(Paragraph 81.1(1)(a) of the Act)
To: , purchaser (or trustee or receiver's name)
I, , of (address), (or as of ,) supplier, hereby demand access to and repossession of the goods described below, which were sold and delivered to , the purchaser, on the dates and in accordance with the terms set out in the attached documents:
(Attach copies of documents of sale (invoice, delivery slip, etc.) and provide an appropriate description of the goods.)
Whereas the purchaser is bankrupt (or there is a receiver within the meaning of subsection 243(2) of the Act, appointed in respect of the purchaser's property) the trustee (or receiver) is required to release the goods described above in accordance with subsection 81.1(1) of the Act.
Dated at , this day of .
If a copy of this Form is sent electronically by means such as email, the name and contact information of the sender, prescribed in Form 1.1, must be added at the end of the document