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.