Preliminary Statement of Affairs (Subsection 49(2) of the Act) Names, addresses and amounts of the property claims of all assets and state whether such claims are secured, preferred or unsecured. Name Address AmountOfClaim NatureOfClaim Names, addresses and amounts of the trust claims of all assets and state whether such claims are secured, preferred or unsecured. Name Address AmountOfClaim NatureOfClaim Names, addresses and amounts of the secured creditor claims of assets. Name Address AmountOfClaim Particulars of security held Names, addresses and amounts of the preferred creditor claims of assets. Name Address AmountOfClaim NatureOfClaim Names, addresses and amounts of the unsecured creditor claims of assets. Name Address AmountOfClaim Stock In Trade Trade Fixtures Book debts, bills of exchange, promissory notes, etc. Cash In Bank Cash On Hand Livestock Machinery and Equipment Real Property Financial Instruments (includes RRSPs, securities, life insurance policies, etc. Other Property (vehicles, jewellery, etc. Interest in Property jointly or in common with any person or persons? Interest in Property under any will? Interest in Property under any marriage contract or settlement? Interest in Property in any other way? Sworn declaration of debtor. Only one declarant is allowed in this form. Provide any additional information related to the form.