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Form 14

Affidavit in support of application for order for payment of call

In force
Schedule 1Forms

Form 14 Affidavit in support of application for order for payment of call

(rule 7.8)

[Title]

I, [name] of [address], liquidator, *say on oath/*affirm [or *make oath and say/*solemnly and sincerely declare and affirm]:

1 I am the liquidator of [name of company] (the company).

2 On [date] I made a call of $[amount] per share on all the contributories of the company [or specify the class of contributories on whom the call was made]. *Annexed/*Exhibited and marked A is a copy of the notice of the call. Each contributory whose name is shown in the Schedule marked B was duly served with notice of the call in the form annexed or exhibited and marked A.

3 Each contributory of the company whose name is set out in column 2 of the Schedule marked B has not paid, or caused to be paid, to me the sum specified opposite the contributory’s name in column 5 of the Schedule, which is due from that contributory under the call.

4 The amount set out opposite the name of each contributory in column 6 of the Schedule is an estimate of the amount due by that contributory in respect of the costs of applying for and giving effect to the order for payment of the call. The estimate of the amounts so due by the several contributories has been reached by apportioning the costs among the contributories who have not paid the call according to the liability of the respective contributories to contribute.

5 The amount set out opposite the name of each contributory in column 7 of the Schedule is the total of the amount due by that contributory in respect of the call as set out in column 5 and the amount due in respect of costs as set out in column 6.

*Sworn/*affirmed at: [place of swearing or affirmation] on [date]

OR

*Sworn/*affirmed by the above‑named deponent at: [place of swearing or affirmation] this day of [month] [year]

. . . . . . . . . . . . . . . . . . . . .

Signature of deponent

Before me:

. . . . . . . . . . . . . . . . . . . . .

Signature and designation of

person before whom deponent

swears or affirms affidavit

*   Omit if not applicable

Note   The form of the opening words and the jurat of this affidavit may be changed to conform to the form of affidavit used in a particular State or Territory — see rule 2.6.

Schedule B

Number on list of contributories

Name

Address

Character in which included in the list

Unpaid amount of call

Proportion of costs of application

Total amount payable

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