Report to Official Receiver on Annulment of the Consumer Proposal of a Consumer Debtor who was a Bankrupt (Paragraph 66.3(5)(c) of the Act) Administrator of the consumer proposal Company name of the Administrator Consumer debtor is a natural person who is bankrupt or insolvent and whose aggregate debts, excluding any debts secured by the person's principal residence, do not exceed a prescribed amount The province where the court is located. Date of the order that annulled the proposal Name of consumer debtor(s) who made the proposal. Date the consumer debtor was bankrupt. Was the proposal annulled on the application of the administrator (true) or a creditor (false) of the consumer proposal. Annulment was on the application of the administrator of the proposal (or a creditor of the consumer debtor) Grounds for annulment. More than 1 may be selected. Either Description(s) or AnnulmentGroundsDescription must be included but not both. Grounds for annulment in an open text field. Either Description(s) or AnnulmentGroundsDescription must be included but not both. Date and Location Signed Provide any additional information related to the form.