T ABLE OF CONTENTS COMPLETING AND FILING PROOF OF CLAIM I. COMPLETING AND FILING PROOF OF CLAIM FORM II. CHECK LIST FOR COMPLETION OF PROOF OF CLAIM FORM III. POWERS OF SUPERINTENDENT 2 APPENDICIES CORPORATE CLAIM UNSECURED 4 INDIVIDUAL CLAIM PARTIALLY SECURED 7 ••• Consumer and Corporate Affairs Canada Office of the Superintendent of Bankruptcy Consommation et Corporations Canada Bureau du Surintendant des faillites COMPLETING AND FILING PROOF OF CLAIM FORM The most important document for a creditor to complete upon being notified of a bankruptcy is the Proof of Claim form. This is form 61 in the Bankruptcy Act. A sample of completed forms are attached as exhibit A and exhibit B. This form must be completed accurately with supporting documentation attached. When it is filed with the trustee it establishes the creditors right to share in the Estate assets, vote at Creditors meetings, to either aff irm the appointment of the trustee or substitute another licensed trustee and appoint Inspectors. without this document being filed the creditor has no say in the Bankruptcy. CHECK LIST FOR COMPLETION OF PROOF OF CLAIM FORM (See attached Proof of Claim Forms) PROOF OF CLAIM OPENING PARAGRAPH Required - Name of Debtor and name' of Creditor SECOND PARAGRAPH - #1 & 2 Name of person completing the Proof of Claim and in case of a corporate claim what position he/she holds. #3 The date of Bankruptcy and amount owing to that date including interest supported by statement of account and proof of indebtedness such as copy of promissory note etc. or sworn affidavit. NOTE: A detailed statement of account must be attached to the Proof of Claim and must show the date, the number and the amount of all the invoices or charges, together with date, the number and the amount of all credits or payments. A statement of account is not complete if it begins with an amount brought forward. The balance outstanding on the statement must agree with the amount the creditor is claiming. Re: Mindens Ltd. (1933) 14 C.B.R.' (NS) 145 CCA 3159 (7,89) 45 Canada ••• L;onsumer and Corporate Affairs Canada Office of the Superintendent of Bankruptcy Consommatlon et Corporations Canada Bureau du Surintendant des faillites Page 2 #4 Unsecured creditors would check 4A and also if they are claiming preferred under section 136 such as a wage earner claim. #4B A secured creditor must value the security and give particulars of security attaching a copy of the security documents. NOTE: Merely to state security not valued yet or not determined would invalidate the Proof of Claim for voting purposes. #4C Is self explanatory. #5 It is very important this section is completed as certain related parties under section #4 are not entitled to vote See section 113 (3) of the Bankruptcy Act. #6 This section must also be completed. While it may not have any bearing on eligibility to vote it is for the trustees information regarding possible preferences. Finally the Proof of Claim must be signed and witnessed. It is to be noted a corporation as such can not attend or vote at a meeting, but it can do so by way of proxy Section 109 (5) of the Bankruptcy Act. Therefore in the case of a corporate claim the proxy appointing an. individual to represent it must be completed. A copy of the proxy form #59 is attached to the Proof of Claim as Exhibit "A" & "B". If any section of the Proof of Claim is not completed it has the effect of nUllifying it for voting purposes. In addition to be able to vote the co~pleted Proof of Claim must be delivered to the trustee prior to the meeting of creditors. It was held in one court case that the Proof of Claim filed one (1) minute after the time of the meeting the vote should not be allowed. Canada Consumer and Corporate Affairs Canada Office of the Superintendent of Bankruptcy Consommation et Corporations Canada Bureau du Surintendant des faillites Page 3 Quotes from Holden & Morawetz: "The provision of s.124(4)of the Bankruptcy Act in regard to proof of claims are not merely directory but are mandatory. If there is not a reasonable compliance with the statutory requirements, the Proof of Claim must be disregarded for voting purposes but in determining what is reasonable compliance what are obviously clerical errors should be ignored, and reasonable allowance ought to be made for the fact that the Bankruptcy Act is a businessman's statute and contemplates that they will file their own claims: Re D.W. McIntosh Ltd. (1939), 20 C.B.R. 267 (Ont. S.C.)" "The Official Receiver is entitled to refuse to accept the vote of a creditor present at the meeting of creditors if there are no vouchers in support of the Proof of Claim, notwithstanding. that fact that the vouchers are in the possession of the creditor who is present at the meeting and who wishes to produce them. The Official Receiver may use discretion when the Proof of Claim is from a workman or a layman, but, when it emanates from a trader and is against a trader, there is no excuse and it must be in proper form: Re corduroys Unlimited In.c; Grobstein and Lawrence v. Canadian corduroys Ltd. (1962), 4 C.B.R. (N.S.) 250 (Que. S.C.). CCA 3159 17891 45 Canada EXHIBIT :1 - 4 - A" CORPORATE CLAIM UNSECURED FORM 61 Proof of Claim (Subsection 50.1(1)« paragraphs 51(1) (e) and 66.14(b) and subsections 81.2(1)« 102(2) c 124(2) and 128(1) In the matter of the bankruptcy (~~sal-~ recervers'l'ri:"p ~-~fte-~re~er~yt of.J~~.a~4~t •.••••••••••••.. of ••• SAS~~TOOij,.~~~~,........•..... (city and claim of a~~~.O~.1QVij.~Qijij , creditor. (name of debtor), province) and the I, .BAFF1.S~1Tij..........•. ~ ~ ~ - ~ ~ , of .. SAS~AXOO~,.S~S~•....... (city and province), do hereby certify: 1. That I am il=g~eQ~te~-ei-:Efte-il~,,"e nemed--deb'tv1O (~""'t:hat:--rQ111 ..the.~N~~EF.•••••••••••• (state position or title) of .~~.~A~~. DE.XOV~.XO~N..• (name of creditor». 2. That I have knOWledge of all the circumstances connected with the claim referred to in this form. 3. That the said debtor was at the date of bankruptcy (or the proposal ~ the receivership), namely the •• ~th.,day of ~v~c.~ ••• ,1992., and still is indebted to the above-named creditor (referred to in this form as "the creditor") in the sum of $~5~D_DD••••• , as shown by the statement of account (~ affidavit) attached hereto and marked "Schedule A", after deducting any counterclaims to which the debtor is entitled. (The attached statement of account or affidavit must specify the vouchers or other evidence in support of the claim.) 4. (Check and complete appropriate category.) ( X) A. UNSECURED CLAIM That in respect of the said debt, I do not hold any assets of the debtor as security and (Check appropriate description.) ( X) I do not claim a right to a priority. ( ) I claim a right to a priority under section 136 of the Bankruptcy and Insolvency Act. (Set out on an attached schedule details to support priority claim. ) - 5 - FORM 61 -- Continued ( B. SECURED CLAIM That in respect of the said debt, I hold assets of the debtor valued at $ •••••• as security, particulars of which are as follows: (Give full particulars of the security, including the date on which the security was given and the value at which the creditor assesses the security, and attach a copy of the security documents.) () C. CLAIM BY FARMER, FISHERMAN, OR AQUACULTURIST That I hereby make a claim under subsection 81.2(1) of the Bankruptcy and Insolvency Act for the unpaid amount of $...... (Attach a copy of sales agreement and delivery documents.) 5.' That to the best of my knowledge and belief, ~~-~Qr the above-named creditor is) (~-~~~-is not) related to the debtor within the meaning of section 4 of the Bankruptcy and Insolvency Act. 6. That the following are the payments that I have received from and the credits that I have allowed to the debtor within the three months (or, if the creditor and the debtor are related within the meaning of section 4 of the Bankruptcy and Insolvency Act, within the 12 months) immediately preceding the date of bankruptcy: . August 100 October 100 September 100 (Provide details of payments and credits.) Dated at .aJ\aKA'tQQN................ this • A.tb.. day of ...... JANUAR~ .1~~2 •••••• J~~E .WijL~ witness ••••••••••••• • ~. Sl-UXH. .-. MANN;ER •••••••••• Creditor BANK OF YOUR TmvN NOTE: If an affidavit is attached, it m~st have been sworn to before a person qualified to take affidavits. WARNINGS: A trustee may, pursuant to subsection 128(3) of the Bankruptcy and Insolvency Act, redeem a security on payment to the secured creditor of the debt or the value of the security as assessed, in a proof of security, by the secured creditor. - 6 - "FORM 59 General Proxy (Paragraphs 51(1) (el and 66.15(3) (b) and subsection 102(2» In the matter of the bankruptcy (~-~~-~-~ ~~&a:l:-)--e~ ••• ~I~.~~l2-<;IS.•••••••••••••••••••••••••••••• bankrupt I (~-aR-.iR&iiQ.l:V&R:t-PQZ;SO~-~-aco n (~We), , a S W.er.. debtor) l1 (name of creditor), of .s~~~.oe.~OUa.TOWN .... S~S~~TOO~•. S~S~ •.......... (name of city, town or village), a creditor in the above matter, hereby appoint ..BARRY:. SM.I.T.H. •••••• ...•.. , of .S~S~~TOON , to be ~~~ our) general proxy in the above matter except as to the receipt of dividends, with (~-wi~fteti~) power to appoint another general proxy in his &l!'-ae:!' place. Dated at Jf\NO~F¥• this .S~S~~TQQN .J.~~3 .~th .. day of •••• , ...... ... . . . ... .. ... .. .. ... .. .. .... ......... ....... ... ...... Witness ...• .:r~~~ oWIiI.T.E. •• 0 0 Witness Individual Creditor 0 • o· 0 0 0 0 • 0 0 0 o. Name of Corporate Creditor BANK OF YOUR TOWN ·Per aJ\~~~ SMI1H. Name and Title .of Signing Officer MANAGER 0 0 0 0 0 0 0 0 • 0 •••• - 7 - EXHIBIT "B" INDIVIDUAL CLAIM PARTIALLY SECURED FORM 61 Proof of Claim (Subsection 50.1(1)« paragraphs 51(1) (e) and 66.14(b) and subsections 81.2(1)« 102(2)« 124(2) and 128(1) In the matter of the bankruptcy (-Q:E-~-GpG&a-l:-~-~eeei:-versh±p -~f-tne:prep~rtyj of .~IM.BLACK .....•........•. £A~KA.TQQN , .SASK • • • • • • • • • • • • • • • •• (city and or . claim of ••••••• 4ij~.~Qijij~Qij ••••••• , creditor. I, (name of debtor), province) and the • • • • • • • • • • •• (name of creditor), of •• SAS~liTOOij•• ~4~~, ••••••• (city and province), do hereby certify: .li~T. J'Oijij~Qij 1. That I am a creditor of the above-named debtor ~-~~-~-am •• ~.-----------------------~~t~·~-~~~~----~-~-~~~---r----------• • • • • • • • • • • • • • • • • • • •• \ iO:t ,g \..C d\J~ OL. ~.ll:..J.E!J OL • • • • • • • • • • .. ~~~~~~~~~~~~~-~name-o~-crea1t~~1· \...J..on 2. That I have knowledge of all the circumstances connected with the claim referred to in this form. 3. That the said debtor was at the date of bankruptcy (~ the proposal ~ the receivership), namely the •• S~b. day of ~y~~~~••••• , l~~f, and still is indebted to the above-named creditor (referred to in this form as "the creditor") in the sum of $.25DDO.OO ••• , as shown by the statement of account (~ affidavit) attached hereto and marked "Schedule A", after deducting any counterclaims to which the debtor is entitled. (The attached statement of account or affidavit must specify the vouchers or other evidence in support of the claim.) 4. (Check and complete appropriate cateaory.) ( A. UNSECURED CLAIM That in respect of the said debt, I do not hold any assets of th~ debtor as security and (Check appropriate description.) ( ) I do not claim a right to a priority. ( ) I claim a right to a priority under section 136 of the Bankruptcy and Insolvency Act. (Set out on an attached schedule details to support priority claim. ) - 8 - FORM 61 -- Continued (x) B. SECURED CLAIM That in respect of the said debt, I hold assets of the debtor valued at $4000.00as security, particulars of which are as follows: 1985 Chev 1/2 ton Serial # (Give full particulars of the security. including the date on which the security was given and the value at which the creditor assesses the security. and attach a copy of the security documents.) ( C. CLAIM BY FARMER, FISHERMAN, OR AQUACULTURIST That I hereby make a claim under subsection 81.2(1) of the Bankruptcy and Insolvency Act for the unpaid amo~nt of $ ....•• (Attach a copy of sales agreement and delivery documents.) 5. That to the best of my knowledge and belief, I am ~~~ am not ~-~~~ related ~he debtor within the meaning of section 4 of the Bankruptcy and Insolvency Act. ~ftameQ-epeQ~~ep-~s~-f~ 6. That the following are the payments that I have received from and the credits that I have allowed to the debtor within the three months (or. if the creditor and the debtor are related within the meaning of section 4 of the Bankruptcy and Insolvency Act. within the 12 months) immediately preceding the date of bankruptcy: (Provide details of payments and credits.) Dated at S~S~~TOOM~S~S~••••••• ~ ~ppp~rY••••• , ~~~J •••••• ~~I}Ei: • VJoi 'tEi •••••• '. • • • • • • witness ••• this •• 4th. day of • ••• ••l\.I:"t, .~Qhn&qn ••••••••••••.... Creditor NOTE: If an affidavit is attached, it must have been sworn to before a person qualified to ta~e affidavits. WARNINGS: A trustee may, pursuant to subsection 128(3) of the Bankruptcy and Insolvency Act, redeem a security on paYment to the secured creditor of the debt or the value of the security as assessed, in a proof of security, by the secured creditor. - 9 - "FORM 59 General Proxy (Paragraphs 51(1) (e) and 66.15(3) (b) and subsection 102(2) In the matter of the bankruptcy (~ proposal ~ consumer proposal) . of , a bankrupt (~ an insolvent person ~ a consumer debtor) I (~ We), ••••••••.•.•.•••.•.••••.• (name of creditor), of ..•••.••••••••••.••••.....•.•. (name of city, town or village), a creditor in the above matter, hereby appoint ••••••••..•.•..... • ..••• , of .••.•.•••••••..•••••••.•• , to be my (or our) general proxy in the above matter except as to the receipt of dividends, with (~without) power to appoint another general proxy in his or her place. . Dated at .•••••••••••.••.••••.•••• this •••••• day of ·.... ......., .... · . ....... ........ .. .......... .. Witness .. ..Individual . .... .... .... .... .. .. ... . creditor Name of Corporate Creditor · ..... .. ... ......... ..... ... ... Witness Per ... .. ..... .... ......... . . Name and Title of Signing Officer' NOTE: Proxy for individual claiM need not be completed if that individual attends. However if he or she wishes to have someone else attend then the Proxy would be completed naming that person.
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