Form 21 — Assignment for the General Benefit of Creditors (Corporation or other Legal Entity)

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(Section 49 of the Act)

This form may not be completed online. It is provided here for reference purposes only.

(Title Form 1)

This indenture made this day of

Between

(Insert the name of the debtor)

hereinafter called "the debtor"

and

(Trustee)

hereinafter called "the trustee."

Whereas the debtor is insolvent and desires to assign and to abandon all his or her property for distribution among his or her creditors, in pursuance of the Act,

This indenture witnesses that the debtor does hereby assign to the trustee, all the debtor's property for the uses, intents and purposes provided by the Act.

Signed at the of , in the Province of , in the presence of .

Witness Date

Debtor (or Legal Representative of the Debtor)

Notes: If the debtor is a corporation, a certified copy of the resolution of the board of directors shall be attached to this document.

If the debtor is deceased, attach a copy of the court order.

If a copy of this Form is sent electronically by means such as email, the name and contact information of the sender, prescribed in Form 1.1, must be added at the end of the document.

Important notice: The XHTML version of this Form is not the official version. In the event of an inconsistency between the XHTML and PDF versions of this Form, the PDF version prevails. Users are required to exercise due diligence with respect to the XHTML version.