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B q Donnez des renseignements complets an sujet de la garantie, y compris la date a laquelle elle a ete donnee et la valeur que vous lui attribuez, et annexez one copie des documents s'y rapportant C q Veuillezjoindre une copie de I'acte de vente et des regus de livraison.

Donnez tons les details de la reclamation d'un salarie, y compris les calculs s'y rapportant. E q i ou ii Reclamation d'un salarie an montant de q j'ai une reclamation en vertu du paragraphe AA completer lorsque la proposition vise une transaction quant a la reclamation contre les administrateurs et donnez tons les details de la reclamation, y compris les calculs s'y rapportant.

Veuillez choisir la formulation qui s'applique a votre situation en barrant la portion non desiree. Donnez les details des paiements, des credits et des operations sousevaluees. Les montants suivants constituent les paiements que j'ai recus du debiteur et les credits que j'ai attribues a celui-ci et leg operations sous-evaluees selon le paragraphe 2 1 de la Loi auxquelles j'ai contribue on ete partie interessee an cours des trois mois ou, si le creancier et le debiteur sont des a personnes liees a au seas du paragraphe 4 de la Loi ou ont on lien de dependance, au cours des douze mois.

Si un affidavit est joint an present formulaire, it dolt avoir ete fait devant une personne autorisee a recevoir des affidavits.

Lorsqu'une copie du present avis est envoyee par voie electronique, par des moyens tels que le courriel, le nom et les coordonnees de 1'expediteur, tel que prescrit an formulaire 1. Avertissement : Le syndic pent, en vertu du paragraphe 3 de la Loi, racheter une garantie sur paiement an creancier garanti de la creance on de la valeur de la garantie telle qu'elle a ete fixee par le creancier garanti dans la preuve de garantie.

Soin du visage logo paragraphe 1 de ]a Loi prevoit l'imposition de peines severes en cas de presentation de reclamations, de preuves, de declarations on d'etats de compte qui sont faux. Pour toute question on renseignement supplementaire, n'hesitez pas a nous ecrire on a telephoner au bureau du syndic. Dated ,ce ejourde ,20 Nom et titre du signataire autorise print Temoin Par : Signature 2 Instructions afin de completer la preuve de reclamation : Les creanciers doivent prouver leur reclamation a 1'egard de 1'actif du creancier pour avoir droit de partage dans la distribution des montants realises provenant de I'actif.

De plus, les reclamations incorrectement completees serontretournees. Lorsque vous completez votre preuve de reclamation, une attention toute speciale doit titre portee aux notes en marge du formulaire et aux instructions suivantes : Preuve de reclamation : 1. La preuve de reclamation doit titre remplie et signee par un individu et non une compagnie.

La personne qui signe le formulaire doit connaitre les faits entourant la reclamation. Le nom du creancier et la date de la faillite doivent titre indiqucs dans le formulaire. La date a laquelle lasomme due est calculee et le nom exact du creancier doivent apparaitre sur 1'etat de compte. La nature de la reclamation doit titre indiquee en cochant la case appropriee, c'est-a-dire que lorsque vous cochez la case A vous indiquez que la reclamation est non garantie; Mincir message subliminal i vous indiquez que vous ne revendiquez aucune priorite; A ii vous indiquez que vous reclamez une priorite en vertu de Particle de la Loi.

Vous devez fournir la preuve de cette priorite avec les pieces justificatives appropriees; B C D E vous indiquez que la reclamation du locateur fait suite a la resiliation du bail en vertu de Particle Les pieces justificatives appropriees doivent titre annexees a la reclamation.

Sur des annexes separees, donnez les details de chacune des garanties detenues et joignez une copie des documents en question; vous indiquez que le creancier est un fermier, un pecheur on un aquiculteur ayant livre des biens dans les quinze jours precedant la date de mise sous sequestre ou de faillite et que lesdits biens n'ont pas ete payes; vous indiquez que le creancier est un ancien employe du debiteur; E i la reclamation d'un commis, prepose, voyageur de commerce, journalier ou ouvrier pour salaires impayes, commissions on toute autre somme due par un failli pour services rendus dans la periode debutant la journee qui est six mois precedent la date d'ouverture de la faillite et se terminant a la date de la faillite jusqu'a concurrence de deux mille dollars - deduction fait de tout montant paye par le syndic on rides at universal la sequestre pour ces services - par garantie sur les actifs a court terme a la date de la faillite; 5.

E ii la reclamation d'un commis, prepose, voyageur de commerce, journalier on ouvrier pour salaires impayes, commissions on toute autre somme due par une personne qui est sujet a une mice sous sequestre pour services rendus durant les six mois precedent la premiere journee on it y eu un sequestre en regard a la personne, jusqu'a concurrence de deux mille dollars deduction fait de tout montant paye par le sequestre on le syndic pour ces services - par garantie sur les actifs a court terme qui sont en possession on sous le controle du sequestre; F vous indiquez si votre reclamation est celle d'un employe relatif an regime de pension en vertu des paragraphes Veuillez annexer tons les details de la reclamation, y compris les calculs s'y rapportant.

G vous indiquez si votre reclamation est contre un administrateur en vertu du paragraphe 50 13 de la Loi. Cette situation s'applique uniquement dans un contexte de proposition prevoyant une telle disposition a l'encontre des administrateurs.