1964_BANKRUPTCY_(FORMS)_RULES — Page 23

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1977 Ed.]

Bankruptcy (Forms) Rules

[CAP. 6

B 23

[Subsidiary]

E

CONTINGENT OR OTHER LIABILITIES

(FULL PARTICULARS of all liabilities not otherwise scheduled to be given here.)

Amount

No.

Name of creditor or claimant

Address and occupation

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 of creditor

Address

Nature

and

of occupation claim

during

Date

which

Amount

claim

when

of claim

due

Amount recoverable by

accrued

distress

due

Dated this

day of

G

Difference ranking for dividend (to be carried to

List A)

(Signature)

19

PREFERENTIAL CREDITORS FOR RATES, TAXES, AND WAGES

Period

Name

No.

of creditor

Address

Nature

and

of occupation | claim

which claim accrued due

during Date

when due

Amount of claim

Amount payable in full

Difference ranking for dividend (to be carried to List A)

$

Dated this

day of

(Signature)

+ 19

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1977 Ed.] Bankruptcy (Forms) Rules [CAP. 6 B 23 [Subsidiary] E CONTINGENT OR OTHER LIABILITIES (FULL PARTICULARS of all liabilities not otherwise scheduled to be given here.) Amount No. Name of creditor or claimant Address and occupation 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 of creditor Address Nature and of occupation claim during Date which Amount claim when of claim due Amount recoverable by accrued distress due Dated this day of G Difference ranking for dividend (to be carried to List A) (Signature) 19 PREFERENTIAL CREDITORS FOR RATES, TAXES, AND WAGES Period Name No. of creditor Address Nature and of occupation | claim which claim accrued due during Date when due Amount of claim Amount payable in full Difference ranking for dividend (to be carried to List A) $ Dated this day of (Signature) + 19
Baseline (Original)
1977 Ed.] Bankruptcy (Forms) Rules [CAP. 6 B 23 [Subsidiary] E CONTINGENT OR OTHER LIABILITIES (FULL PARTICULARS of all liabilities not otherwise scheduled to be given here.) Amount No. Name of creditor or claimant Address and occupation 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 of credi- tor Address Nature and of occupation claim during Date which Amount claim when of claim due Amount recover- able by accrued distress due Dated this day of G ་ Difference ranking for dividend (to be carried to List A) (Signature) 19 PREFERENTIAL CREDITORS FOR RATES, TAXES, AND WAGES Period Name No. of credi- tor Address Nature and of occupation | claim which claim accrusd due during Date when due Amount of claim Amount payable in full Difference ranking for dividend (to be carried to List A) $ Dated this day of (Signature) + 19
2026-05-04 06:55:56 · Baseline
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1977 Ed.]

Bankruptcy (Forms) Rules

[CAP. 6

B 23

[Subsidiary]

E

CONTINGENT OR OTHER LIABILITIES

(FULL PARTICULARS of all liabilities not otherwise scheduled to be given here.)

Amount

No.

Name of creditor or claimant

Address and occupation

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 of credi- tor

Address Nature

and

of occupation claim

during

Date

which

Amount

claim

when

of claim

due

Amount recover- able by

accrued

distress

due

Dated this

day of

G

་

Difference ranking for dividend (to be carried to

List A)

(Signature)

19

PREFERENTIAL CREDITORS FOR RATES, TAXES, AND WAGES

Period

Name

No.

of credi- tor

Address Nature

and

of occupation | claim

which claim accrusd due

during Date

when due

Amount of claim

Amount payable in full

Difference ranking for dividend (to be carried to List A)

$

Dated this

day of

(Signature)

+ 19

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