For persons to which the 2009 amendments do not apply
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(Section 152 of the Act)
(Title Form 1)
Trustee's Statement of Receipts and Disbursements
Receipts:
1. Cash in hand and in bank.
$

2. Realization of assets: Book debts and bills of exchange.

3. Realization of assets: Stock, fixtures, machinery and furniture.

4. Realization of assets: Real property or immovable.

5. Received from
a) Interim receiver as taxed
$

b) Former trustee as taxed

$

6. Operating receipts:

less:
(a) purchases

(b) operating expenses


(Attach statement detailing purchases and expenses)
Net profit (Net loss to be shown in miscellaneous disbursements, 19(a))

7. Miscellaneous:
(a) Bank interest, etc. (Specify).

(b) Funds received from guarantor (if applicable).

Total Receipts:
$

Disbursements
8. Fees paid:
(a) To official receiver
$

(b) To court

$

9. Notice of first meeting:
Local Paper

To (Number)
creditors


Postage


10. Other advertising

11. Stocktaking and possession (Actual expenses only)

12. Premiums:
(a) Bond or Suretyship Premium

(b) Insurance


13. Notice of bankrupt's application for discharge:
To (Number)
creditors


Postage


14. Auctioneer:
Commission

Expenses


15. Notice of final dividend and trustee's application for discharge:
To (Number)
creditors


Postage


16. Other notices and reports:
To (Number)
creditors.


Postage


17. Postage on general correspondence

18. Inspector:
(a) Fees (Give details).

(b) Expenses.


19. Miscellaneous:
(a) Loss on operations
$

(b) Cost of former trustee as taxed

(c) (Itemize)

$

20. Trustee's remuneration.

21. Legal fees and legal services costs (taxed):
(a) Legal Counsel on application or assignment:

(b) Legal Counsel to estate

(c) Court fees awarded against trustee:

(d) Costs awarded to opposing creditor
(pursuant to subsection 197(6.1))
(pursuant to subsection 197(6.1))


22. Taxes (Federal and Provincial)

23. Counselling fees

24. Trust claim (Crown)

total disbursements:
$

25. Amount available for distribution.

26. Levy payable under section 147 of the Act
$

27. Secured creditors:
Dividend $

less levy


28. Preferred creditors:
Dividend 

less levy


29. Unsecured creditors:
Proved claims of $

Interim
dividend
% $


less levy


Final
Dividend
% $


less levy


30. Status of Bankrupt's Discharge (if an individual)

(Give the description and value of all property of the bankrupt (whether or not secured) as shown in the statement of affairs or otherwise known and not accounted for in the receipts, stating why the property has not been sold or realized and stating the disposition made)

Date

Trustee
Approved by the following inspectors:





Taxed at the sum of $
, this
day of
.





Registrar