Notice to Impending Automatic Discharge of First-time Bankrupt (Paragraph 168.1(1)(a.1) of the Act) Name of bankrupt who filed an assignment. Name of bankrupt to whom a receiving order was made against Date of the assignment or receiving order The name of the trustee appointed Trustee Given Names Trustee Family or Company Name Date of automatic discharge. Insert the date that is nine months after the date on which the assignment or the receiving order was made. Deadline for opposition date Signed at location and date Name of Trustee Provide any additional information related to the form.