Trustee's Statement of Receipts and Disbursements (Supplementary) (Sections 152, 155 of the Act; Rule 62) Identify the type of submission - Supplementary An itemized list of receipts. Eg.: Cash, Realization of assets, miscellaneous... Itemize the receipts Less payments made to secured creditors, deemed trust or property claim. To be subtracted from Total(Net) Receipts Less Necessary Disbursements relating directly to realization. Formerly CostToAll. Total of necessary disbursements. To be subtracted from Total(Net) Receipts Total Receipts. Name NetReceipts maintained to avoid confusion with deleted element TotalReceipts. Fees paid to the court / registrar Sum of Official Receiver Fees and Court Fees Counselling Fees Applicable taxes for Counselling services Type of Tax: PST, GST, HST Total tax amount of that type Extra information related to tax amount GST Tax Number for Quebec filings. Other Disbursements Administrative disbursement Uncollected Fees from Previous SRD Trustee fees at 100% on the first $975 or less of receipts Basis amount 100% of Basis amount Trustee fees at 35% of the next $1025 or less of receipts Basis amount 35% of Basis amount Trustee fees at 50% of the remainder Basis amount 50% of Basis amount Total of above portions of trustee fees and administrative disbursements Total trustee remuneration adjusted for available funds. Applicable taxes to the trustee remuneration Type of Tax: PST, GST, HST Total tax amount of that type Extra information related to tax amount GST Tax Number for Quebec filings. Total Trustee's remuneration and GST, TPS and/or TVQ Total Disbursements Amount available for distribution Funds that have been returned to the Debtor Money sent back to OSB because it isn't worthy for distribution to creditors Amount of proved claims. To be recorded as part of the following Creditor details, but included here for backwards compatibility. Proved Claim, Dividend and Levy information for secured creditors Amount of proved claims Amount of Dividend Percentage of Dividend Proved Claim, Dividend and Levy information for preferred creditors Amount of proved claims Amount of Dividend Percentage of Dividend Proved Claim, Dividend and Levy information unsecured creditors Amount of proved claims Amount of Dividend Percentage of Dividend Net dividend, calculated as AmountForDistribution - AmountRefundedToDebtor - UndistributedAssets - Levy Levy payable under section 147 Total Dividends and Levy and Other Distribution Status of the Bankrupt's discharge The date the Bankrupt's discharge status came into effect. Approved by the following inspectors Inspector Given Names Inspector Family Name Notes involved in this filing Date signed by trustee Trustee Provide any additional information related to the form.