No.
Ntube.
No
1004
THE HONGKONG GOVERNMENT GAZETTE, 7TH NOVEMBER, 1891.
No. 11. Statement of Affairs. (TITLE.)
N.B.-You are required to fill up carefully and accurately the several Forms ABCDEFGH and such forms when filled up will
Preferential creditors for rent rates taxes wages &c.
as per list A
Unsecured creditors other than preferential creditors as per list B
Creditors fully secured as per list C
Estimated value of securities
Surplus to contra account $
constitute your Statement of Affairs.
c.
Stock in trade as per list G estimated at.
Book debts as per list H estimated to produce
C.
Cash at bankers
Cash in hand
$
0.
Total Assets.
Creditors partly secured as per list D
Household Furniture estimated at
Other property as per list G estimated to produce..
Less estimated value of securities.
Other liabilities as per list E $ expected will rank against the estate for dividend... Liabilities on bills other than the debtor's own accept- ances as per list F $ of which it is ex- pected will rank against the estate for dividend.
of which it is
Surplus from securities in the hands of creditors fully secured per contra
LIST A
Unsecured Creditors.
Name..
and Occupation, Address
LIST B.
Creditors fully secured.
Amount
of
Debt
.
Address
and
Occupation.
Debt. of Amount
tracted cou When
ation. der. Consi-
culars Parti-
Esti-
Esti-
whon Date
Security given.
of Value mated
Security. Security
from
Surelua mated
Consideration
The above statement and the several lists hereunto annexed are to the best of my knowledge and belief full true and complete.
Total Debts.
Sworn &c.
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