pwc

NCAI AAU DOS
pwc
Province of QUEBEC
District of Montreal
Division NO: o1-Montreal
Court N°: 500-11-043480-124
Estate NO: 41-1676475
SUPERIOR COURT
"Commercial Division"
IN THE MATTER OF THE BANKRUPTCY OF:
DISTRIBUSOFT INC., a body duly incorporated according to
law, having its principal place of business at 9695 Clement, in
the City of Lasalle, District of Montreal, Province of Quebec,
H8R 4B4.
DEBTOR
- and PRICEWATERHOUSECOOPERS INC.
TRUSTEE
NOTICE OF BANKRUPTCY AND FIRST MEETING OF CREDITORS
(Subsection 102(1) of the Act)
Take notice that:
1.
Distribusoft Inc. filed an assignment on the 17th day of October 2012, and the undersigned,
PricewaterhouseCoopers Inc. (Christian Bourque,CPA, CA, CIRP, trustee in charge), was appointed as
trustee of the estate of the bankrupt by the official receiver, subject to affirmation by the creditors of
the trustee's appointment or substitution of another trustee by the creditors.
2.
The first meeting of creditors of the bankrupt will be held on November 6, 2012 at 10:00 a.m. at the
office of the official receiver, at 5 Place Ville-Marie, 8th floor, Room 3, Montreal (Quebec).
3.
To be entitled to vote at the meeting, a creditor must lodge with the trustee, before the meeting, a
proof of claim and, where necessary, a proxy.
4.
Enclosed with this notice is a proof of claim form, proxy form and list of creditors with claims
amounting to $25 or more showing the amounts of their claims.
5.
Creditors must prove their claims against the estate of the bankrupt in order to share in any
distribution of the proceeds realized from the estate.
Dated at Montreal, this 22nd day of October 2012.
PRICE WATERHOUSECOOPERS INC., TRUSTEE
Christian Bourque, CPA, CA, CIRP
Trustee in charge of the estate
............... ............. ...... ........ .............. ...................... ............... ....... ..................... ..................................... ............... ......... .................................... ......... ...........
PricewaterhouseCoopers Inc.
1250 Rene-Levesque Boulevard West, Suite 2800, Montreal, Quebec, Canada H3B 2G4
T: +1 514 205 5000, F: +1 514 205 5694, www.pwc.coin/ca
District de.
original
No division:
modifie
No cour:
No dossier:
-- FORMULAIRE 78 -Bilan - faillite d'entreprise deposee par one entite
(paragraphe 49(2), alinea 158d) et paragraphes 50)2) et 62(1) de a Loi)
Dans I'affaire de la faillite de Distribusoft Inc.
Corporation legalement constituee, ayant sa principale place d'affaires
au 9695 Clement, dans la ville de Lasalle, district de
Montreal, province de Quebec, H8R 484,
Au failli
Vous etes tenu de remplir avec soin et exactitude Ie present formulaire et les annexes applicables indiquant la situation de vos affaires a la date de votre faillite le 16
octobre 2012. One foe rempli, ce formulaire et les listes annexees, constituent votre blan, qui dolt titre verife sous serment ou par one declaration solennelle.
PASSIF
(tel que declare et estirne par I'officier)
1. Creanciers non garantis voir Iiste A ......
.......
..
Equilibre de reclamations garantis: voir Iiste B.......
ACTIF
(tel que declare et estirne par I'of6cier)
753,181.92
518.89495
1. Inventaire ...
......
......
.....
......
...... .
200,000.00
2. Amenagements . ............................... .
18,453.48
d. Vomptes a recevoir et autres creances: voir iste E
Creanciers non garantis total ............... ......
2. Creanca s garantis: voir tste B
1,272,076. 87
304,824 55
Bonnes .................
75,000.00
Douteuses . . . . . . . . . . . .
90,180.15
..
Mauvaises ................
3. Creanciers privieges: voir liste C ...................
0.00
Surplus .....
......
.
0.00
0.00
5. Depots en institutions financieres ....................
0.00
6Especes ................... _....,,
....
....
75.000.00
4.Lettres de change, billets a ordre, etc., voir liste F .......
4. Dettes eventuelles, reclamations de hducie ou autres
(voir liste D)pouvant dire reclamees pour one somme de...
Total du passif .. ...
0.00
Estimation des creances qui peuvent titre realisees
0.00
1,57 6,901 42
....................
NIL
7.Betail .............................
0.00
8. Machines, outillage et installation
0.00
9. Immeubies et biens reels : voir liste G ..............
10. Arneublernent .....
......
0.00
.....................
19,808.10
11.REER, FERR, Assurances-vie etc .... ... .........
0.00
12. Valeurs mobilieres(actions, obligations, debentures etc.
0.00
13. Droits en vertu de testaments ............. .......
0.00
14. Vehicules ...............................
15. Autres biens : voir liste H .............. _
.....
0.00
........
0.00
Si le failli est one personne morale, ajoutez :
Montant du capital souscrit ... ....
0.00
Montant du capital paye ..........
0.00
Solde souscrit et impaye ......................
0.00
Estimation du solde qui peut dire realise .. .......
0.00
Total de I'actif ... ..
Deficit ...........
. _.
....
...
313,261.58
......
1,263,639.84
Je, Sebastien Ouellet, de Lachine en la province de Quebec, etant dument assermente (ou ayant declare soiennellernent) declare que le boon qui suit et ies
listes annexees sent, a ma connaissance, on releve complet, verdique at ender de mes off aires en ce 16 octobre 2012, et indiquent au complet tous mes biens de
quelque nature qu'ils soient, on ma possession et reversibles, tels que defnis par la Loi,
ASSERMENTE (ou declare solennellement)
devantmoi le 16octobre ,2012, a Mo
ai en la province de Quebec.
Christian Bourque, Comrissaire a
pour la province de Quebec
Expire le 16 fev 2015
Page 1
District de'.
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No dossier:
FORM 78 -- Suite
Liste "A"
Creanciers Non Garantis
Distribusoft Inc.
No.
Nom du creancier
Adresse
1
Agence de Revenu du Canada
4 Place Laval, Bureau 502
Laval QC H7N 5Y3
2
AGENCE DU REVENU DU CANADA
Attn. Attn. RECOUVREMENT
305, boul. Rene-Levesque Ouest
Montreal QC H2Z 1A6
3
Alliance One Ltd. (Purolator)
300 -1220 Sheppard Avenue E
Toronto ON M2K 2S5
4
Ally Service Canada
319-9138-36405+319-9111-95231
5
Reclamation
non garantis
Balance de reclamation
Total
reclamation
22,915.82
0.00
22,915.82
1.00
0.00
1.00
6,484.53
0.00
6,484.53
PO BOX 3190 Station D
Etobicoke ON 59A OC2
13,734.06
0.00
13,734.06
B BOX
300, rue de Liege Ouest
Montreal QC H2P 1H3
163.95
0.00
163.95
6
BANQUE AMEX du Canada
Case postale 2000
Westhill QC MIE5H4
18,958.52
0.00
18,958,52
7
Banque HSBC Canada
1000 boul, St-Jean #110
Ponnte-Claire QC H9R 5P1
12,203.83
0.00
12,203.83
8
BanyanCommerce
500, Hood Road, Suite 330
Markham ON L3R 9Z3
116.54
0.00
116,54
9
Barrette & associes
3380, rue notre-dame bureau 20
Lachine QC HST 1W7
3,821.25
0.00
3,821.25
BDC
Katie Charbonneau
EDIFICE BDC, NIVEAU PLAZA, 5 Place
Ville-Marie, suite 12525
Montreal QC H3B2G2
0.00
52,796.95
52,796.95
10
032275-04
11
Bell Canada
C.P. 8712 succ Centre-Ville
Montreal QC H3C 3P6
1,202.31
0.00
1,202.31
12
Bell Canada (WAT)
C.P. 8712 succ Centre-Ville
Montreal QC H3C 3P6
298.51
0.00
298.51
13
Bell Internet
CP 11490, st Centre-Ville
Montreal QC H3C 5R7
388.45
0.00
388.45
14
Cafe Entre Amis
15, boul. Montcalm Nord, C.P. 73034
Candiac QC J5R 5X3
99.50
0.00
99.50
15
Calyx Ground Transportation
PO Box 8002, STN A
Toronto ON M5W 3W5
6,029.77
0.00
6,029.77
16
Carrousel,
1401 Ampere
Boucherville QC AB5Z5
93.13
0.00
93.13
17
CDEL frais gestion
55, avenue Durpas
LaSalle DC HSR 4A8
200.00
0.00
200.00
18
CIBC
000215615313
Jean Arseneault
1155 bout Rene Levesque 0. suite 1400
Montreal QC H3B 3Z4
0.00
465,000.00
465,000,00
19
CORPO Financiere Brome
C.P. 40 Succursale B
Montreal QC H3B 3J5
4,959.04
0,00
4,959.04
20
Corsair etiquettes
6505, rue vanden abeeie
Saint-laurent QC HAS 1S1
613.13
100
613.13
21
Curveball Leisure Limited
Unic C Redbrick Court
Ferryboat Close
Swansea, SA6 80N. UK
19,360.00
0.00
19,36090
16-oct-2012
Sebastien Ouelie
Date
Page 2 de 11
District de:
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No dossier:
FORM 78 -- Suite
Liste "A"
Creanciers Non Garantis
Distribusoft Inc.
No.
Nom du creancier
Adresse
22 Develop. Economique LaSalle
55, avenue dupras
Lasalle QC H8R 4A8
23
ELAVON
24
Reclamation
non garantis
Balance de reclamation
Total
reclamation
121,062.88
0.00
121,062.88
7300 CHAPMAN HIGHWAY
Knoxville TN 37920-6609 USA
791.72
0.00
79132
Enlev. de dechets Bergeron Inc
4365, Boul. St-Elzear Quest
Laval QC H7P 4J3
812.95
0.00
812.95
25
Euler Hermes
1155 Rer>e-Levesque west, suite 1702
Montreal QC H3B 3Z7
11,453.40
0.00
11,453.40
26
FCDQ
CP 8601 SUCC CENTRE-VOLLE
Montreal QC R3C 3V2
1,823.12
0.00
1,823.12
27
Fedex express Canada
PO Box 4626 Toronto STN A
Toronto ON fv15W 5B4
25,738.67
0.00
25,738.67
28
Fedex Trade Networks can inc
T10007 CIU PO Box 10007, Station A,
Toronto ON M5W 2B1
2,646.32
0.00
2,646.32
29
FEDEX TRADE NETWORKS USA
15704 Collections center Dr.
Chicago, iL ii 60693 USA
1,361.69
0.00
1,361.69
30 Financiere Sunlife
2555, boulevard Le Corbusier
Laval QC H7S 1Z4
2,435.12
0.00
2,435.12
31
Game Outlet Europe AB
Box 5083, 65005 Karlstad
Sweden. SWEDEN
61,237.72
0.00
61,237.72
32
Gaz Metro
1717 rue du Havre
Montreal QC H2K2X3
83.92
0.00
83.92
33
Gestion LIMES-ARC inc.
1100 rue Begin, Suite 100
Ville Saint-Laurent 00 H4R 1X1
49,266.69
0.00
49,266.69
34
Groupe Services Financiers BMW
920 Champlain Court
Whitby ON L1N6K9
15,000.00
0.00
15,000.00
35
Hydro-Quebec
C.P. 270 SuccursaleYouville
Montreal QC H2P 2V4
3,361.63
0.00
3,36163
36
hyphen
190 Attwell Drive , suite 680
Toronto ON N19W 6H8
9,141.82
0.00
9,141.82
37
Imprimerie Copie Mont Printing
8961, rue Salley
825.52
0.00
825.52
572.58
0.00
572.58
1.00
0.00
1.00
247.20
0.00
247.20
30,847.16
0.00
30,847.16
167.09
0.00
167.09
7,746.45
0.00
7,746.45
Lasalle QC HSR 208
38
Imprimerie Dan inc.
4045, Alfred-Laliberte, S.200
Boisbriand QC.J7H 1P7
39
INTACT Assurance
4965 Jarry Est
Saint-Leonard CC H1R1Y1
40
JAN-PRO DU QUEBEC
2323, BOUL. VERSANT NORD #114
QUEBEC QC HSR 464
41
Jast4Games
1760, rue Beaulac
Saint-Laurent OC H4R 1W4
42
Labrador
CP 4514 STN A
Toronto ON M5W 4L7
43
Lehoux Boivin, SENC
4255, boul. Lapiniere, Bureau 300
Brossard QC AZ OC7
16-oct-2012
Date
Page 3 de 11
District de:
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FORM 78 -- Suite
Liste "A"
Creanciers Non Garantis
Distribusoft inc.
No.
Nom du creancier
Reclamation
Adresse
44
L`UnionCANADIENNE
4965 Jarry Est
Saint-Leonard QC H1R1Y1
45
Martin & Cie
655, 32e Avenue, Bureau #207
Lachine QC t-BT 3G6
Balance de reclamation
non garantis
Total
reclamation
1.00
0.00
1.00
4,557.00
0.00
4,557.00
27.81
0.00
27.81
46 Messagerie Quick Messenger
2144, rue Mackay
Montreal QC H3G 2J1
47
Michel Gagnon
44, Chemin du Vieux Moulin
lie-Perrot QC J7V 8P6
39,711.35
0.00
39,711.35
48
Ministere du Revenu du Quebec (impot)
4695 12e Avenue
Shawinigan-Sud QC G9N 7S6
11,750.00
0.00
11,750.00
Secteur des faillites R23CPF
39,855.00
0.00
39,855.00
49 Ministere du Revenu du Quebec (TPS-TVQ)
Attn: Centre de perception fisca.e
1600, bout, Rene-Levesque Quest, 3e etag
Montreal QC H3H 2V2
50
Ministere Securite Publique
C.P. 6000,
Fredericton NB E38 5H1
500.00
0.00
500.00
51
Nova Scotia
P.O Box 545, 40 Alderney Drive
Dartmouth NE 82Y 3Y8
639.15
0.00
639.15
52
Novexco
1805, Autoroute Laval Quest
Laval QC H7L3W3
32,000.00
0.00
32,000.00
53
Quebec Linge Co.
Box 51032 RPO Tyndall
Winnipeg MA R2X 3C6
355.15
0.00
355.15
54
Rapid Finances Co.
5858, Cote-des-Neiges, ste 31
Montreal QC H3S 1Z1
82,820.95
0.00
82,820,95
55
SSQ Assurance
2525, bout. Laurier, CP. 10500, succ.
Sainte-Foy
174.60
0.00
174.60
56
Synnex Canada LTD
C.P. 11398 Succ Centre-Ville
Montreal QC H3C 5H1
11,976.30
0.00
11,976.30
57
TST Truckload Express
5425 DIXIE ROAD BLDG B
Mississauga ON L4W1E6
1,200.00
0.00
1,200.00
58
United Software Distribution L
14 Darling Way
Cambridgeshire, PE2 4FF. UK
8,572.44
0.00
8,572.44
59
VISA Desjardins
CP 8601 SUCC CENTRE-VILLE
Montreal QC H3C3V2
58,806.73
0.00
58,806.73
60
Vortex solution
40, rue Jean-Talon Est
Montreal QC H2R 1S3
471.40
0,00
471.40
61
Xerox Canada Itee - contrat service
C.P. 4539 succ A
Toronto ON M5W 4P5
1,495.05
0.00
1,495.05
62
Xerox Canada Itee - Credit bail
956364780
C.P 4539 succ A
Toronto ON M5W 4P5
0.00
1,098.00
1_,098.00
753, 181.92
518,894.95
1,272,076.87
QUEBEC QC G1V 4H6
Total:
i 6-oct-2012
Sebastien Oue'Iet
Date
Page 4 dell
District de:
No division:
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No dossier:
FORM 78 --Suite
Lists "B"
Creanciers Garantis
Distribusoft Inc.
Nom du creancier
No.
1
Montant de la
reclamation
Adresse
BDC
Katia Charbonneau
032275-04
EDIFICE BDC, NIVEAU
PLAZA, 5 Place
Details de la garantie
67,700.50 Ameublement - Equipement
Date de la
garantie
Evaluation
de
la garantie
05-sep-2006
14,903.55
Creances payables Entreprise - Comptes clients
27-mai-2011
75,000.00
Actifs d'affaires - Inventaire Inventaires de jeux videos et
accessoires
27-mai-2011
200.000.00
28-fev-2011
14,921-00
01-fev-2012
0.00
Surplus
estimatif de
la garantie
Solde
non garanti
reclamation
52,796.95
de bureau
Ville-Marie, suite 12525
Montreal QC H382G2
2
3
CIBC
000215615313
Jean Arseneault
1155 boul. Rene
Levesque 0, suite 1400
Montreal QC H38 3Z4
National Leasing Group Inc
1525 Buffalo Place
Winnipeg NIB R3T 1L9
740,000.00
14,921.00 Actifs d'affaires Amenagements-
465,000.00
3,532.48
Equipement, systeme de
rangement at chariot
elevateur
4
Xerox Canada Itee - Credit bail
956364780
CP, 4539 succ A
Toronto ON M5W 4P5
Total:
1,098.00 Ameublement - Equipement
de bureau
823,719,50
16-oct-2012
Date
Page 5 de 11
304,824.55
1,098.00
3,532.48
518,894.95
pwc
PROOF OF CLAIM
(see instructions on page 3)
Reserved orAdministration
Secured:
Privileged :
Unsecured:
Original.
1
[ Amendment
I Collocated ow
IN THE MATTER OF THE BANKRUPTCY OF:
DISTRIBUSOFT INC., of the city of Lasalle, province of Quebec (referred to in this form as "the debtor")
and the claim of
, (referred to in this form as "the creditor").
All notices or correspondence regarding this claim must be forwarded to the creditor at the following address:
(attention)
(civic number and street)
(city, province, postal code and country)
Telephone:
Fax:
Email address:
I,
residing in the city of
(name of individual completing this form)
in the Province of
if an officer of the company, state
position or title.
, do hereby certify that:
1.
q I am the creditor of the above-named debtor or q I am
(state position or title)
of
(name of creditor or its representative)
2.
The attached statement of account or
affidavit must specify the vouchers
or other evidence in support of the
claim.
Check and complete the appropriate
category.
I have knowledge of all the circumstances connected with the claim referred to below.
The debtor was, at the date of bankruptcy, namely the 17th day of October 2012, and still is, indebted to the
creditor in the sum of $
, as specified in the statement of account
(or affidavit) attached and marked Schedule "A", after deducting any counterclaims to which the debtor is
entitled.
3.
4.
A
Check appropriate description. Set
out an attached sheet details to
support priority claim.
q
Unsecured claim of $
(Other than a customer contemplated by Section 262 of the Act). In respect of this debt,
I do not hold any assets of the debtor as security and:
(i)
q Regarding the amount of $
(ii)
q Regarding the amount of $
, I claim a right to a priority under section
136 the Act.
Claim of lessor for disclaimer of a lease of $
I hereby make a claim under subsection 65.2(4) of the Act, particulars of which are as follows:
, I do not claim a right to a priority.
Give full particulars of the claim,
including the calculations upon
which the claim is based.
B
q
Give full particulars of the security,
including the date on which the
security was given and the value at
which you assess the security, and
attach a copy of the security
documents.
C
q
Secured claim of $
In respect of this debt, I hold assets of the debtor valued at $
as security, particulars of which are as follows:
Attach a copy of sales agreement and
delivery receipts.
D
q
Claim by farmer, fisherman, or aquaculturist of $
I hereby claim under subsection 81.2(1) of the Act for the unpaid amount of $
Give full particulars of any wage
earner's claim, including the
calculations upon which the claim is
based.
E
q
(i)
or
(ii)
Claim by wage earner of $
q I hereby make a claim under subsection 81.3(8) of the Act in the amount of $
Give full particulars of any
employee's claim, including the
calculations upon which the claim is
based.
F
q
(i)
or
(ii)
Claim by employee for unpaid amount regarding pension plan of $
q I hereby make a claim under subsection 81.5 of the Act in the amount of $
To be completed when a proposal
provides for the compromise of
claims against directors. Give full
particulars of the claim, including
the calculations upon which the
claim is based.
G
q
Claim against director of $
I hereby make a claim under subsection 50(13) of the Act, particulars of which are as follows:
Give full particulars of the claim,
including the calculations upon
which the claim is based.
H
q
Claim of a customer of a bankrupt securities firm of $
I hereby make a claim as a customer for net equity as contemplated by section 262 of the Act,
particulars of which are as follows:
q I hereby make a claim under subsection 81.4(8) of the Act in the amount of $
q I hereby make a claim under subsection 81.6 of the Act in the amount of $
Chose the right formulation for your
situation by checking it and striking
the non desired portion.
5. To the best of my knowledge, q I or q the above-named creditor q am/is or q am/is not related to the
debtor within the meaning of section 4 of the Act, and q have/has or q have/has not dealt with the debtor
in a non-arm's-length manner.
Provide details of payments, credits
and transfers at undervalue.
6. The following are the payments that I have received from, the credits that I have allowed to, and the transfers
at undervalue within the meaning of subsection 2(1) of the Act that I have been privy to or a party to with the
debtor within the three months (or, if the creditor and the debtor are related within the meaning of section 4
of the Act or were not dealing with each other at arm's length, within the 12 months) immediately before the
date of the initial bankruptcy event within the meaning of subsection 2(1) of the Act:
Applicable only in the case of the
bankruptcy of an individual.
7. q I request that a copy of the report filed by the trustee regarding the bankrupt's application for discharge
pursuant to subsection 170(1) of the Act be sent to the above address.
Must be signed and witnessed.
8.
DATED AT
this
m day of
, 201
iature of witness)
gnature of individual co
(name of witness, print)
Notes:
(name of individual compl
All references to "the Act" refer to the Bankruptcy and Insolvency Act.
If an affidavit is attached, it must have been made before a person qualified to take affidavits.
If a copy of this form is sent electronically by means such as email, the name and contact information of the sender, prescribed in Form 1.1,
must be added at the end of the document.
Warnings: A trustee may, pursuant to subsection 128(3) of the Act, redeem a security on payment to the secured creditor of the debt or the value of
the security as assessed, in a proof of security, by the secured creditor.
Subsection 201(1) of the Act provides severe penalties for making any false claim, proof, declaration or statement of account.
If there are any questions in completing the proof of claim, please write or call the office of the trustee.
PRICEWATERHOUSECOOPERS INC.
1250 Rene-Levesque Boulevard West, Suite 2800
Montreal, Quebec H3B 2G4
Attention: Mr. Vincent Chevalier
Telephone: (514) 205-5001 ext. 1857
Fax: (514) 205-5644
Email: vincent.chevalier a ca pwc com
GENERAL PROXY
I,
_, of
(name of creditor)
hereby appoint
, a creditor in the above matter,
(name of town or city)
, of
(name of proxy)
, to be my proxy
(company or firm)
holder in the above matter, except as to the receipt of dividends, q with power to appoint another proxyholder in his or her place or q without power
to appoint another proxyholder in his or her place.
DATED AT
this
th day of
,201
(Signature of witness)
(Signature of the creditor or its authorized representative)
(Name of witness, print)
(Name of creditor of the creditor or its authorized representative, print)
2
Instructions for completing proof of claim forms
Every creditor shall prove his claim, and a creditor who does not prove his claim is not entitled to share in any distribution of the amounts from the
realization of the assets. Claims not completed correctly in every respect will be returned.
In completing the attached form, your attention is directed to the marginal notes on the form and to the following requirements:
Proof of Claim:
i.
The form must be completed and signed by an individual and not by a corporation. If you are acting for a corporation or other person, you must
state the capacity in which you are acting, such as, Credit Manager, Treasurer, Authorized Agent, etc.
2.
The person signing the form must have knowledge of the circumstances in connection with the claim.
3.
The date appearing at this paragraph is the one at which amounts owed are to be calculated. A Statement of Account containing details of the claim
as well as the correct name of the debtor must be attached and marked "A".
4•
The nature of the claim must be indicated by ticking the type of claim which applies, e.g. ticking the box:
A
A(i)
A(ii)
indicates the claim is unsecured and
indicates that the creditor is not claiming any priority
indicates the creditor is claiming preferred status under section 136 of the Act. Details to support the priority claim must be set out on an
attached schedule.
B
indicates a claim of landlord for disclaimer of a lease under subsection 65.2(4) of the Act. Details to support this claim must be set out on an
attached schedule.
C
indicates the claim is secured and the value at which the creditor assesses the security must be inserted. Details of each item of security held
should be attached as a separate schedule and submitted Frith a copy of the chattel mortgage, conditional sales contract, security agreement,
etc.
D
indicates that the creditor is a farmer, fisherman or aquaculturist who supplied goods within fifteen (15) days prior to the date of
receivership or bankruptcy and has not yet been paid for those goods.
E
E(i)
indicating that the creditor is a former employee of the debtor:
The claim of a clerk, servant, travelling salesperson, labourer or worker who is owed wages, salaries, commissions or compensation bya
bankrupt for services rendered during the period beginning on the day that is six (6) months before the date of the initial bankruptcy event
and ending on the date of the bankruptcy is secured, as of the date of the bankruptcy, to the extent of $2,000 - less any amount paid for
those services by the trustee or by a receiver - by security on the bankrupt's current assets on the date of the bankruptcy.
E(ii)
The claim of a clerk, servant, travelling salesperson, labourer or worker who is owed wages, salaries, commissions or compensation by a
person who is subject to a receivership for services rendered during the six (6) months before the first day on which there was a receiver in
relation to the person is secured, as of that day, to the extent of $2,000 - less any amount paid for those services by a receiver or trustee by security on the person's current assets that are in the possession or under the control of the receiver.
F
indicates the claim by employee for unpaid amount regarding pension plan under subsection 81.5 and 81.6 of the Act. Details to support this
claim must be set out on an attached schedule:
under subsection 81.5 of the Act, if it is a Bankruptcy
under subsection 81.6 of the Act, if it is a Receivership
Details to support this claim must be set out on an attached schedule.
F(i)
F(ii)
G
indicates the claim is against a director under subsection 50(13) of the Act. It is applicable only in the case of a proposal which provides for
the compromise of claims against directors. Details to support this claim must be set out on an attached schedule.
H
(applies only to bankruptcies of security firms) indicating that the creditor is a customer of the bankrupt securities firm.
5.
The person signing the form must indicate (by checking the appropriate box and striking out what is not applicable) whether the creditor and the
debtor are related. Section 4 of the Act defines persons related to a debtor. If the creditor is related by blood or marriage to the debtor, the creditor
should consider itself to be a related person. If the debtor is a corporation, a creditor would be related if it was a shareholder or if the creditor was
controlled by the same shareholders as the debtor.
6.
The person signing the form must provide full details of all payments and credits received from or allowed to the debtor during the period indicated.
Leaving a blank will indicate that there were no such payments and credits.
7.
In the case of the bankruptcy of an individual, tick the box if desired.
8.
The person signing the form must insert the place and date and the signature must be witnessed.
General Proxy:
If it is desired to appoint a proxy, the proxy form must be completed and signed by the creditor; if the creditor is a corporation, the proxy form must be
signed by an authorized representative (who is not necessarily the individual signing the proof of claim form) and must be witnessed.
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