Form 543

In force

(subregulation 5.6.61(1))

A.C.N. or A.R.B.N.:

Corporations Act 2001

CERTIFICATE OF LIQUIDATOR OF SETTLEMENT OF SUPPLEMENTARY LIST OF CONTRIBUTORIES

Limited

I (name), the liquidator of the company, certify that the result of the settlement of the provisional supplementary list of contributories of the company that I made out on (date) is as follows:

(set out the Certificate and Schedules as in Form 541)

Dated

Signature of liquidator

This Act’s bill:Explanatory statement

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