Schema documentation for Form78bis.xsd

Statement of Affairs (Business Bankruptcy) (Paragraph 158(d) of the Act)

Date of Bankruptcy

Give reasons for your financial difficulty (select all that apply and
provide details).

Financial Difficulty

Provide relevant details

1. Sum of cash on hand

2. Sum of deposits in financial institutions

3. Accounts receivable and other receivables

3. Accounts receivable and other receivables Estimated to produce

4. Inventory

5. Trade fixtures, etc.

6. Sum of value of livestock

7. Sum of value of machinery, equipment and plant

8. Sum of equity/surplus in real property

9. Sum of value of furniture

10. Intangible assets (intellectual properties, licences, cryptocurrencies, digital tokens, etc.)

11. Vehicles

12. SumSecurities

13. Other property

Total Of Lines 1 to 13

Additional information if Bankrupt is a corporation

If a corporation, amount of subscribed capital

If a corporation, amount paid on capital

If a corporation, balance subscribed and unpaid on capital.

If a corporation, estimated to produce.

Whether or not a corporation, the total of above assets.

Deficiency amount

Assets located outside of Canada

1. Secured creditors

2. Preferred creditors, securities and priorities

3. Unsecured creditors

4. Contingent, trust claims or other liabilities	estimated to be provable for

Total Liabilities (Sum of 1-4)

Surplus

Declaration of bankrupt sworn before commissioner Note: Now optional,
choose RemoteBankruptDeclaration if sworn remotely

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

Name of commissioner for oaths or official receiver

Province in which the commissioner is licensed or the bankruptcy district of the official receiver

Remote Declaration of bankrupt sworn before commissioner Note: New
optional field, only use if sworn remotely

Name of person making sworn declaration remotely

Name of commissioner for oaths or official receiver

Province in which the commissioner is licensed or the bankruptcy district of the official receiver

Declarant Given Names

Declarant Family or Company Name

Stated as being located at

Name of the Municipality stated at

stated at Province for the Municipality

List of Liabilities

Name of creditor or claimant

Address of creditor

Nature of liability

Details

When given/incurred

Amount of this creditor's claim

Total amount of claim

Asset securing the debt. Should be the lineNum of one of the
Property element.

Grounds for the right to a priority

Estimated surplus from security

List of Assets