Form 30 — Report on Cash-flow Statement by the Person Making the Proposal

(Paragraphs 50(6)(c) and 50.4(2)(c) of the Act)

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


(Title Form 1)

The Form Field (management, receiver, liquidator, etc.) of Form Field (name of insolvent person) has developed the assumptions and prepared the attached statement of projected cash-flow of the insolvent person, as of the Form Field day of Form Field Form Field, consisting of Form Field (Describe, including relevant dates).

The hypothetical assumptions are reasonable and consistent with the purpose of the projection described in Note Form Field , and the probable assumptions are suitably supported and consistent with the plans of the insolvent person and provide a reasonable basis for the projection. All such assumptions are disclosed in Notes Form Field

Since the projection is based on assumptions regarding future events, actual results will vary from the information presented, and the variations may be material.

The projection has been prepared solely for the purpose described in Note Form Field , using a set of probable and hypothetical assumptions set out in Notes Form Field Consequently, readers are cautioned that it may not be appropriate for other purposes.

Dated at Form Field , this Form Field day of Form Field Form Field .

Form Field
Name of the Person
Making the Proposal

Form Field
Name and Title of Signing Officer

Form Field
Name and Title of Signing Officer

Note: 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.


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