C.R.C., c. 36920056
15
20196
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BANKRUPTCY AND INSOLVENCY ACTOrderly Payment of Debts Regulations
[Repealed, SOR/2005-168, s. 2]
Interpretation
In these Regulations, Act means Part X of the Bankruptcy and Insolvency Act.SOR/92-578, s. 1; SOR/2005-168, s. 3(F)
General
On application by a debtor for a consolidation order pursuant to subsection 219(1) of the Act, the debtor shall pay the clerk an application fee of $20 and the clerk shall issue a receipt for that amount to the debtor.SOR/89-158, s. 1
All fees paid under the Act shall be kept in an account entirely separate from moneys collected under the statute establishing the court.
An affidavit of a debtor filed with the clerk in accordance with subsection 219(2) of the Act operates as an application for a consolidation order.The affidavit of a debtor shall be filed in duplicate.SOR/2005-168, s. 4; SOR/2015-85, s. 1(F)
Where a creditor is shown to be related to the debtor, the clerk may, before entering the creditor’s name in the register, require an affidavit from the creditor proving the alleged debt.SOR/2005-168, s. 5
The clerk shallon filing the affidavit referred to in subsection 219(2) of the Act and entering the particulars it contains in the register in accordance with paragraph 220(1)(a) of the Act, open a consolidation account in the name of the debtor; andcredit to the consolidation account all moneys paid into court under the consolidation order made in the name of the debtor.The clerk may, before distributing any moneys credited to a consolidation account, first deduct the amount required for postage for the mailing of any notices and forms under the Act.SOR/89-158, s. 2
The original consolidation order shall be filed with the clerk of the court in which it is made and shall bear the number of the debtor’s original affidavit.SOR/2015-85, s. 2(F)
Where the clerk is satisfied that the affairs of a debtor may be better administered in a judicial district or centre in a province other than the judicial district or centre in which a consolidation order was originally issued, the clerk may, after giving notice to the debtor and the registered creditors, transfer the proceedings to that other judicial district or centre.Where the clerk is satisfied that the affairs of a debtor may be better administered in a province where the Act is in force other than the province in which a consolidation order was originally issued, the clerk may, after giving notice to the debtor and the registered creditors and after distributing all of the moneys paid into court by or on behalf of the debtor, transfer the proceedings to that other province.SOR/89-158, s. 3; SOR/92-578, s. 2
Any application to the court under the Act shall be to the next sitting thereof, unless the sitting is to be held within seven days of the application, or unless otherwise ordered by the court, or agreed to by the parties concerned.
The judge of the court may hear any cause or matter in chambers.
On any notice of motion under the Act no affidavit need be filed unless the clerk deems one necessary, and if he deems one necessary a copy of the affidavit shall be served with the notice of motion.
A notice of motion under the Act shall be served on the debtor and all the registered creditors, unless it is otherwise provided in the Act.
Where, pursuant to subsection 231(1) of the Act, the clerk gives notice to the debtor and the creditor and to each registered creditor of a new claim against the debtor, the clerk shall allow a period of 30 days for disputing the new claim.SOR/89-158, s. 4
Where a consolidation order is varied pursuant to subsection 227(1), 231(3) or 234(4) of the Act,a Notice of Variation of Consolidation Order in Form 11 of Schedule I shall be given to the debtor and the registered creditors; anda copy of the notice shall be attached to the consolidation order in the court file.The clerk shall endorse on the face of the consolidation orderthe date and terms of any variation; andthe name and title of the authority ordering the variation.SOR/89-158, s. 5; SOR/92-578, s. 3
A consolidation order shall be terminatedwhere a debtor is in default and the clerk issues a Notice of Default in Form 18 of Schedule I; orwhere, under paragraph 233(3)(b) of the Act, the court makes an order permitting all registered creditors to proceed independently for the enforcement of their claims.SOR/2005-168, s. 6
An application by a debtor under subsection 233(5) of the Act to continue under a consolidation order on the grounds that the default of the debtor is due to circumstances beyond their control shall be by notice of motion.SOR/2005-168, s. 7
A registered creditor who elects to rely on their security pursuant to section 232 of the Act shall, before relying on that security, file with the clerk an affidavit as to its value and, if the security is repossessed and sold or seized and sold, disclose to the clerk whether the proceeds received from the disposal of the security are in excess of the creditor’s claim.Where any registered creditor does not comply with the conditions set out in subsection (1), the court may direct that the security of that registered creditor be appraised by an appraiser appointed by the court.SOR/2005-168, s. 8; SOR/2015-85, s. 3(F)
Sending of Notices
Unless otherwise provided in these Regulations, every notice required by the Act or these Regulations to be given shall be sent by ordinary mail.SOR/92-578, s. 4; SOR/2005-168, s. 9(F)
Duties of Clerk
The clerk shall maintaina cash book in which, on each occasion when a payment is received from a debtor or disbursed by the court, he shall recordthe date of the payment,the number of the consolidation order in respect of which the payment is made,the name of the debtor,the amount of the payment, andparticulars of the payment; anda separate consolidation account sheet and a separate register sheet for each debtor.
The clerk shall deposit all payments on consolidation orders within the jurisdiction of the court in an account witha bank;a corporation other than a bank if deposits with that corporationare insured by the Canada Deposit Insurance Corporation, orare insured or guaranteed under a provincial enactment that provides depositors with protection against the loss of moneys on deposit.In this section, bank means a bank as defined in the Bank Act.SOR/84-356, s. 1; SOR/86-101, s. 1(F)
[Repealed, SOR/89-158, s. 6]
[Repealed, SOR/92-578, s. 5]
Dividends
The clerk shall deposit with the person designated by the province all unclaimed dividends and undistributed funds remaining in his hands and all interest, if any, on the money paid into court on account of the debts of the debtor and shall provide the person with a list of the names and the post office addresses, so far as known, of the creditors entitled to the unclaimed dividends, showing the amount payable to each creditor.The designated person referred to in subsection (1) shall, upon application by a creditor, pay to the creditor the appropriate dividend as shown on the list referred to in that subsection.SOR/85-737, s. 1; SOR/86-101, s. 2(F)
Costs
The costs of all proceedings before the court shall be in the absolute discretion of the court, but shall not exceed those taxable in a similar action in the court.
There shall be no costs in respect of a hearing before the clerk unless the court otherwise orders.
Forms
The forms set out in Schedule I are the forms that shall be used in proceedings under the Act.The account forms set out in Schedule II are the forms that shall be used in maintaining accounts under the Act.Notwithstanding subsection (2), the accounts that relate to proceedings under the Act may be maintained by an electronic accounting system if the accounts comprise the same information as is required by the applicable forms in Schedule II.SOR/89-158, s. 8
Court
For the purposes of the Act and these Regulations, court means,in the Province of Saskatchewan, Her Majesty’s Court of Queen’s Bench for Saskatchewan;in the Province of Nova Scotia, the County Court;in the Province of British Columbia, the Supreme Court of British Columbia and the County Courts of Nanaimo, Vancouver, Victoria, Westminster, Yale, Cariboo, Prince Rupert, East Kootenay and West Kootenay;in the Northwest Territories, the Supreme Court of the Northwest Territories; andin the Province of Prince Edward Island, the Supreme Court of Prince Edward Island.SOR/78-386, s. 1; SOR/83-539, s. 1; SOR/2005-168, s. 10(F)
Miscellaneous
In a province in which the Act is in force, the Act appliesin respect of debts of the classes referred to in subsection 218(1) of the Act without the monetary limits set out therein; andin respect of debts of the classes that would otherwise be excluded by paragraphs 218(2)(a) and (b) of the Act.SOR/81-2, s. 1; SOR/89-158, s. 9
Notwithstanding section 28, the Act does not apply to the following classes of debts:in the Province of Nova Scotia,a claim for a lien or a judgment thereon under the Mechanics Lien Act, ora claim for a lien or a judgment thereon under the Woodman’s Lien Act; andin the Northwest Territories,a claim for a lien or a judgment thereon under the Mechanics’ Lien Ordinance, ora claim for a lien or a judgment thereon under the Miners’ Lien Ordinance.
For the purpose of defraying administrative expenses, the clerk shall deduct 15 per cent from each payment that is made to a registered creditor in respect of a claim of that creditor under a consolidation order.SOR/89-158, s. 10; SOR/92-578, s. 6; SOR/98-239, s. 1
Interest on Consolidation Orders
Every consolidation order shall bear interest at the rate of five per cent per annum.SOR/92-578, s. 7
(Sections 15, 16 and 26)(Subsection 219(2) of the Act)Orderly Payment of DebtsIn the Court of of (County, Judicial Centre or District, or as the case may be)AFFIDAVITI, , of in the Province of make (oath or solemn affirmation) and say that:The following is a complete and full statement of all my assets and liabilities and of my personal responsibilities.All of my creditors and the amounts owing by me to them are as follows:NameAddressRelationship to DebtorAmountDate Debt Incurred12345678910
My creditors hold security as follows:Name of CreditorNature and Particulars of Security
I have an interest in the following described property:DescriptionValueEncumbrances$ $ $ $ $ $
My total income from all sources amounts to $  being .My take home income is $  after the following deductions .My business or occupation is and I am employed by whose address is .My age is .I am (a spouse, a common-law partner or single).The income of my (spouse or common-law partner) from all sources amounts to $ , being .The take home income of my (spouse or common-law partner) is $  after the following deductions:.The business or occupation of my (spouse or common-law partner) is that of and my (spouse or common-law partner) is employed by whose address is .I have been unemployed during the past 12 months for a period of because of (state reason for unemployment)The following persons are dependent upon me:NameAgeRelationshipExtent of Dependency
The monthly living expenses for myself and my dependants are:Food$ Rent or house payment$ Utilities$ Clothing$ Drugs$ Transportation$ Insurance$ Incidentals$ Other$ Total$
(Sworn or affirmed) before me at , in the Province of , this day of , 20.Debtor(Subsection 220(2) of the Act)Orderly Payment of Debts(Title of Court and style of cause as in Form 1)NOTICE TO CREDITORSDate To Re DebtorTAKE NOTICE that the above named person has applied for a consolidation order under the Orderly Payment of Debts provisions of Part X of the Bankruptcy and Insolvency Act and has, by affidavit filed in this court, given the following information:Creditors of the DebtorRelationship to DebtorDate Debt IncurredAmount1$ 2$ 3$ 4$ 5$ 6$ 7$ 8$ 9$ 10$
The following creditors hold security as follows:CreditorsNature and Particulars of Security
Property by DebtorValueEncumbrances$ $
Income ofSource of IncomeDebtor$ Spouse or common-law partner Debtor$ From other sources$ Total$ (per month)
The Debtor has the following Dependants:NameAgeRelationshipExtent of Dependency
The Debtor has the following living expenses:Food$ Rent$ Utilities$ Clothing$ Drugs$ Transportation$ Insurance$ Incidentals$ Total$ (per month)
The clerk has settled that the amount of $  (weekly or monthly) be paid into court by the debtor to be distributed pro rata among the creditors once every three months.If you have any objection to the amount as acknowledged as owing to you or any creditor, or to the manner of, or the amount of payment, or to any of the facts set out above, return the attached form to the court within twenty days from the date hereof, stating fully your objections. Any objections will be heard by the clerk at his office in the Court House at on the day of 20 at the hour of . You will, prior to that date, be notified of any objections filed by other creditors in connection with the application.If you do not file any objection within the time stated, the amount acknowledged as owing to you by the debtor will become a judgment of the court in full settlement of his debt, and the manner of payment will become an order of the court.NOTE: If the debt as acknowledged to you is secured, you may, at any time, elect to rely on your security in the manner provided for in section 232 of the Act, a copy of that section being set out below:A registered creditor holding security for a claim may, at any time, elect to rely on his security notwithstanding that the claim is included in a consolidation order.Where the proceeds from the disposal of the security referred to in subsection (1) are in excess of the registered creditor’s claim, the excess shall be paid into court and applied in payment of other judgments against the debtor.Subsection (2) does not apply where the security is in the form of chattels exempt from seizure under any law in force in the province in which the consolidation order was issued.Where the proceeds from the disposal of the security referred to in subsection (1) are less than the registered creditor’s claim, the creditor remains entitled to the balance of his claim.Subsection (4) does not apply in a case where, under the law in force in the province in which the consolidation order was issued, a creditorwho enforces his security by repossession or repossession and sale, orwho seizes and sells the security under an execution issued pursuant to a judgment obtained against the debtor in respect of the claim so secured,is limited in his recovery of the claim to the security so repossessed or the proceeds of the sale thereof.”If you elect to rely on your security, you must immediately place a fair value on the goods so repossessed and notify the court of this valuation at once.If the value exceeds the amount owing to you, then you are ordered to pay the excess of that value upon realization as to which you are required to exercise due diligence.Clerk of the Court.(Subsection 221(1) of the Act)Orderly Payment of DebtsIn the Court of (County, Judicial Centre or District, or as the case may be)of In re DebtorNOTICE OF OBJECTIONDate To the Clerk of the CourtCourt House(location)(Province)(Here state reasons, whether as to amount of debt, or manner of payment)TAKE NOTICE that I object to the settlement made by you in this matter for the following reasons:DATED this day of 20Creditor(Subsection 221(3) of the Act)Orderly Payment of Debts(Title of Court and style of cause as in Form 3)To NOTICE OF HEARING(Delete line that does not apply)TAKE NOTICE that an objection has been filed herein by (or if objection is to another creditor’s claim, specify) to the claim of (For Debtor)You are therefore required to attend(For Creditor)You may attendbefore the Clerk of the Court on the day of 20 at the hour of in the Court House at at which time the objections will be heard and disposed of.DATED this day of 20Clerk of the Court(Subsections 223(1), 227(1), 231(2) and 234(4) of the Act)Orderly Payment of DebtsCONSOLIDATION ORDER NO In the Court of (County, Judicial Centre or District, or as the case may be)of In re DebtorNOTICE OF MOTIONTAKE NOTICE that an application will be made by to the presiding judge in court (or the presiding judge in chambers, or as the case may be) at the court house in the (city, town, etc.) of in the Province of on the day of 20 at the hour of for an order(Delete the statements that do not apply)determining the objection of to the claim of to the terms (or to the proposed terms, as the case may be) of the consolidation order;to the method of payment of the claims by the debtor; orthat terms of payment by the debtor should be fixed;or for such other order as seems just.(If required by the clerk, add) AND FURTHER TAKE NOTICE that in support of the application will be read the affidavit of (the applicant)filed, (and specify any other material to be used).DATED AT the day of 20(Clerk of the court, or other applicant.)(Names and addresses of creditors, and debtor, as the case may be, receiving notice)(Subsection 226(2) of the Act)Orderly Payment of Debts(Title of Court and style of cause as in Form 5)NOTICE OF MOTIONTAKE NOTICE that an application will be made by to the presiding judge in court (or the presiding judge in chambers, or as the case may be) at the court house in the (city, town, etc.) of in the Province of on the day of 20 at the hour of for an orderapproving the provision of the consolidation order for payment in full of the registered debts over a period longer than three years, without the consent of the following creditors:or for such other order as seems just.(If required by the clerk, add) AND FURTHER TAKE NOTICE that in support of the application will be read the affidavit of (the applicant) filed, (and specify any other material to be used).DATED at the day of 20(Clerk of the Court, or other applicant.)(Names and addresses of creditors, and debtor, as the case may be, receiving notice)(Subsection 233(1) of the Act)Orderly Payment of Debts(Title of Court and style of cause as in Form 5)NOTICE OF MOTIONTAKE NOTICE that an application will be made by to the presiding judge in court (or the presiding judge in chambers, or as the case may be) at the court house in the (city, town, etc.) of in the Province of on the day of 20 at the hour of for an orderDelete (a) or (b)Authorizing the applicant to take on behalf of all the registered creditors such proceedings to enforce the consolidation order as the court deems advisable and after payment of the applicant’s costs in taking the proceedings to pay into court all monies recovered as a result of the proceedings, upon the grounds thatthe debtor is in default in complying with the consolidation order,a further proceeding for the recovery of money has been brought against the debtor,after the consolidation order made herein the debtor has incurred further debts totalling in excess of five hundred dollars,a judgment in excess of one thousand dollars has been recovered against the debtor by who refuses to have his name added to the register, orthe debtor has property (or funds) available for the satisfaction of the consolidation order,orDelete all grounds that do not apply)Permitting all the registered creditors to proceed each independently of the others for the enforcement of their claims under the consolidation order, upon the grounds thatthe debtor is in default in complying with the consolidation order,a further proceeding for the recovery of money has been brought against the debtor,after the consolidation order was made herein the debtor has incurred further debts totalling in excess of five hundred dollars,a judgment in excess of one thousand dollars has been recovered against the debtor by who refuses to have his name added to the register, orthe debtor has property (or funds) available for the satisfaction of the consolidation order,or for such other order as seems just.(If required by the clerk, add) AND FURTHER TAKE NOTICE that in support of the application will be read the affidavit of (the applicant) filed, (and specify any other material to be used).DATED at the day of 20(Clerk of the Court, or other applicant).(Names and addresses of creditors, and debtor, as the case may be, receiving notice)(Paragraph 233(3)(b) and subsection 233(5) of the Act)Orderly Payment of Debts(Title of Court and style of cause as in Form 5)NOTICE OF MOTIONTAKE NOTICE that an application will be made by to the presiding judge in court (or the presiding judge in chambers, or as the case may be) at the court house in the (city, town, etc.) of in the Province of on the day of 20 at the hour of for an ordergranting the debtor continued relief under the consolidation order upon the grounds that the debtor’s default in making payments on the order is due to circumstances beyond his control,or for such other order as seems just.(If required by the clerk, add) AND FURTHER TAKE NOTICE that in support of the application will be read the affidavit of (the applicant) filed, (and specify any other material to be used).DATED at the day of 20(Clerk of the Court, or other applicant).(Names and addresses of creditors, and debtor, as the case may be, receiving notice)(Section 225 and subsection 226(1.1) of the Act)Orderly Payment of Debts(Title of Court and style of cause as in Form 5)CONSOLIDATION ORDER NO .Upon application of , debtor, and upon reading the affidavit of the debtor, filed, and upon hearing the debtor (and the registered creditors):IT IS ORDERED (that the present circumstances of the debtor do not warrant the immediate settling of amounts of payment into court or the times of payment thereof, or) that the debtor pay to the Clerk of the Court of , (centre)of at on day of each and every week (or as the case may be) commencing day, the day of 20, the sum of $  to be distributed by the Clerk of the said court on a pro rata basis among the following registered creditors of the debtor, and among such other registered creditors as may be added to this order such payments to continue for a period of weeks (or as the case may be) until the claims outstanding herein have been satisfied.Date of RegistrationRegistered CreditorAddressAmount of Debt1$ 2$ 3$ 4$ 5$ 6$ 7$ 8$ 9$ 10$
(If applicable)IT IS FURTHER ORDERED (here insert terms as to custody of debtor’s property or disposition of proceeds from it).(If applicable)IT IS FURTHER ORDERED that the terms of payment extend over a period longer than three years without the consent of the following creditors: DATED at this day of 20Clerk (or judge) of the Court.Amendments to OrderDate Particulars of AmendmentAmended by(state if clerk or judge)(Section 225 and subsection 226(1.1) of the Act)Orderly Payment of Debts(Title of Court and style of cause as in Form 5)CONSENT OF CREDITOR:Date To the Clerk of the CourtCourt House(Place)I hereby consent to the issue of a Consolidation Order providing for the payment in full of the debts of the said debtor over a period longer than three years.Creditor.(Subsections 227(1), 231(3) and 234(4) of the Act)Orderly Payment of Debts(Title of Court and style of cause as in Form 5)To NOTICE OF VARIATION OF CONSOLIDATION ORDERTAKE NOTICE that on application of creditor (or debtor) and after a hearing held on day the day of 20, the consolidation order dated the day of 20 was confirmed.set aside.varied as follows:DATED this day of 20Clerk of the Court.(Subsection 230(1) of the Act)Orderly Payment of Debts(Title of Court and style of cause as in Form 5)To: , DebtorREQUEST FOR ASSIGNMENTTAKE NOTICE that you are required to give the Clerk of this Court an assignment to himself as Clerk of the Court of any monies due, owing or payable to you, or monies to become due, owing or payable to you, or earned or to be earned by you from .DATED this day of 20Clerk of the Court(Subsection 230(1) of the Act)Orderly Payment of Debts(Title of Court and style of cause as in Form 5)ASSIGNMENTI, of hereby assign to the Clerk of the Court of (Province) of (Judicial, District, Centre or as the case may be) all moneys due, owing and payable to or to become due, owing and payable to or earned or to be earned by me from to be paid to the aforesaid Clerk in the manner and amounts as follows: DATED this day of 20Debtor(Subsection 230(2) of the Act)Orderly Payment of Debts(Title of Court and style of cause as in Form 5)To NOTICE OF ASSIGNMENTTAKE NOTICE that the above named debtor has by an assignment dated assigned to the Clerk of the Court of (Province), (Judicial, District,, Centre or as the case may be) of the sum of $  out of (here specify type of debt) and you are required to pay to the aforesaid Clerk the moneys owing from you to the debtor in the manner and amounts as follows:DATED this day of 20Clerk of the Court(Subsection 231(1) of the Act)Orderly Payment of Debts(Title of Court and style of cause as in Form 5)APPLICATION TO BE ADDED AS A CREDITORTAKE NOTICE that I hereby apply to be added to the register as a creditor of the above named debtor in the amount of $  being for Creditor(Subsection 231(1) of the Act)Orderly Payment of Debts(Title of Court and style of cause as in Form 5)To NOTICE OF ADDITIONAL CREDITORTAKE NOTICE that claims that he is entitled to be added to the register as a creditor of the above named debtor in the sum of $  being for AND FURTHER take notice that unless an objection to this claim is filed with the Clerk, within twenty days from the date hereof, the creditor will be added to the register and be entitled to judgment for that amount.DATED this day of 20Clerk of the Court(Section 232 of the Act)Orderly Payment of Debts(Title of Court and style of cause as in Form 5)AFFIDAVITI, , of , in the Province of , make (oath or solemn affirmation) and say that:I am a registered creditor of the debtor named in Consolidation Order No dated the day of , 20, and filed in this honourable Court.I now elect to rely on the security I hold for my claim against the said debtor.The security consists of and to the best of my knowledge and belief has a value of $ .I make this affidavit in full knowledge of the fact that I am required to make full disclosure to the clerk of the court of any proceeds realized from the disposal of this security and to pay into court any proceeds in excess of my claim against the debtor.(Sworn or affirmed) before me at , in the Province of , this day of 20Debtor(Subsections 233(3) and (5) of the Act)ORDERLY PAYMENT OF DEBTS(Title of Court and style of cause as in Form 5)To (Creditors)NOTICE OF DEFAULTTAKE NOTICE that as debtor is in default over 90 days on payment under Consolidation Order No dated the day of , 20, you are entitled to proceed forthwith, independently of all other creditors and without reference to the Court, for enforcement of your claim under the Consolidation Order.DATED this day of 20Clerk of the Court(Subsection 234(1) of the Act)Orderly Payment of Debts(Title of Court and style of cause as in Form 5)APPLICATION FOR FURTHER EXAMINATION OF DEBTORTAKE NOTICE that I hereby apply for a further examination and hearing (of the Debtor) in respect of (his/my) financial circumstances.DATED this day of 20(Creditor or Debtor)(Subsection 234(3) of the Act)Orderly Payment of Debts(Title of Court and style of cause as in Form 5)To NOTICE OF FURTHER EXAMINATION(Delete line that does not applyTAKE NOTICE that (Creditor or Debtor) has applied for a further examination and hearing of the debtor in respect of his financial circumstances.(For Creditor)You may appear(For Debtor)You are therefore required to appear before the clerk of the Court on the day of , 20 in the courthouse at at which time this further examination will be held.DATED this day of 20Clerk of the Court[Repealed, SOR/92-578, s. 8][Repealed, SOR/89-158, s. 12]SOR/89-158, ss. 11, 12; SOR/92-578, s. 8; 1992, c. 27, s. 90; SOR/2005-168, ss. 11 to 13, 14(F), 15 to 17, 18(F), 19 to 38, 41; SOR/2015-85, s. 4(F)(Section 26)Bankruptcy and Insolvency Act — Part XThe Court of of (Centre or District)Cash BookDate 20Consolidation Order No.Name of DebtorParticulars (state if receipt or disbursement, etc.)Receipt No.✔Amount ReceivedBankCheque No.✔DrCr.
The Court of In re Consolidation Order No.(Name of Debtor) of (District or Centre)Consolidation AccountDate 20Amount ReceivedAmount DistributedOther Payments (fees, costs, postage, etc.)Balance on handDisbursements to Creditors12345678910ParticularsEntry%%%%%%%%%%
The Court of of (District or Centre)RegisterAffidavit No.Date 20PropertyName of Debtor DescriptionValueEncumbrancesAddress AmountNatureOccupation Name of Employer Monthly Living Expenses — Per Affidavit of DebtorAddress Total ExpensesName of Debtor’s Spouse or Common-law Partner Amendments$Address DateDetails$Name of Spouse’s or Common-law Partner’s Employer $Address $
CreditorsNoNameAddressRelationshipAmountNature of Security HeldDate of Notification of ClaimDate of Receipts of ObjectionsDate Parties Notified of ObjectionsRate (%) of Payment to Creditor1(state if no objections received to original disposition of claims)2345678910
IncomeIncome of Deponent, $ Source Income of Spouse or Common-law Partner, $ Source Total Income $ per (State per week or month)DEPENDANTSNameRelationshipExtend of DependencyCourt Fees Paid (including Costs of Hearings, if any)Date 20Amount ReceivedTotal
DispositionDate of EntryAmount of PaymentTimes of PaymentDate of First PaymentPeriod of Time for Payment of ClaimsName of Party Requesting HearingBy Whom Order Amended1. (First Entry)(or, here state if present circumstances of debtor do not warrant the immediate settling of amounts and times of payment by debtor)XX2. (Date Order Amended or Varied)(Here state if original order confirmed or set aside or terms of amendment)3
1992, c. 27, s. 90; SOR/2005-168, ss. 38, 39(E), 40(F), 41