Form 62 — Notice of Cancellation of Mediation

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(Rule 105(16))

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Title Form 1)

Take notice that the mediation of issues related to the bankruptcy of Space to insert name of bankrupt , bankrupt, was cancelled for the following reason:

(Check appropriate description)

Checkbox: There was an outstanding opposition to the discharge of the bankrupt on a ground referred to in paragraphs 173(1)(a) to (l) or (o) of the Act. There was an outstanding opposition to the discharge of the bankrupt on a ground referred to in paragraphs 173(1)(a) to (l) or (o) of the Act.

Checkbox: I believe on reasonable grounds that the bankrupt, trustee or creditor abused the rescheduling procedures. I believe on reasonable grounds that Space to insert name of bankrupt, trustee or creditor, as applicable (Indicate: the bankrupt, the trustee or a creditor, as applicable) abused the rescheduling procedures.

Checkbox A second adjournment was requested or circumstances causing an adjournment occurred after one adjournment had already been granted. A second adjournment was requested or circumstances causing an adjournment occurred after one adjournment had already been granted.

Checkbox: I believe on reasonable grounds that the bankrupt or creditor, cannot continue the mediation at all. I believe on reasonable grounds that Space to insert name of bankrupt or creditor, as applicable (Indicate: the bankrupt or a creditor, as applicable), in the case of a mediation requested by a creditor under subsection 170.1(5) of the Act, cannot continue the mediation at all.

Checkbox: I believe that the non-appearance of all creditors, who were informed of the mediation, is a delaying tactic or is intended to bring the mediation into disrepute I believe that the non-appearance of all creditors, who were informed of the mediation, is a delaying tactic or is intended to bring the mediation into disrepute.

Checkbox: I believe that in the case of a mediation requested by a creditor, the non-appearance of a bankrupt or a creditor, who was informed of the mediation, is a delaying tactic or is intended to bring the mediation into disrepute. I believe that in the case of a mediation requested by a creditor under subsection 170.1(5), the non-appearance of Space to insert name of bankrupt or a creditor, as applicable (Indicate: the bankrupt or a creditor, as applicable) who was informed of the mediation, is a delaying tactic or is intended to bring the mediation into disrepute.

Checkbox: I believe that the non-appearance of the bankrupt or the trustee, is a delaying tactic or is intended to bring the mediation into disrepute. I believe that the non-appearance of Space to insert name of bankrupt or the trustee, as applicable (Indicate: the bankrupt or the trustee, as applicable) who was informed of the mediation, is a delaying tactic or is intended to bring the mediation into disrepute.

Dated at Space to insert name of city, this Space to insert day of month day of Space to insert month Space to insert year .

Space to insert signature of Mediator
Mediator

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