Form 39—Certificate of Assignment (br02176)

For persons to which the 2009 amendments apply

PDF version

Form 39

114 KB, 1 page

Coming into force
(Paragraph 57(b.1) of the Act)

District of: Space to insert name of district
Division No.: Space to insert division number
Court No.: Space to insert court number
Estate No.: Space to insert estate number


In the Matter of the Bankruptcy of:

Space to insert name of debtor

Space to insert name of trustee
Licensed Insolvency Trustee

Space to insert name of administration Administration

Date of bankruptcy: Space to insert date of bankruptcy

Meeting of creditors: Space to insert name of meeting of creditors

Chair: Space to insert chairperson

Security: Space to insert type of security

Designated person: Space to insert n name of designated person

Certificate of Assignment – Paragraph 57(b.1) of the Act

I, the undersigned, official receiver in and for this bankruptcy district, do hereby certify that:

  • a proposal in respect of the aforenamed debtor was filed under section 62 of the Bankruptcy and Insolvency Act;
  • the creditors, at a meeting held to consider the proposal, refused to accept the proposal and the debtor is thereupon deemed to have made an assignment.

The said trustee is required:

  • to provide to me, without delay, security in the aforementioned amount;
  • to send to all creditors, within five days after the date of the trustee's appointment, a notice of the bankruptcy; and
  • when applicable, to call in the prescribed manner a first meeting of creditors, to be held immediately following the meeting held to consider the proposal or at the aforementioned time and place or at any other time and place that may be later requested by the official receiver.

Space to insert date

Space to insert name of official receiver
Official Receiver