Corporations Regulations 2001

(subregulation 5.6.62(4))

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

Corporations Act 2001

NOTICE TO CONTRIBUTORY OF FINAL SETTLEMENT OF LIST OR SUPPLEMENTARY LIST OF CONTRIBUTORIES AND OF INCLUSION IN LIST

Limited

To:

of:

Take notice that I (name), the liquidator of the company, on (date) settled the list of contributories of the company. You are included in that list. The character, if applicable, in which, and the number of share, or extent of interest, for which, you are included, and the amounts called dup, paid up and unpaid in respect of those shares or that interest are stated in the Schedule.

You may apply to vary the list of contributories, or to remove your name from the list, by making an application to *the Federal Court of Australia/*the Supreme court of (State or Territory) within 21 days from the service on you of this notice or, if the Court allows, any further period.

You may inspect the list at my office at (address) from Monday to Friday inclusive between the hours of (insert times making up not less than 3 hours during the normal working day) and