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

For persons to which the 2009 amendments apply

PDF version

Form 13

39 KB, 2 pages

(Sections 152 and 155 of the Act; Rule 62)


(Title Form 1)

receipts

(Itemize receipts)

Total Receipts
$space to insert amount of total receipts
Less payments made to secured creditors
$space to insert payments made to secured creditors
empty cell
Less necessary disbursements relating directly to realization (Identify separately costs pertaining to all assets)
$space to insert costs pertaining to all assets
$space to insert necessary disbursements relating directly to realization
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
empty cell
(a) To official receiver
$space to insert Counselling fees
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(b) To Court ( applicable)
$space to insert fees to Court
$space to insert total fees to official receiver and to Court
3. Other disbursements
$space to insert other disbursements
4. Administrative disbursement
$space to insert administrative disbursement
5. Trustee's fees:
empty cell
100% of
$space to insert 100% of Trustee's fees
$space to insert 100% of Trustee's fees
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35% of
$space to insert 35% of Trustee's fees
$space to insert 35% of Trustee's fees
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50% of
$space to insert 50% of Trustee's fees
$space to insert 50% of Trustee's fees
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Total fees
empty cell
$space to insert total trustee's fees
$space to insert total trustee's fees
6. Applicable taxes
$space to insert applicable taxes
total disbursements
$space to insert 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
Dividends
$space to insert dividends
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Superintendent's levy
$space to insert superintendent's levy
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Total dividend and levy
$space to insert total dividend and levy
$space to insert total dividend and levy

Status of Bankrupt's Discharge

check this box if status is absolute discharge Absolute discharge
check this box if status is automatic Automatic
check this box if status is conditional Conditional
check this box if status is annuled Annuled
check this box if status is deceased Deceased
check this box if status is discharge suspended Discharge suspended
check this box if status is a hearing set Hearing set
check this box if status is refused Refused
check this box if status is sine die (without fixing a date for resumption) Sine die (without fixing a date for resumption)

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
Licensed Insolvency Trustee

Approved by the following inspectors:

Space to insert inspectors' approval signature
Space to insert inspectors' approval signature
Space to insert inspectors' approval signature

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

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

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

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

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