CAP. 61
Bankruptcy.
CONTINGENT OR OTHER LIABILITIES.
(FULL PARTICULARS of all liabilities not otherwise scheduled to be given here.)
No. Name of creditor or claimant. Address and occupation. Amount of liability or claim. Amount expected to rank for dividend. Date when liability incurred. Nature of liability. Month. Year. $ $Dated this day of 19
F.
(Signature)
CREDITORS FOR RENT, ETC., RECOVERABLE BY DISTRESS.
Period No. Name and Address of creditor. Occupation. Nature of claim. Date during which claim accrued. when due. Amount of claim. Amount recoverable by distress. Difference ranking for dividend (to be carried to List A.). $Dated this day of 19
G.
(Signature)
PREFERENTIAL CREDITORS FOR RATES, TAXES, AND WAGES.
No. Name and Address of creditor. Occupation. Nature of claim. Period during which claim accrued. Date when due. Amount of claim. Amount payable in full. Difference ranking for dividend (to be carried to List A.). $ $ $Dated this day of 19
436
CAP. 61
Bankruptcy.
CONTINGENT OR OTHER LIABILITIES.
(FULL PARTICULARS of all liabilities not otherwise scheduled to be given here.)
No.
Name of creditor or claimant.
Address and occupa- tion.
Amount of liability
or
claim.
Amount expected to rank for dividend.
Date when liability incurred.
Nature of
liability.
Month.
Year.
$
$
Dated this
day of
F.
(Signature)
19
"
CREDITORS FOR RENT, ETC., RECOVERABLE BY DISTRESS.
Period
No.
Name Address
of
and credi-
occupa- tor. tion.
Nature of claim.
during
Date
which
Amount
claim accrued due.
when due.
of claim.
Amount
recover-
able by distress.
Difference ranking
for
dividend
(to be carried to
List A.).
Dated this
day of
G.
$
(Signature)
19 >
PREFERENTIAL CREDITORS FOR RATES, TAXES, AND WAGES.
No.
Name Address Nature
of
and
of credi-
оссира- claim. tor. tion.
Period during Date
which claim accrued due.
Difference ranking
when due.
Amount of claim.
Amount payable
for
in full.
dividend (to be carried to List A.).
$
$
$
(Signature)
Dated this
day of
436
19
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