Schema documentation for Form31.xsd

Proof of Claim
(Section 50.1,81.5, 81.6. subsections 65.2(4), 81.2(1), 81.3(8), 81.4(8), 102(2), 124(2), 128(1), and paragraphs 51(1)(e) and 66.14(b) of the Act)

Address where all notices or correspondence regarding this claim must be forwarded

Name of Debtor in the matter of Bankruptcy, Proposal or Receivership

Claimant Given Names

Claimant Family Name

Type of Municipality where Claimant resides

Name of the Municipality

Province for the Municipality

Name of Creditor

Person's Given Names

Person's Family Name

Person's occupation

Creditor (or Representative acting for the Creditor) stating the Claim

Enter information related to person representing the creditor.

Name of Creditor being represented

Position or Title of representative.

Date of bankruptcy, receivership, notice of intention or the proposal if there was no notice of intention.

Amount the Debtor is indebted to the Creditor as of the Bankruptcy Date

That payment for this debt by the debtor to the creditor has been due (or has been in default) since.

Last payment on this debt by the debtor to the creditor was made on that date (or that no payment on this debt by the debtor to the creditor has ever been made).

Last acknowledgement, if any, of liability for this debt by the debtor to the creditor was made on.

Unsecured Claim Amount (1)

Amount of money the creditor does not claim a right to a priority.

Amount of money the creditor does claim a right to a priority under section 136 of the Act.

Amount of claim of landlord for disclaimer of a lease

Full particulars of the claim, including the calculations upon which the claim is based.

Secured Claim Amount

Dollar amount of the assets being held of the debtor.

Full particulars of the security, including the date on which the security was given.

The assessed value of  the security

Amount of claim by a farmer, fisherman or aquaculturist

Amount of claim for the unpaid amount under subsection 81.2(1) of the Act

Amount of claim by a wage earner

Amount of claim under subsection 81.3(8) of the Act

Amount of claim under subsection 81.4(8) of the Act

Amount of claim against the director if a proposal provides for the compromise of claims against directors.

Full particulars of the claim, including the calculations upon which the claim is based.

Amount of claim of a customer of a bankrupt securities firm

Full particulars of the claim, including the calculations upon which the claim is based.

Amount of claim by employee for unpaid amount regarding pension plan

Amount of claim under subsection 81.5 of the Act

Amount of claim under subsection 81.6 of the Act

The payments received from, and the credits allowed to, the debtor.

Payment Details

Credit Details

That, to the best of my knowledge, I am or am not related to the debtor within the meaning of section 4 of the Act.

Have or have not dealt with the debtor in a non arm's length manner.

Requests applicable only in the case of the bankruptcy of an individual.

Request to be advised of any material change in the financial situation of the bankrupt.
Deprecated: note this field is kept only for backwards compatibility with previous version, 
do not use; it does not render on the current version of the form.

Request to be advised of any amendment made regarding the amount amount that the bankrupt is required to pay.

Request a copy of the report filed by the trustee regarding the bankrupt's application for discharge.

Request to be informed of the amount of surplus income that the bankrupt is required to pay to the estate.
Deprecated: note this field is kept only for backwards compatibility with previous version, 
do not use; it does not render on the current version of the form.

Request to be informed if the trustee determines that there is no surplus income.
Deprecated: note this field is kept only for backwards compatibility with previous version, 
do not use; it does not render on the current version of the form.

Signed At Location and Date

Type of Municipality

Name of Municipality

Province where the Municipality is located

Date of document signing

Signed for creditor by

Signing Witness

Witness' Phone Number

Witness' Fax Number

Witness' Email Address

Provide any additional information related to the form.

Name of person making sworn declaration

Declarant Given Names

Declarant Family or Company Name

Municipality Type where Signing was done

Name of the Municipality

Province for the Municipality

Signing Date