H 128

[Subsidiary]

CAP. 32]

Companies (Winding-up) Rules

[1984 Ed.

FORM 95

LIST OF DIVIDENDS OR COMPOSITION

(Name of company)

[rules 181 and 185.]

I hereby certify that a dividend (or composition) of per cent was declared payable on and after the day of 19 , and that the creditors whose names are set forth below are entitled to the amounts set opposite their respective names, and have been paid such amounts except in the cases specified as unclaimed.

Dated the day of , 19 .

To the Official Receiver.

Liquidator

Surname Christian name Amount of dividend (or composition) Amount of proof Paid Unclaimed $ $

This List is required in duplicate.

FORM 96

[rules 181 and 185.]

LIST OF AMOUNTS PAID OR PAYABLE TO CONTRIBUTORIES

(Name of company)

I hereby certify that a return of surplus assets was declared payable to contributories on and after the day of 19 at the rate of per share, and that the contributories whose names are set forth below are entitled to the amounts set opposite their respective names, and have been paid such amounts except in the cases specified as unclaimed.

Dated the day of , 19 .

Liquidator

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