Corporations Regulations 2001

(regulation 5.6.72)

Corporations Act 2001

AUTHORITY TO LIQUIDATOR TO PAY DISTRIBUTION OF SURPLUS TO A PERSON NAMED

Limited

To the Liquidator

*I/*We authorise and request you to pay to (name) of (address) any distribution of surplus payable to *me/*us for the company.

*I/*We further request that the cheque drawn for that distribution be made payable to the order of (name).

This authority remains in force until revoked by *me/*us in writing.

Dated

Signature

Name(s) of person(s) completing this authority

*Omit if inapplicable.