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(Subsection 66.3(1) of the Act)
In the Court of (province) in Bankruptcy
In the matter of the consumer proposal of , a consumer debtor
On the application of , the administrator of the consumer proposal of , a consumer debtor (or a creditor of , a consumer debtor); on reading the application of that administrator (or creditor); on hearing ; and as it appears that the consumer debtor who was not a bankrupt:
(Check appropriate description.)
has defaulted in the performance of a provision in the consumer proposal.
was not eligible to make a consumer proposal when the consumer proposal was filed.
was convicted of the following offence under the Act after the consumer proposal was accepted or approved: .
cannot continue the consumer proposal without injustice or undue delay.
obtained the approval of the court by fraud.
It is ordered that the consumer proposal dated the is hereby annulled.
Dated at , this day of .
Judge or Registrar