Companies. [Ch. 31. No. 1. 081
No. 92. (Rule 179.)
Statement to accompany Notice of Application for Release.
(Title.}
Statement showing position of Company at date of application for release.
Dr. Cr.
Estimated | Receipts. Payments.
to produce |—-——--- --
as per 8 Wy Oficial Receiver and Court Fees 8
company’s (including Stationery, Printing, and
statement Postages in respect of Coutributories,
of affairs. Creditors, and Debtors, and fce for
- audit)
$
Ve total receipts from date 3
of winding up Order, Law costs of petition
vig.: Law costs of Solicitor
(State particulars under to Liquidator
the several headings Other Law costs
Specified in the State-
ment of Affairs.)
Receipts per trading I
accounts Liquidator’s renmneration, viz.:
Other receipts
| $
percent. on &
assets realised
percent. on §
assets distributed in
dividend
$ ee
HAs! | Shorthand writer's charges
Payments | Special Manager's charges
securities Persons appointed to assist in prepara
Costs of execution tion of Statement of Affairs
Payments per trading Auctioneer's charges as taxed i
account : Other Laxed costs oo ae
: Costs of possession and maioten:
af estate wee nee wee
Costs of notices in Gaselfe anc al
t Papers ...
t Incidental outlay
Net realis. 8 | Total costs and charges 3

Amounts received from calls on contri-
butories made in the winding up

 

3
\

 

 

Assets not yet realised, including calls,

"

Creditors, vit

{a) Vreterential (a) State

(a) nercured dividend number of
the § creditor

The estimate of amount
cipected to rank for
dirtdend was $

Amount retarnec
contributaries

 

 

estimated to produce $

(Add here any special remarks the liquidator thinks desirable.) ;
Creditors can obtain any further information by inquiry at the office of the

liquidator.

Dated this day of 19

Address.

Liquidator.