For persons to which the 2009 amendments apply
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(Sections 152 and 155 of the Act; Rule 62)
(Title Form 1)
receipts
(Itemize receipts)
disbursements
Note:
Total disbursements paid for services provided by persons related to the trustee: $
(a) Amount: $
(b) Name of person related to the trustee:
(c) Relationship to the trustee (e.g. spouse, parent):
Status of Bankrupt's Discharge
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
Approved by the following inspectors:
there is no approval by inspectors, disclose the reason(s) for non-approval:
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.