1964_BANKRUPTCY_(FORMS)_RULES — Page 35

1977 Ed.]

Bankruptcy (Forms) Rules

[CAP. 6

B 35

[Subsidiary]

by the*

account endorsed hereon

account hereto annexed, marked “A”

for

which sum or any part thereof I say that I have not nor hath (g)

or any person by (h)

order to my knowledge or belief for (h)

use had or received any manner of satisfaction or security whatsoever, save and except the following (1)—

Admitted to vote for

the

of

$

day

19

Official Receiver,

Admitted to rank Sworn at

for

this

day

dividend for

of

19

*

$

Before me

this

day

of

19

Where the debt

proved for exceeds

$100 a

must be affixed

here as otherwise

the proof cannot

be admitted.

You should attend carefully to these directions.

Nor-The stamp must not

be defaced by the creditor.

NOTE THIS

be-

(f) State consider- ation, as Goods sold and delivered by me (and my said partner] to him for them] at his [or their] request tween the dates of |[or moneys advanced

by me in respect of the undermentioned bill of exchange), or as the case may be.

* Strike out the words not appli- cable.

(g) "my said part- ners or any of them" or "the above- named creditor", as the case may be.

(k) **my" or "our"

or "their" or "his", as the case may be.

(i) Here state the particulars of all securities held, and where the securities are on the property of the debtor, assess the value of the same, and if any bills or other nego- tiable securities be held, specify them in a schedule.

N.B.-bills or other negotiable securities must be produced before the proof can be admitted.

G.N.A. 124/55.

Trustee,

(Deponent's signature.)

}

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.

PARTICULARS OF ACCOUNT REFERRED TO ON OTHER SIDE

(Credit should be given for contra accounts)

If space is not sufficient, let the particulars be annexed, but where the particulars are on a separate sheet of paper the same must be marked by the person before whom the affidavit is sworn, thus-

IN BANKRUPTCY.-This is the account marked with the letter 'A' referred to in the annexed proof of the debt made by

in re

Sworn before me this

day of

19

A Commissioner, etc.

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