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FORM 69

Notice of Bankruptcy and of Impending Automatic Discharge

of First-time Bankrupt, and Request of a First Meeting of Creditors

(Paragraphs 155(d.1), 155(h) and 168.1(1)(a.1) of the Act)

(Title Form 1)

Summary Administration

Take notice that:

1. ________________________ (name of bankrupt) filed (or was deemed to have filed) an assignment on the

______ day of ____________ ____, and the undersigned, ________________________ (name of trustee), was

appointed as trustee of the estate of the bankrupt by the official receiver (or the court), subject to affirmation by the

creditors of the trustee's appointment or substitution of another trustee by the creditors.

2. Pursuant to paragraph 155(d.1) of the Act, a first meeting of creditors will be required only if, within thirty days

after the date of bankruptcy, the official receiver or creditors who have in the aggregate at least 25 percent in value

of the proven claims, request a meeting to be held.

3. To request such a meeting and to vote at a meeting, a creditor must lodge with the trustee before such request

for a meeting, a proof of claim and where necessary, a proxy.

4. Enclosed with this notice is a form of proof of claim, a form of proxy, and a list of creditors with claims

amounting to 25 dollars or more, showing the amounts of their claims.

5. Also enclosed pursuant to section 102(3)(a) of the Act, is information concerning the financial situation of the

bankrupt and the obligation of the bankrupt to make payments to the estate of the bankrupt, as required under section

68 of the Act.

6. 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.

7. Pursuant to section 168.1 of the Act, the bankrupt, being an individual who has never before been bankrupt,

will be given an automatic discharge on the ______ day of ____________, ____ (Insert the date that is nine

months after the date of the bankruptcy), unless the Superintendent of Bankruptcy, the trustee of the estate of

the bankrupt or a creditor of the bankrupt gives notice of intended opposition to the discharge of the bankrupt before

that date.

8. Any creditor who intends to oppose the discharge of the bankrupt shall state in writing the grounds for their

opposition, and send a notice to this effect to the division office, the trustee of the estate of the bankrupt and the

bankrupt at any time before the ______ day of ____________ ____. (Insert the same date as in item 7).

Form 69 - Notice Of Bankruptcy And Of Impending Automatic Discharge Of First-Time Bankrupt, And Request Of A First Meeting Of Creditors