Form 39 — Certificate of Assignment
Coming into force September 18, 2009
(Paragraph 57(b.1) of the Act)
This form may not be completed online. It is provided here for reference purposes only.
District of:
Division No.:
Court No.:
Estate No.:
In the Matter of the Bankruptcy of:

Debtor

Trustee
Administration
Date of bankruptcy:
Meeting of creditors:
Chair:
Security:
Designated person:
Certificate of Assignment – Paragraph 57(b.1) of the Act
I, the undersigned, official receiver in and for this bankruptcy district, do hereby certify that:
- a proposal in respect of the aforenamed debtor was filed under section 62 of the Bankruptcy and Insolvency Act;
- the creditors, at a meeting held to consider the proposal, refused to accept the proposal and the debtor is thereupon deemed to have made an assignment.
The said trustee is required:
- to provide to me, without delay, security in the aforementioned amount;
- to send to all creditors, within five days after the date of the trustee's appointment, a notice of the bankruptcy; and
- when applicable, to call in the prescribed manner a first meeting of creditors, to be held at the aforementioned time and place or at any other time and place that may be later requested by the official receiver.

Date

Official Receiver
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.
