H 114
[Subsidiary]
L.N. 50/64.
CAP. 32] Companies (Winding-up) Rules [1984 Ed.
Upon applying for payment this notice must be produced entire, together with any bills of exchange, promissory notes or other negotiable securities held by you. If you desire the dividend to be paid to some other person you can sign and lodge with the liquidator an authority in the prescribed Form 72. Otherwise if you do not attend personally you must fill up and sign the subjoined forms of RECEIPT and AUTHORITY TO DELIVER, when a cheque or money order payable to your order will be delivered in accordance with the AUTHORITY.
To
(Signed)
Liquidator
NOTE—The receipt or authority should, in the case of a firm, be signed in the firm's name, or in the case of a limited company by an officer of the company, so described.
Received of
the sum of dollars and cents
RECEIPT
19
in this matter the sum
being the amount payable to me/us in respect of the dividend of per cent on my/our claim against this company.
$
L.N. 50/64.
Sir,
Payee's Signature
AUTHORITY FOR DELIVERY (a)
Please deliver to me/us by post, at my/our risk or to the Bearer (b),
a specimen of whose signature is appended hereunder, the cheque or money order for
the dividend payable to me/us in this matter.
Specimen signature of Bearer
To the [Official Receiver and] Liquidator.
Payee's signature
Date 19
Notes: (a) This is an authority only to deliver the cheque or money order. NOT to make it payable to another person.
(b) Strike out words inapplicable. If not to be sent by post strike out words in italics and insert the name of the person who is to receive the cheque or money order.
FORM 72
[rule 142(7).]
AUTHORITY To Liquidator TO PAY DIVIDENDS TO ANOTHER PERSON
(Title)
SIR,
To the [Official Receiver and] Liquidator.
I/We hereby authorize and request you to pay to M
of
(a specimen of whose signature is given below), all dividends as they are declared in the above-named matter, and which may become due and payable to me/us in respect of the proof of debt for the sum of $ made [by Mr.
against the above-named company.
] on my/our behalf.
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