1day ofShowing the state of BankruP' s affairs on the day on which the Sequestration 6rder was made against him, viz.: theSuch sheets, when fillet' Pi_p, will constitute BankruP' s statement of affairs. When comihleted such statement must be verified by oath or declaration.GROSSLIABILITIES.s.///.g -EXPECTED TORANK.LIABILITIES AS STATED AND ESTIMATED BY DEBTOR.s.d.d..••••••••CASH AT ANKERSCreditors fully secu d as per List (B)•••••13CASH INEstimated Value of Se urities•••Tnsecured Creditors as per List (A)Surplus to Contra•••ESTIMATED TOPRODUCE.ASSETS AS STATED AND ESTIMATED BY DEBTOR.6••.•••• •• ••ND ...••••••• • •Estimated Cash .••• ••• •• • •• •PROPERTY as per List (G), viz. :—•• ••Creditors partly secured as per List (C)••Less estimated value of Securities ..Cher liabilities as per Lis (D), Xagainst the estate fo dividend• ••• •• •(a) Stock-in-Trade...- o.•••...o(b) Machinery, Trade Fixtures, Fittings, Utensils, &c.••••••(c) Farming Stock, Growing Crops, and Tenant Right••••••• •/to••of which it is expected will rank•• •.••• ••••Liabilities on Bills other than Debtor's own a ceptance as per List (F), Xof which it is expected will rank agar st the estate for dividend...11—f?`•(d) Furniture•••• •(e) Other Property• •• • •• • •Preferential Creditors for Rates, Taxes, Wages, &c., as per List (E)Preferential Creditors for Rent, payable under Section•••as per List (E)of the Act, goBOOK DEBTS as per List (H), viz.:--• •Goodestimated at ...Preferential Claim for Sheriff's Charges under sectionDoubtfulDeduct Contra••••••••••• ••• •• • •••• •• •• • •• • •• • •••• ••••• ••••Bad .. •/ Estimated to produce• •••(zee••iJILLS OF EXCHA E or other similar securities as per List (J) XEstimated to p duce•••• •• • •• • •• ••• • •'URPLTJS from Securities in the hand of Creditors fully secured (per contra)aeoDeduct Preferential Creditors for Rent, Rates, Taxes, &c. (as per contra)• • •• • •• • •DEFICIENCY explained in statement (K)•• •• • •• ••0• • •4/ZeteSQ6Kh-4 rof/44/- make oathand say that the above statement and the several lists /hereunto annexed, marked 4 - C.are to the best of my knowledge andbeliej a full, true, and comihlete statement of my affairs on the date of the above-mentioned Sequestration Order made against me.this'Sworn at ,12 0-c-cf-fyc(yQ89day ofBefore meSign,aturereeveA Commissio ler for Affidavits•189
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