Document ID: chunk:federal_register_of_legislation:F2024C01249:schedule:2:p7
Version: federal_register_of_legislation:F2024C01249
Segment Type: schedule
Provision Reference: sch 2 (pt 7/10)
Character Range: 1979569–1982250

FORMAL PROOF OF DEBT OR CLAIM (GENERAL FORM)

To the liquidator of  Limited

1. This is to state that the company was on (date of court order in winding up by the Court, or date of resolution to wind up, if a voluntary winding up), and still is, justly and truly indebted to (full name and address of the creditor and, if applicable, the creditor's partners.  If prepared by an employee or agent of the creditor, also insert a description of the occupation of the creditor) for

 dollars and   cents

Particulars of the debt are:

Date  Consideration        Amount  Remarks
      (state how the debt          (include details of voucher substantiating payment)
      arose)

                           $ c

2. To my knowledge or belief the creditor has not, nor has any person by the creditor's order, had or received any satisfaction or security for the sum or any part of it except for the following: (insert particulars of all securities held.  If the securities are on the property of the company, assess the value of those securities.  If any bills or other negotiable securities are held, show them in a schedule in the following form).

Date  Drawer  Acceptor  Amount  Due Date

                        $ c

*3. I am employed by the creditor and authorised in writing by the creditor to make this statement.  I know that the debt was incurred for the consideration stated and that the debt, to the best of my knowledge and belief, remains unpaid and unsatisfied.

*3. I am the creditor's agent authorised in writing to make this statement in writing.  I know the debt was incurred for the consideration stated and that the debt, to the best of my knowledge and belief, remains unpaid and unsatisfied.

 Dated

 Signature
 Occupation
 Address

    *Do not complete if this proof is made by the creditor personally

Form 536
(subregulation 5.6.49(2))

A.C.N. or A.R.B.N:

Corporations Act 2001

FORMAL PROOF OF DEBT OR CLAIM ON BEHALF OF EMPLOYEES

To the liquidator of  Limited

I (full name of person making the statement) of (full address) being (occupation) state:

1. the company was, on (date of court order in winding up, if winding up was by the Court, or date of resolution to wind up if a voluntary winding up), and still is, indebted to the persons whose names, addresses and descriptions appear in Columns 2, 3 and 4 in the Schedule;

2. the debt is for wages, salaries, annual leave, retrenchment payments or long service leave, due to them for services rendered while employed by the company during the periods set out in Column 5 against the names of the persons;

3. the debt of the company due to each person is for the amount set out in Column 6