Notice of bankruptcy and first meeting of creditors
Transcription
Notice of bankruptcy and first meeting of creditors
IJRJCEWATERHOUSECWPE Pricer aterhouseCoopers Inc. 1250 Rene-Levesque Boulevard West Suite 2800 Montreal, Quebec Canada H3B 2G4 Telephone +1 (514) 205 5000 Direct Fax +1 (514) 205 5694 Province of QUEBEC District of Quebec Division N°: 01-Montreal Court N°: 500-11-040684-116 Estate N°: 41-342859 SUPERIOR COURT "Commercial Division" IN THE MATTER OF THE BANKRUPTCY OF: LUMIERE VFX INC., a body duly incorporated according to law, having its principal place of business at 1250 ReneLevesque Blvd West, Suite 2500, in the City of Montreal, District of Montreal, Province of Quebec, H3B 3Y1. DEBTOR - and PRICEWATERHOUSECOOPERS INC. TRUSTEE NOTICE OF BANKRUPTCY AND FIRST MEETING OF CREDITORS (Subsection 102(1) of the Act) Take notice that: 1. A bankruptcy order was made against Lumiere VFX Inc. on the 17`h day of May 2011, and the undersigned, PricewaterhouseCoopers Inc. Christian Bourque, CA, CIRP), was appointed as trustee of the estate of the bankrupt by the Court, subject to affirmation by the creditors of the trustee's appointment or substitution of another trustee by the creditors. 2. The first meeting of creditors of the bankrupt will be held on June 7, 2011 at 2: 00 P.M. at the office o the superintendant of bankruptcy, at 5 Place Ville-Marie, gth Floor, Montreal, Quebec. To be entitled to vote at the meeting, a creditor must lodge with the trustee, before the meeting, a proof of claim and, where necessary, a proxy. 4. Enclosed with this notice is a proof of claim form, proxy form and list of creditors with claims amounting to $25 or more showing the amounts of their claims. 5. Creditors must prove their claims against the estate of the bankrupt in order to share in any distribution of the proceeds realized from the estate. Dated at Montreal, this 25`h day of May 2011. PRICE WATERHOUSECOOPERS INC. TRUSTEE Christian Bourque, CA, CIRP Trustee in charge of the estate FRANCAIS AU DOS BSF 25105 2011 10:41 TLC 418 648 4120 ae of th+e Superintendent ankruplcy Canada Bureau du surintenciant des faillites Canada Un drganisme d'Industria Canada An Agenc y of Industry Gnr1ad;i Division a PWHC MTL RLEVESQ District of QUEBEC No. 01 - Montreal Court No. 50a-11-040684-116 Estate No. 41-342859 In the Matter of the Bankruptcy of; LUMIERE VFX INC. Debtor PRICEWATERHOUSECQOPERS INC. Trustee ORDINARY ADMINISTRATION Security: $0 Date of Bankruptcy: (May 16, 2,011 Meeting of Creditors; June 7, 2011, 14:00 Salle # 3 5, Place Ville Marie, Montreal, QUEBEC Chair: Trustee Be stage Designated Person: Justin Ackerman CERTIFICATE OF FILING OF A BANKRUPTCY ORDER Section 43 I, the undersigned, official Receiver in and for this bankruptcy district, do hereby certify, that: - the aforenared trustee, filed for my endorsement, a bankruptcy order appointing the trustee under section 43(9) of the Bankruptcy and Insolvency Act, Trustee of the Estate of the aforenamed Debtor; - provisions for the avoidance of certain settlements and preferences where applicable, begin before the initial bankruptcy event date and end on the date of bankruptcy, both dates included. The designated person is required: to perform all duties imposed upon a bankrupt by the Bankruptcy and Insolvency Act and in particular, attend the first meeting of creditors and upon request appear before the Official Receiver for examination. The said trustee is required; - to serve upon the designated person, a copy of the bankruptcy order bearing the Official Receiver's endorsement and where applicable a notice of,examination; - 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: May 25, 2011 ROLEX HORA Official Receiver e Ville Marie, Be stage, Montreal, QUEBEC, H3B 2G2, B77/376-9902 Canada PAGE 2151 RCVD AT 51251201110,42.03 AM [Eastern Daylight Time] I SVR,CATORONTSF10I2 * DNIS.37201 CSID:418 648 4120 *DURATION (mm.ss):01.52 002 01 District de: - Quebec original No division: Montreal No cour: 500-11-040684-116 No dossier: 41-342859 modifie -- FORMULAIRE 78 -Bilan - faillite d'entreprise deposee par une entice (paragraphe 49(2), alinea 158d) et paragraphes 50(2) et 62(1) de la Loi) Dans I'affaire de la faillite de LUMIERE VFX INC., corporation legalement constituee,ayant sa principale place d'affaires au 2500-1250 Rene- Levesque Ouest dans la ville de Montreal, district de Montreal, dans la province de Quebec H3B 4Y1 Au failli : Vous etes tenu de remplir avec soin et exactitude le present formulaire at les annexes applicables indiquant la situation de vos affaires a la date de votre faillite le 17 mai 2011. Use fois rempli, ce formulaire et les listes annexees, constituent votre bilan, qui doit etre verife sous serment ou par use declaration solennelle. PASSIF (tel que declare et estime par fofficier) 1. Creanciers non garantis: voir liste A ........ . ........ ACTIF (tel que declare et estime par toff icier) 2,728,041.54 Equilibre de reclamations garantis: voir liste "B"........ 0.00 Creanciers non garantis total. . ., ... ................ 2,728,041.54 2. Creanciers garantis: voir liste B ..................... 3. Creanciers privilegies: voir liste C ................... Total du passif ........................... . ...... 2,728,087.54 ...... ........... .......... NIL 0.00 0.00 0.00 Bonnes .................. 44.00 0.00 ................... 3. Comptes a recevoir et autres creances: voir liste E 2.00 4. Dettes eventuelles, reclamations de fiducie ou autres (voir liste D)pouvant titre reclamees pour one somme de... Surplus. . .... 1.Inventaire .............. 2. Amenagements ................................. . Douteuses ................ 0.00 Mauvaises ................ 0.00 Estimation des creances qui peuvent titre realisees 0.00 4.Lettres de change, billets a ordre, etc., voir liste F , ..... 0.00 5. Depots an institutions financieres . . ....... ......... 0.00 6.Especes ....................................... 0.70- 7. Retail .......................................... 8. Machines, outillage et installation ...... 0.00 ........ 300,000.00 9. Immeubles at biens reels : voir liste G ................ 0.00 10.Ameublement .......................... . . ...... 70,000.00 11.REER, FERR, Assurances -vie etc ..... . ............ 0.00 12.Valeurs mobilieres(actions, obligations, debentures etc. 0.00 13.Droits en vertu de testaments . ........ . ........... 0.00 14.Vehicules .................. . ....... ...... 0.00 15.Autres biens : voir liste H .... ..................... 0.00 Si le failli est une personne morale, ajoutez : Montant du capital souscrit ........ 0.00 Montant du capital paye .......... 0.00 Solde souscrit et impaye ...................... 0.00 Estimation du solde qui pent titre realise .......... 0.00 Total de tachf ........ . ......... 370,000.00 Deficit ....................... . 2,358,087.54 Je, Laurence Berkani, de Montreal en , etant dOment assermente (ou ayant declare solennellement) declare que le bilan qui suit et les listes annexees sont, a ma connaissance, un releve complet, veridique et entier de mes affaires en ce 17 mai 2011, et indiquent au complet tous mes biens de quelque nature qu'ils soient, en ma possession et reversibles, tels que definis par la Loi. ASSERMENTE (ou declare solennellement) devant moi le 17 mai 2011, a Montreal en la province de Quebec. Laurence Berkani Page 1 LUMIERE VFX INC. Faillite Lisle des creanciers Type de., ' Noon creancier, Garami Adrasse Attention ' Global Royal Bank of Canada Non-garanti AGENCE DU REVENU DU CANADA Attn: RECOUVREMENT 2424 S.E Bristol Shed, Suite 280, Newport Beach CA 92660 USA 0.00 180 Wellington Street West, 5th Boor, Toronto ON M5J IJ I 0.1X1 305. howl. Rend-Ldvesque Ouest. Montreal QC H2Z IA6 1.W AIG 2000, an McGill College, Montreal QC H3A 3H3 Air Tromc Climatisation Inc. 6575 Lafrenaie, St- Leonard QC HIP 2B6 1,794.71 Bell Canada Case Postale 8712 Succ Centre-Ville, Montreal QC H3C 3P6 Bureau du circa' na et de Is television du Quebec 204, rue du St-Sacrement Bureau 500, Montreal QC H2Y I W8 261,35 1,693.13 1.00 DNA Research 10 Amon Rd. #16-16 UNT 6569 International Plaza, Singapore 079903 Eco-Logixx 9839 Bout. Metropolitan rest, Anjou QC HIJ OA4 388.64 Federal Express Canada Lid PO Box 4626 Station A, Toronto ON MSW 5B4 1,388.73 Global Vantage Ltd 43,382.62 2424 S.E Bristol Street, Suite 280, Newport Beach CA 92660 USA 19,826.00 1221 Brickell Avenue, Miami FL 33131 USA 48,834.50 Heenan Blaikie LLP 1250 Bout Rend-Levesque 0, Bureau 2500, Montreal QC H3B 4YI 68,821.93 Images et technologie 1751, rue Richardson, Montreal QC H3K 1G6 Iron Mountain P.O. Box 3527 Station A, Toronto ON M5W 3G4 Grcettherg Traurig - Lyreco Ministere du Revenu du Quebec Privillgie $'Reciarnatian Centre de perception fiscale 100 4,515.00 7303 Warden Avenue, suite 200, Markham ON L3R 5Y6 I.(l0 Secleur des faillites R23CPF, 1600, bout. Rend-Levesque Ouest, 3e dlag, Montreal QC H3H 2V2 1.00 Nexweb Solutions Internet 1751 Richardson bur 4102, Montreal QC H3K IG6 ON . fA. U. LIMITED Pioneer Productions International Limited Recup Glohe Kugler Kandestin, L.L.P.. I Place Ville Marie - Suite 2101, Montreal QC H3B 2C6 Fasken Martineau DuMoulin LLP, Sleek Exchange Tower,Suite 3700,800 Place Victoria, Montreal QC H4Z IE9 637 an 7e. Lachme QC H8S 2Z9 Reliance Protwron 8481 Langelier, Montreal QC HIP 2C3 Ricoh Canada 2925 Cole De Liesse, Montreal QC H4N 2X I 620.81 1,00 102,700.00 LW 863.50 1.00 Rocket EOeet Inc. 10513 Holman Avenue, Los Angeles CA 90024 USA 1,439.02 Rogers Servomax CPI 1442, Montreal QC H3C 512 1,191.49 Seven Group Data Management Company Inc. 1790 Beaulac, St-Lauram QC H4R IW8 101-3738 North Fraser Way. Burnaby BC V5J 5G7 1.839.86 Shotgun Software Inc. 7415 Hollywood Blvd., Los Angeles CA 90046 USA 1,738.51 Side Etlects Sofware 123 Front at. West Suite 1401. Toronto ON M51 2M2 SSQ Gro ape Financier CP 10500 Sure Saint-Foy, Quebec QC G I V 4816 Sticky Media 1050 rue du Pacifnque, Lachine QC H8S 2R2 671.62 1,207.50 11,581.13 1.00 Top Gun Courtier Inc. 781, Rue William, Montreal QC H3C 1N8 I.nO UPS CP #11086 SUCC. Centre-ville, Montreal QC H3C 5C6 234 William Bret St. Clair 1080 N. Hill St., Pasadena CA 91104 USA 17,092.08 WSBG s.e.nc.r.l 1155 bowl. rend-levesque O. Bureau 2010, Montreal QC H3B 218 11,880.04 Alexandre Lambert 1043 rue lambert, Shawinigan QC G9N 401 I.00 Bntma Hoeller Pueblo Film Group Zahringerplalz 11. Zurich. 11800-1 Suisse 1.00 Carolina Reyes 1724 rue Grand Trunk, Montreal QC H3K IL9 1.00 Christina Servos 1214 rue La Prairie, Montreal QC H3K 2V8 LIDO Christine Leclerc Daniel HernasdcL Marchanl 64 rue St-Paul Ouest apt 201, Montreal QC H2Y IY8 1.00 1.00 2895 Avenue de Repenligny #6, Montreal QC H I N 2Y8 Daniel Rhein 1613 Alexandre de Sbve, MoNn:al QC H2L 2V8 1.00 David Lalonde 2963 du Versant #3. Ste-Marthe-sur-le-Lac QC JON 1110 LOO David Larochelle 6502 rue De la Roche, Montreal QC H2S 2E3 I.00 Dominic Dauphin 393 rue de la monarde, St-Amable QC JOL I NO 1,00 Dominic Guil,nene 12 rue des Colibris, St-Basile-le-Grand QC J3N I PS I.IX) Donoia Kowalska 5889 Ave. de L'Esplanade, Mottrdal QC H2T 3A2 1.1X) Emmanuel Dumont 5239 we De Bordeaux, Montreal QC H2H 2A6 1.00 Fausto'l urcolte 7470 rue Elisde-Martel apt 1, Montreal QC H IE 6M7 1.00 Francis Provenchcr 20 rue Lamarche, Delson QC J5B 1 A4 1.00 Irene Smirnova 3755 ave. Des Cerisiers, Brossard QC J4Z 3W7 1.00 Isaac Reyes 1724 rue Grand Trunk Montreal QC H3K tL9 1.00 Jeevan DhaMndra 2425 D'Orleans apt.#4, Monlydal QC HIW 3S3 I tOt Jonathan PicluSDelorme 4294 rue Fullum, Montreal QC H2H 215 LO0 Justin Ackerman 2525 Main Street Suite 206, Santa Monica CA 9(405 USA I(XI Justin ladle 14 Gresse Street, London England Keith Koldor 111 Beaumont, Montreal QC H2S 112 L00 Kevin Seivewrigla 7261 rue Ouimel. Montreal QC H4H 215 1.110 Laurence iferkami I I I Beaumont, Montreal QC H2S 1)2 I.00 Le No ccekx - 9143-7459 Quebec Inc. 1751 Richardson hue 1000, Montreal QC H3K IG6 1.(q Ludwic Lbart 27 rue des Sorbier, St-Basile-le-Gram) QC J3N 1G I I.W Majorique Archamhaull 3590 rue St-Antoine apt 301, Lachine QC H8T 3K2 1.00 Marc-Antoine. Paquin 1484 rue Cldmenceau, Montreal QC H4H 2R 1 1.00 Margarita Meza 4229 Brebeuf, Montreal QC H2J 3K6 1.00 Marianne Marchand 3219 rang 3, Ste-Helene d; Chester QC GOP I HO LW Marie-Eve Baron 2342 Ave. Des Enables, Montreal QC H2K 3V3 1.00 Mark Visser 1344 rue Momcalm, Montreal QC H2L 3G7 1.00 Markus Barmetlier Greenberg Traurig Law Office Dufour str 1, Zurich . 08(708 Suisse 1.00 Marlene Chazot 4071 Papiiman, Montreal QC H2K 4K2 1.00 Martha Aguilar 4035 rue Clark apt 202, Montreal QC H2W 1 W9 1.00 Maxine Garneau 4305 rue Monsabre, Montreal QC HIM 2P7 1.00 Mikadl Daman!-Sirois 751 rue Richard Montreal QC H4H 2A5 1.00 LOO Peter Rogers Tideway Wharf, 153 Mortlake High street. Flat 4, London. England LOO Sd7aslicn Ldpine 1100 rue Gorlel apt 211, Montreal QC H4R 2C6 1.00 Sirran Freres 5219 Garnier, Montreal QC H2J 3f3 1.00 Sophie Codaire 6342 Avenue De Gaspe, Montreal QC H2S 2X7 1.00 Sophie Xu D-6-2102 Fulictieug, Guangqu nemuwai Dajie, Beijing 100022 china 1.00 Steve Hardy 28 86e Avenue. Montreal QC H IA 2K I 3850 Rue Alien, Verdun QC H4G 3C8 1.00 Xiao Jun Yan 1.00 1C? 1, 4TERHOUsECWPERS PROOF OF CLAIM (see reverse for instructions) IN THE MATTER OF THE BANKRUPTCY OF LUMIERE VFX INC. (referred to in this form as "the debtor") and the claim of (referred to in this form as "the creditor"). All notices or correspondence regarding this claim to be forwarded to the creditor at the following address: (Name of creditor) Telephone : Fax Email address.1, residing in the city of (name of person signing claim) (name of city, town etc.) in the Province of , do hereby certify that: 0 (name ofcity, town etc.) If an officer of the company, state position or title. q [am the creditor or q [ am 1 of the creditor (state position or title) 2. 1 have knowledge of all the circumstances connected with the claim referred to below. The attached statement of account or affidavit must specify the vouchers or other evidence in support of the claim. 3. The debtor was, at the date of bankruptcy, namely the 17th day of May 2011 and still is, indebted to the creditor in the sum of $ , as specified in the statement of account (or affidavit) attached hereto and marked Schedule "A", after deducting any counterclaims to which the debtor is entitled. Check and complete appropriate category. Other than as a customer contemplated by Section 262 of the Act 4. A Check appropriate description. Set out an attached sheet details to support priority claim. q Unsecured claim of $ In respect to the said debt, the creditor does not hold any assets of the debtor as security and (i) q Regarding the amount of $ , does not claim a right to a priority or q Regarding the amount of $ , claims a right to a priority under section 136 of the Bankruptcy and Insolvency Act (the "Act"). (ii) Give full particulars of the claim, including the calculations upon which the claim is based. B q Claim of lessor for disclaimer of a lease of $ [ hereby make a claim under subsection 65,2(4) of the Act, particulars of which are as follows: Give full particulars of the security, including the date on which the security was given and the value at which you assess the security, and attach a copy of the security documents. C q Secured claim of $ In respect of this debt, I hold assets of the debtor valued at $ as security, particulars of which are as follows: Attach a copy of sales agreement and delivery receipts. D q Claim by farmer, fisherman, or aquaculturist of $ I hereby claim under subsection 81.2(1) of the Act for the unpaid amount of $ Give full particulars of any wage eraner's claim, including the calculations upon which the claim is based. E q (i) Claim by wage earner of $ q I hereby claim under subsection 81.3(8) of the Act in the amount of $ or q 1 hereby claim under subsection 81.4(8) of the Act in the amount of $ Give full particulars of any employee's claim, including the calculations upon which the^claim is based. F (ii) q (i) (ii) Claim by employee for unpaid amount regarding pension plan of $ q 1 hereby claim under subsection 81.5 of the Act in the amount of $ or q 1 hereby claim under subsection 81.6 of the Act in the amount of $ To be completed when a proposal provides for the compromise of claims against directors. Give full particulars of the claim, including the calculations upon which the claim is based. G Give full particulars of the claim, including the calculations upon which the claim is based, H CI Claim against director of $ I hereby make a claim under subsection 50(13) of the Act, particulars of which are as follows: q Claim of a customer of a bankrupt securities firm of $ I hereby make a claim as a customer for net equity as contemplated by section 262 of the Act, particulars of which are as follows: Strike out "is" or "is not" 5. To the best of my knowledge, the creditor is/is not related to the debtor within the meaning of section 4 of the Act, and has/has not dealt with the debtor in a non-arm's-length manner. Provide details of payments, credits and transfers at undervalue. 6. The following are the payments that the creditor has received from, the credits that I have allowed to, and the transfers at undervalue within the meaning of subsection 2(l) of the Act that I have been privy to ar a party to with the debtor within the three months (or, if the creditor and the debtor are related within the meaning of section 4 of the Actor were not dealing with each other at arm's length, within the 12 months) immediately before the date of the initial bankruptcy event within the meaning of section 2(1) of the Act: Applicable only in the case of the bankruptcy of an individual 7, q 1 request that a copy of the report filed by the trustee regarding the bankrupt's application for discharge pursuant to subsection 170(1) of the Act be sent to the above address. Dated at , this day of , 20 Must be signed and witnessed Witness (signature of individual completing this form) Notes: All references to "the Act" refer to the Bankruptcy and Insolvency Act. If an affidavit or solemn declaration is attached, it must have been made before a person qualified to take affidavits or solemn declarations. 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 if the document. Warning: A trustee may, pursuant to subsection 128(3) of the Act, redeem a security on payment to the secured creditor of the debt or the value of the security as assessed, in a proof of security, by the secured creditor. Subsection 201(1) of the Act provides severe penalties for making any false claim, proof, declaration or statement of account. If there are any questions in completing the proof of claim, please write or call the office of the trustee. PRICEWATERHOUSECOOPERS INC. 1250, Blvd Rend-Ldvesque West, Suite 2800 Montreal (Quebec) H3B 2G4 Telephone : (514) 205-5000 - Fax : (514) 205-5694 GENERAL PROXY (with power of substitution) I, , of , a creditor in the above matter, (name of cttditor) (name of town or city) hereby appoint , of , to be my proxy holder in the above matter, except as to the receipt of dividends, with (or without) power to appoint another proxy holder in his or her place. Dated at , this day of 20 Name of creditor (print Per: waness signature (2) Instructions for completing proof of claim forms Every creditor who does not prove his claim is not entitled to share in any distribution, Claims not completed correctly in every respect will be returned. In completing the attached form, your attention is directed to the marginal notes on the form and to the following requirements: Proof of Claim: The form must be completed and signed by an individual and not by a corporation. If you are acting for a corporation or other person, you must state the capacity in which you are acting, such as, "Credit Manager", "Treasurer", "Authorized Agent", etc. 1 The person signing the form must have knowledge of the circumstances connected with the clai The debtor's name and date of the bankruptcy must be filled in and a Statement of Account containing details of the claim must be attached and marked "A" The date at which claims are to be calculated and the correct name of the debtor may be found on the Notice sent to the creditor, 4. The nature of the claim must be indicated by ticking the type of claim which applies, e.g.Ticking A Ticking A(i) Ticking A(ii) indicates the claim is unsecured and indicates that the creditor is not claiming any priority or indicates the creditor is claiming preferred status under section 136 of the Act. Details to support the priority claim must be set out on an attached schedule. Ticking B indicates a claim of landlord for disclaimer of a lease under subsection 65.2(4) of the Act. Details to support this claim must be set out on an attached schedule. Ticking C indicates the claim is secured and the value at which the creditor assesses the security must be inserted. Details of each item of security held should be attached as a separate schedule and submitted with a copy of the chattel mortgage, conditional sales contract, security agreement, etc. Ticking D indicates that the creditor is a farmer, fisherman or aquaculturist who supplied goods within 15 days prior to the date of receivership or bankruptcy and has not yet been paid for those goods. Ticking E indicating that the creditor is a former employee of the debtor. Ticking E(i) The claim of a clerk, servant, travelling salesperson, labourer or worker who is owed wages, salaries, commissions or compensation by a bankrupt for services rendered during the period beginning on the day that is six months before the date of the initial bankruptcy event and ending on the date of the bankruptcy is secured, as of the date of the bankruptcy, to the extent of $2,000 - less any amount paid for those services by the trustee or by a receiver - by security on the bankrupt's current assets on the date of the bankruptcy. Ticking E(ii) The claim of a clerk, servant, travelling salesperson, labourer or worker who is owed wages, salaries, commissions or compensation by a person who is subject to a receivership for services rendered during the six months before the first day on which there was a receiver in relation to the person is secured, as of that day, to the extent of $2,000 - less any amount paid for those services by a receiver or trustee - by security on the person's current assets that are in the possession or under the control of the receiver. Ticking F indicates the claim by employee for unpaid amount regarding pension plan under subsection 81.5 and 81.6 of the Act. Details to support this claim must be set out on an attached schedule. Ticking G indicates the claim is against a director under subsection 50(13) of the Act. It is applicable only in the case of a proposal which provides for the compromise of claims against directors. Details to support this claim must be set out on an attached schedule. Ticking H (applies only to bankruptcies of security firms) indicating that the creditor is a customer of the bankrupt securities firm. 5. The person signing the form must indicate (by striking out "is" or "is not") whether the creditor and the debtor are related, Section 4 of the Act defines persons related to a debtor. If the creditor is related by blood or marriage to the debtor, the creditor should consider itself to be a related person. If the debtor is a corporation, a creditor would be related if it was a shareholder or if the creditor was controlled by the same shareholders as the debtor. 6. The person signing the form must provide full details of all payments and credits received from or allowed to the debtor during the period indicated. Leaving a blank will indicate that there were no such payments and credits. 7. In the case of the bankruptcy of an individual, tick one or more of the three boxes in No. 7 as appropriate. 8. The person signing the form must insert the place and date and the signature must be witnessed. General Proxy: If it is desired to appoint a proxy, the proxy form must be completed and signed by the creditor; if the creditor is a corporation, the proxy form must be signed in the corporate name (not necessarily by the individual signing the proof of claim form) and the proxy must be witnessed. (3)