Form 14—Administrator's Statement of Receipts and Disbursements

For persons to which the 2009 amendments apply

PDF version

Form 14

154 KB, 2 pages

(Rule 98)

(Title Form 1)

Receipts
(Itemize receipts)

Form 14 — Administrator's Statement of Receipts and Disbursements (Consumer Proposal)
Total receipts $ Space to insert total receipts
Less trust claims $ Space to insert less trusts claims
Receipts Available to Proposal $ Space to insert receipts available to proposal
Disbursements
1. Counselling fees $ Space to insert counselling fees
2. Fees paid:
a) To official receiver $ Space to insert fees paid to official receiver
(b) To Court (where applicable) $ Space to insert fees paid to court (where applicable) $ Space to insert total fees paid
3. Administrator's fees:
(a) On filing proposal with official receiver $ Space to insert administrator's fees on filing proposal with official receiver
(b) On approval or deemed approval by the Court $ Space to insert administrator's fees on approval or deemed approval by the court
(c) 20% of moneys distributed $ Space to insert administrator's fees 20% of moneys distributed
Total Fees $ Space to insert total fees $ Space to insert total fees
4. Applicable taxes $ Space to insert applicable taxes
Total Disbursements $ Space to insert total disbursements

Note:

Total disbursements paid for services provided
by persons related to the trustee: $Space to insert total disbursements paid for services provided
(a) Amount: $Space to insert amount
(b) Name of person related to the trustee: Space to insert name of person related to the trustee
(c) Relationship to the trustee (e.g. spouse, parent): Space to insert relationship to the trustee
Amount available for distribution $Space to insert amount available for distribution
Amount refunded to debtor $Space to insert amount refunded to debtor
Undistributed assets $Space to insert undistributed assets
Proved claims $Space to insert proved claims
Dividend $Space to insert dividend
Superintendent's levy $Space to insert Superintendent's levy
Total dividend and levy $Space to insert total dividend and levy $Space to insert total dividend and levy
Status of Proposal
Checkbox for Annulled by Court Annulled by Court
Checkbox for Court approval refused Court approval refused
Checkbox for Creditor acceptance rejected Creditor acceptance rejected
Checkbox for Ongoing Ongoing
Checkbox for Deemed annulled Deemed annulled
Checkbox for Full performance Full performance
Checkbox for Withdrawn Withdrawn
 

Status date: Space to insert status date

Space to insert date
Date
Space to insert signature of administrator of consumer proposal
Administrator of Consumer Proposal
Approved by the following inspectors:
Space to insert signature of inspectors who approved
 
Space to insert signature of inspectors who approved
 
Space to insert signature of inspectors who approved
 
Space to insert signature of inspectors who approved

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

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