AF00106663 Bankruptcy Solomons Tamworth - Flipbook - Page 38
Proof Qf Debt.
IN THE SUPREME COURT OF
NEW SOUTH W.A.LES.
IN BANKRUPTCY.
No.
70F/
.1le
Bankrupt.
•
Ex parte —71'
Creditor.
State name of person
making the Proof.
Where a person
proves as the Agent,
Attorney, or Clerk,
state the fact ; also
authority and means
of knowledge.
a-e//A14-
1893,
being duly sworn., states as follows
1 ana the
itt4ho omplel-of—tire-ttraiernruremmit
Creditor, and am. duly authorized to make this Affidavit, an.d. it is
within my own knowledge, that the debt herein.after deposed to was
incurred, and for the consideration stated. My means of knowledge
The above-named. Bank- rupt at and before the Sequestration of /-1---1"
Estate Afr-am--P and still
justly and truly indebted to
Name of Creditor.
----77//
in the sum of /1Here state the cause
and particulars of
Debt, briefly, but
explicitly. (See
Forms and Directions
in Fold),
When the T3ankrupt
has a Set-off, or a
Security is held,
state the nature,
dates, extent, and
value, as in Fold—
which see.
, over and above all just allowances.
For that
I further say the said Bankrupt has
set-off against the said debt
of Eli- /40— .9 , as
as I know and believe ; and I the said
hold no security for the sam.e ;
and ha n. not received any payment in respect of the said demand, or
of any instrument securing the same, for -which credit has not been
given in the abovementioned allowances.
Sworn by Deponent, on the day and
year first above-mentioned, at
efore e,
N.B.—A Debt must be proved by delivering or sending through the post to the Registrar in Bankruptcy, Chancery
Square, Sydney, an Affidavit (with a copy thereof) verifying the debt, with fees 2s. and ls. for each document exhibited. Feels
must be paid in cash or by P.O. Order. Stamps cannot be received for Court fees.
'The Affidavit must contain or refer to a statement of account showing the full particulars of the debt, and giving dates,
and shall specify the vouchers, if any, by which the same can be substantiated.
Interest at the rate of 6 per cent. only is allowed on promissory notes from d.ate of maturity to date of sequestration,
and promissory notes must • produced.
Be particularly careful to fill up the affidavit in accordance with the printed directions on the back of this form.
The No. of the Estate must be stated on this form.
