Proof Of Debt-General Form
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1PROOF OF DEBT-GENERAL FORM
(“the Company”)
(In Creditors’ Voluntary Liquidation)
Date of commencement of liquidation:
1
Name of Creditor
2
Address and contact details of Creditor
Please let us have your email address for ease of future
Tel No.:
communication regarding this liquidation. Your email
Fax No.:
address will not be used for any other purposes.
Email:
3
Total amount of claim, including any outstanding
uncapitalised interest as at the date of commencement of
liquidation
4
Details of any documents by reference to which the debt
can be substantiated [Note: Either the originals or copies
of documentary evidence should be submitted. Bills of
exchange or other negotiable securities must be produced
before the proof can be admitted. The liquidator may call
for any document or evidence to substantiate the claim at
his discretion.]
5
If total amount above includes outstanding uncapitalised
interest please state amount
6
Particulars of how and when debt incurred
7
Particulars of any security held, the value of the security,
and the date it was given
8
I hereby declare that the particulars set out in this Proof of Debt are, to the best of my knowledge and belief, true
and correct.
Signature of creditor or person
authorized to act on his behalf ________________________________________________________________
Name in BLOCK LETTERS __________________________________________________________________
Position with or relation to
creditor and means of knowledge
of the matters declared herein ________________________________________________________________
Warning: A person convicted of making a false statement in respect of a proof of debt shall be liable to a
fine at level 6 and imprisonment for 6 months. (sections 349 and 351 of the Companies
Ordinance, Cap. 32)
Admitted to vote for HK$
Date
Liquidator
Admitted preferentially for HK$
Date
Liquidator
Admitted non-preferentially for HK$
Date
Liquidator
To be returned to Briscoe Wong Advisory, 602 The Chinese Bank Building, 61-65 Des Voeux Road Central,
Hong Kong.
Note: The proof cannot be admitted for voting at the first meeting unless it is properly completed and sent to the above
address, not later than 4.00 pm on the day before the Meeting of Creditors.
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