proof of debt on its behalf.

1. That the above-named company was, at the date of the order for winding up the same, viz., the

to (d)

(e)

by the following account, I have not nor hath (f) any person by (g)

belief for (g)

day of

19

and still is justly and truly indebted for in the sum of dollars

as shown by the account endorsed hereon, or viz.-for which sum or any part thereof I say that

or

order to my knowledge or use had or received

any manner of satisfaction or security whatsoever, save and except the following (h)

Admitted to vote for

day

19

Official Receiver

or Liquidator.

Admitted to rank for dividend for

$

this

day

of

19

Official Receiver

or Liquidator.

Date

Drawer

Acceptor

Amount

Due date

$

(a) Fill in full name, address and occupation of deponent. If proof made by creditor strike out clauses (b) and (c). If made by clerk of creditor strike out (c). If by clerk or agent of the company strike out (b). (d) Insert "me and to C.D. and E.F., my co-partners in trade (if any)", or, if by clerk or agent insert name, address, and description of principal.

NOTE THIS

(e) State consideration [as goods sold and delivered by me (and my said partner) to the company between the dates of (or moneys advanced by me in respect of the under-mentioned bill of exchange) or, (as the case may be)].

(f) "My said partners or any of them" or "the above-named creditor" [as the case may be].

(g) "My", or "their", or "his" (as the case may be).

(h) [Here state the particulars of all securities held, and where the securities are on the property of the company assess the value of the same, and if any bills or other negotiable securities be held specify them in the schedule.]

Sworn at

this

day of

in Hong Kong.

19

[Deponent's Signature]

L.N. 201/84.

Before me

NOTE 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 the meeting.

Bills of exchange or other negotiable securities must be produced before the proof can be admitted.

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