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(Subsection 128(1) of the Act)
Take notice that:
1. You are hereby required, pursuant to subsection 128(1) of the Act, to file with me a proof of claim and proof of security (security documents) relating to any security that you hold on the property of , a bankrupt, which property is described below:
(Describe the property.)
2. The proof of claim and proof of security must give full particulars of the security, including the date on which it was given and the value at which you assess it.
3. If you do not file with me a proof of claim and proof of security in respect of the property, within the 30 days after the day on which this notice is served I may, with leave of the court, sell or dispose of the property, free of your security.
4. A proof of claim in the required form is attached.
Dated at , this day of .
Licensed Insolvency Trustee