H 112
[Subsidiary]
CAP. 32]
Companies (Winding-up) Rules
[1984 Ed.
FORM 68
[rule 142(5).]
Certified List of Proofs under Rule 142(5) Companies (Winding-up) Rules, and Application for issue of Cheques for Dividend on
Re
COMPANIES LIQUIDATION ACCOUNT
Companies Liquidation Account.
Ledger Folio No.
I hereby certify that the following list has been compared with the proofs filed, and that the names of the creditors and the amounts for which the proofs are admitted are correctly stated.
Dated the day of .19
(Signature)
I certify that by my books the sum of $ stands to the credit of the above company with the Companies Liquidation Account at the bank and that the sum of $ is required to meet the undermentioned dividends, on proofs which have been duly made and admitted to rank for dividend upon the company, and I have to request that orders for payment may be issued to me.
Dated the day of 19
The dividend is payable on the and notice of declaration thereof was forwarded to the Official Receiver for insertion in the Gazette, on the day of 19
Date
To the Official Receiver.
19
Liquidator
19
Address to which cheques and money orders should be sent.
Amount of dividend
No. Surname Christian name Town on which Post Office money order should be drawn Amount of proof Sums under $20 Sums of $20 and above $ $
FORM 69
[rule 142(5).]
CERTIFIED LIST OF PROOFS FILED UNDER Rule 142(5) Companies (Winding-up) Rules, Special Bank Case
(Title)
I hereby certify that the following list has been compared with the proofs filed, and that the names of the creditors and the amounts for which the proofs are admitted are correctly stated.
(Signature)
Dated the day of 19