Page:UKSRO 1890.pdf/68
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32
BANKRUPTCY, ENGLAND.
E.
Contingent or other Liabilities.
Full Particulars of all Liabilities not otherwise Scheduled to be given here.
| No. | Name of Creditor or Claimant. | Address and Occupation. | Amount of Liability or Claim. | Date when Liability incurred. | Nature of Liability. | |||
|---|---|---|---|---|---|---|---|---|
| Month. | Year. | |||||||
Signature
Dated . 189.