(

1984 Ed.]

Companies (Winding-up) Rules

[CAP. 32

H 131

[Subsidiary]

FORM 100

[rule 189.]

Dr.

STATEMENT TO ACCOMPANY NOTICE OF APPLICATION FOR RELEASE

(Title)

Statement showing position of company at date of application

Estimated to produce as per

company's statement of affairs

for release

Re-

ceipts

By court fees (including stationery, printing, and postages in respect of contributories, creditors, and debtors, and fee for audit)

$ C

To total receipts from date of winding-up order,

viz.-

(State particulars under the several headings specified in the statement of affairs.)

Receipts per trading account ...

Other receipts

Less-

Total...

Payments to securities redeem

Law costs of petition

Law costs of solicitor to liquidator

Other law costs

Liquidator's remuneration, viz. ——

$

C

assets realized per cent on $

per cent on $ assets distributed 10 dividend

Shorthand writer's charges

Special manager's charges

C

Person appointed to assist in preparation of statement of affairs

Auctioneer's charges as taxed

Other taxed costs

Costs of possession and maintenance of estate

Costs of notices in Gazette and local papers

Incidental outlay

Total costs and charges

S

Costs of execution

Payments per trading account

| Creditors, viz.

(a) Preferential

Net realizations

Amounts received from calls on contributories made by the liquidator

(a) Unsecured: dividend of $ per cent

The estimate of amount expected to rank for Amount returned to contributories

Balance

$

$

Cr.

Pay-

ments

S

Assets not yet realized, including calls, estimated to produce $

(Add here any special remarks the liquidator thinks desirable).

Creditors can obtain any further information by inquiry at the office of the liquidator.

Dated this

day of

(Signature of Liquidator)

(Address)

, 19

(u) State number of creditors.

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