į
THE HONG KONG GOVERNMENT GAZETTE, NOVEMBER 18, 1932.
865
Re (a)
I (b)
of
oath and say--
No. 46.
R. 109.
PROOF OF DEBT.
GENERAL FORM.
(Title.)
No. (a)
of 19
make
(c) That I am in the employ of the under-mentioned creditor, and that I am duly authorised by
to make this
affidavit, and that it is within my own knowledge that the debt herein-after deponed to was incumed, and for the consideration stated, and that such debt, to the best of my knowledge and belief, still remains unpaid and unsatisfied.
(d) That I am duly authorised, under the seal of the company herein-after named, to make the proof of debt on its behalf.
That the said
at the date of the receiving
19 and still
W
+
order, viz., the
day of
and truly indebted to (e)
in the sum of
dollars and
cents (f)
as shown by the*
faccount endorsed hereon
(a) Here insert the number of matter, and the name of debtor, as given on the notice of meeting.
(b) Fill in full name, address, and occupation of deponent.
If proof made by creditor strike out clauses (c) and (d).
by
If made iclerk of creditor
strike out (d.
If by clerk or agent of company strike out (c).
(e) Insert "me" or, in case of a firm "me and C.D. and E.F. my co- partners trading
as
or if by clerk, insert
address, description
name,
and
justly
of principal. Debt
: :
Contra $ : :
:
:
account hereto annexed, marked A❞
for
which sum or any part thereof I say that I have not nor hath
or any person by (h)
(g)
or belief for (h)
order to my knowledge use had or received any manner of satisfaction or security whatsoever, save and except the follow- ing (i):-
Admitted to vote for
:
:
the
day
of
19 .
Official Receiver.
Where the debt
for
ex-
twenty
proved
creds
day dollars
dollar stamp must
a One
Sworn at
Admitted to rank for
this
dividend for
of
19
be affixed here
:
:
Before me
this
day
of
19
Trustee.
Deponent's signature. f
as otherwise the
pro f cannot be
admitted.
be defaced by the Creditor NOTE. The Stomp must not
You should attend carefully to these directions.
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 such meeting.
NOTE THIS.
-
(f) State con- sideration (as Goods sold and delivered by me] my said to him
Fand
partner
or them at his or their] request between the lates of for monies ad- vanced by me in respect of the un- dermentioned bill exchange], or
of
as the case may
be.
*Strike out, the
words not appli- cable.
C
"4
(g) "my said
partners or any
of
"the
them " 07
"named
above-
credi-
'tor", as the case
may be.
"
(h) my
our" or "their"
or his "
as the
case may be.
the
(2) Here state particulars
of all securities held, and where the securities are
on the property
of
the debtor,
or
assess the value of the same, and if any bills other negotiable securities be hield, specify them in the schedule.
NB- Bills or other negotiable securities must be produced before the proof can be admitted.
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