For persons to which the 2009 amendments apply
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69 KB, 4 pages
(Section 152 of the Act)
(Title Form 1)
Receipts | |||||
---|---|---|---|---|---|
1. Cash in hand and in bank | $ | ||||
2. Realization of assets: Book debts and bills of exchange | $ | ||||
3. Realization of assets: Stock, fixtures, machinery and furniture | $ | ||||
4. Realization of assets: Real property or immovable | $ | ||||
5. Received from | |||||
(a) Interim receiver as taxed | $ | ||||
(b) Former trustee as taxed | $ | $ | |||
6. Operating receipts: | $ | ||||
less: | (a) purchases | $ | |||
(b) operating expenses (Attach statement detailing purchases and expenses) | $ | $ | |||
Net profit (Net loss to be shown in miscellaneous disbursements, 19(a)) | $ | ||||
7. Miscellaneous: | |||||
(a) Bank interest, etc. (specify) | $ | ||||
(b) Funds received from guarantor (if applicable) | $ | ||||
Total Receipts | $ | ||||
Disbursements | |||||
8 Fees paid: | |||||
(a) To official receiver | $ | ||||
(b) To court | $ | $ | |||
9. Notice of first meeting: | |||||
(a) Local Paper | $ | ||||
(b) To (Number) creditors | $ | ||||
(c) Postage | $ | $ | |||
10. Other advertising | $ | ||||
11. Stock-taking and possession (actual expenses only) | $ | ||||
12. Premiums: | |||||
(a) Bond or Suretyship | $ | ||||
(b) Insurance | $ | $ | |||
13. Notice of bankrupt's application for discharge: | |||||
(a) To (Number) creditors | $ | ||||
(b) Postage | $ | $ | |||
14. Auctioneer: | |||||
(a) Commission | $ | ||||
(b) Expenses | $ | $ | |||
15. Notice of final dividend and trustee's application for discharge: | |||||
(a) To (Number) creditors | $ | ||||
(b) Postage | $ | $ | |||
16. Other notices and reports: | |||||
(a) To (Number) creditors | $ | ||||
(b) Postage | $ | $ | |||
17. Postage on general correspondence | $ | ||||
18. Inspector: | |||||
(a) Fees (provide details) | $ | ||||
(b) Expenses | $ | $ | |||
19. Miscellaneous: | |||||
(a) Loss on operations | $ | ||||
(b) Cost of former trustee as taxed | $ | ||||
(c) Other (provide details) | $ | $ | |||
20. Trustee's remuneration | $ | ||||
21. Legal fees and legal services costs (taxed): | |||||
(a) Legal counsel on application or assignment | $ | ||||
(b) Legal counsel to estate | $ | ||||
(c) Court fees awarded against trustee | $ | ||||
(d) Costs awarded to opposing creditor (pursuant to subsection 197(6.1)) | $ | $ | |||
22. Taxes (federal and provincial) | $ | ||||
23. Counselling fees | $ | ||||
24. Trust claim (Crown) | $ | ||||
Total Disbursements: | $ | ||||
Note: Total disbursements paid for services provided | |||||
25. Amount available for distribution | $ | ||||
26. Levy payable under section 147 of the Act | $ | ||||
27. Secured creditors: | |||||
Dividend $ | less levy $ | $ | |||
28. Preferred creditors: | |||||
Dividend $ | less levy$ | $ | |||
29. Unsecured creditors: | |||||
Proved claims of | $ | ||||
Interim Dividend % | $ | less levy $ | $ | ||
Final Dividend % | $ | less levy $ | $ | ||
30. Amount refunded to the debtor | $ | ||||
31. Undistributed assets | $ |
32. Status of Bankrupt's Discharge (if an individual) / Status of Proposal | |||
---|---|---|---|
Absolute discharge Discharge suspended Annulled by Court Deemed annulled | Automatic Hearing set Court approval refused Full performance | Conditional Refused Creditor acceptance rejected Withdrawn | Deceased Sine die Ongoing |
Status Date: |
(Provide a description and value of all property of the bankrupt (whether or not secured) as shown in the Statement of Affairs, or otherwise known and not accounted for in the receipts, stating why the property has not been sold or realized and stating the disposition made)
Date
Licensed Insolvency Trustee
Taxed at the sum of $ , on , 2.
Registrar
Note:
If a copy of this Form is sent electronically by means such as email, the name and contact information of the sender, prescribed in Form 1.1, must be added at the end of the document.