Form 14 — Administrator's Statement of Receipts and Disbursements

PDF version
(154 KB, 2 pages)

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Coming into force September 18, 2009
(Consumer Proposal)
(Rule 98)

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

(Title Form 1)

Receipts
(Itemize receipts)

Form 14 — Administrator's Statement of Receipts and Disbursements (Consumer Proposal)
Total receipts   $ Space to insert total receipts
Less trust claims   $ Space to insert less trusts claims
Receipts Available to Proposal   $ Space to insert receipts available to proposal
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 total fees paid
3. Administrator's fees:
(a) On filing proposal with official receiver $ Space to insert administrator's fees on filing proposal with official receiver  
(b) On approval or deemed approval by the Court $ Space to insert administrator's fees on approval or deemed approval by the court  
(c) 20% of moneys distributed $ Space to insert administrator's fees 20% of moneys distributed  
Total Fees $ Space to insert total fees $ Space to insert total fees
4. 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
(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 Proposal
checkbox
Annulled by Court
checkbox
Court approval refused
checkbox
Creditor acceptance rejected
checkbox
Ongoing
checkbox
Deemed annulled
checkbox
Full performance
checkbox
Withdrawn
 
 
Status date: Space to insert status date
Space to insert date
Date
Space to insert signature of administrator of consumer proposal
Administrator of Consumer Proposal

 

Approved by the following inspectors:

Space to insert signature of inspectors who approved

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.