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BANKRUPTCY, ENGLAND.
7

No. 46. STATEMENT OF AFFAIRS. (Title.) 26 TO THE DEBTOR.You are required to fill up, carefully and accurately, this sheet, and the several sheets A, B, C, D, E, F, G, H, I, J, and K, showing the state of your affairs on the day on which the Receiving Order was made against you, viz., the day of 189

Such sheets, when filled up, will constitute your Statement of Affairs, and must be verified by oath or declaration.

Gross Liabilities. Liabilities (as stated and estimated by Debtor).

Expected to Bank.

Assets (as stated and estimated by Debtor). Estimated to produce


£ s. d.

Unsecured creditors as per list (A.) Creditors fully secured, as per list (B.) Estimated value of securities Surplus Less amount thereof carried to Sheet C. £||s.||d. Balance thereof to contra Creditors partly secured, as per list (C.) Less estimated value of securities

Liabilities on bills discounted other than debtor's own acceptances for value, as per list (D.), viz.:-||£||s.||d.

On accommodation bills, as drawer, acceptor, or indorser||£ " " On other bills, as drawer or indorser||£||"||"

Of which it is expected will rank against the estate for dividend

Property as per list (H.), viz. :- (a) Cash at bankers (b) Cash in hand (c) Cash deposited with solicitor for costs of petition (d) Stock in trade (cost £ (e) Machinery (f) Trade fixtures, fittings, utensils, &c. (g) Farming stock - (h) Growing crops and tenant right (i) Furniture (j) Life policies (k) Other property, viz.:-


Total as per List (H) -

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