Form 13 — Trustee's Statement of Receipts and Disbursements (Summary Administration)

PDF version
(39 KB, 2 pages)

PDF readers

Coming into force September 18, 2009
(Sections 152 and 155 of the Act; Rule 62)

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

(Title Form 1)

Receipts
(Itemize receipts)

Form 13 - Trustee's Final Statement of Receipts and Disbursements (Summary Administration)
Total receipts   $Space to insert total receipts
Less payments made to secured creditors $Space to insert less payments made to secured creditors  
Less necessary disbursements relating directly to realization (Identify separately costs pertaining to all assets) $Space to insert less necessary disbursements relating directly to realization $Space to insert total receipts
Net Receipts Available to Estate   $Space to insert net receipts available to estate
Disbursements
1. Counselling fees   $Space to insert counselling fees
2. Fees paid    
(a) To official receiver $Space to insert fees paid to official receiver  
(b) To Court (where applicable) $Space to insert fees paid to Court (where applicable) $Space to insert fees paid
3. Other disbursements   $Space to insert other disbursements
4. Administrative disbursement   $Space to insert administrative disbursements
5. Trustee's fees:    
100 % of $Space to insert 100 % of trustee's fees $Space to insert 100 % of trustee's fees $Space to insert 100 % of trustee's fees
35 % of Space to insert 35 % of trustee's fees $Space to insert 35 % of trustee's fees  
50 % of Space to insert 50 % of trustee's fees $Space to insert 50 % of trustee's fees  
Total fees   $Space to insert total fees
6. Applicable taxes   $Space to insert applicable taxes
Total Disbursements

Note: Total disbursements paid for services provided
by persons related to the trustee: $Space to insert total disbursements paid for services provided by persons related to the trustee
(a) Amount: $Space to insert amount
(b) Name of person related to the trustee: Space to insert name of person related to the trustee
(c) Relationship to the trustee (e.g. spouse, parent): Space to insert relationship to the trustee
Amount available for distribution   $Space to insert amount available for distribution
Amount refunded to debtor   $Space to insert amount refunded to debtor
Undistributed assets   $Space to insert undistributed assets
Proved claims   $Space to insert proved claims
Dividend $Space to insert dividend  
Superintendent's levy $Space to insert Superintendent's levy  
Total dividend and levy $Space to insert total dividend and levy $Space to insert total dividend and levy
Status of Bankrupt's Discharge
checkbox
Absolute discharge
checkbox
Automatic
checkbox
Conditional
checkbox
Annuled
checkbox
Deceased
checkbox
Discharge suspended
checkbox
Hearing set
checkbox
Refused
 
 
 
 
 
 
checkbox
Sine die
Status date: Space to insert status date

(Provide a description and value of all property of the bankrupt (whether or not secured) as shown in the Statement of Affairs, or otherwise known and not accounted for in the receipts, stating why the property has not been sold or realized and stating the disposition made)

Space to insert date
Date

Space to insert trustee's signature
Trustee

Approved by the following inspectors:

Space to insert inspectors' approval signature


Where there is no approval by inspectors, disclose the reason(s) for non-approval:

Space to insert the reason(s) for non-approval where there is no approval by inspectors

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.

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.