day of

per cent. per annum from the

19...; that no part of said debt has been paid (except

that there are no set-offs or counter-claims to the same, (except

that the said city of ..

...);

.);

has not nor has any person by its order or to the knowledge or belief of deponent, for its use, had or received any manner of security for said debt whatever; that no note has been received for said claim nor any part thereof nor any judgment rendered thereon, except as aforesaid.

I hereby give you notice that the foregoing claim against

is a claim entitled to priority and you will please take notice that I appear as attorney for the claimant herein, and that you are required to serve all papers in this matter in any way affecting the above claim upon the undersigned at the Bureau for Collection of Arrears of Personal Taxes at

street, city of

Yours, etc.,

Corporation Counsel.

Cross-reference.- See § 64, Vol. II, ante, subtitle "Taxes."

Form No. 208

PROOF OF PRIORITY CLAIM FOR WAGES

(Hagar and Alexander's Bankruptcy Forms [2d Ed.], No. 152.)

wages as a the

the person by (or against) whom a petition for adjudication of bankruptcy has been filed, was at and before the filing of said petition, and still is, justly and truly indebted to said deponent in the sum of dollars; that the consideration of said debt is as follows: ... of said bankrupt earned from 19..., to the .... day of 19..., and within three months prior to filing of the petition herein and for which deponent claims priority of payment under section 64-b (4) of the Bankruptcy Act. That no part of said debt has been paid (except

..... day of

.);

that there are no set-offs or counter-claims to the same (except......

.) and that deponent has not, nor has any person

by his order, or to his knowledge or belief, for his use, had or received. any manner of security for said debt whatever; that said debt is one existing in open account and ..... .. due on the .... day of 19..., and no note has been received for such account, nor any judgment rendered thereon.

Creditor.

Subscribed and sworn to before me this day of

A. D. 19...

[Official character.]

Cross-references.- See § 57, Vol. II, ante. Also General Orders XXI.

Form No. 209

PROOF OF DEBT BY TRUSTEE IN BANKRUPTCY

(Hagar and Alexander's Bankruptcy Forms [2d Ed.], No. 153.)

under the laws of the State of
business in the city of
State of

19...

day of

.); that on or about the

a petition of involuntary bankruptcy was in the office of the Clerk of the ... district of

filed against said .. United States District Court for the .... ...; that thereafter such proceedings were had on the was duly adjudged a 19...; that at a

said petition that the said ..

day of

bankrupt on the
meeting of creditors of the said bankrupt, held at the office of

...

.., Referee in Bankruptcy, on the ...... day of .... 19..., deponent was duly appointed trustee of the estate of the above named bankrupt and required to file a bond in the penalty of....... .......; thereafter deponent duly qualified by filing a bond in the

penalty required; that said bond was approved by the said referee and deponent has continued to act and is now acting as such trustee in bankruptcy; that ...

against whom (or which) a petition for adjudication in bankruptcy has been filed, was at or before the filing of the said petition, and still is, justly and truly indebted to said deponent in the sum of $........; that the consideration of said debt is as follows:

that a statement of the said account is hereto annexed; that no part of said debt has been paid; that there are no set-offs or counter-claims to the same; that deponent has not, nor has any person by his order or to his knowledge or belief, for his use, had or received any manner of security for said debt whatever; that no note has been received for the said debt, nor has any judgment been rendered thereon.

county, the receipt whereof is hereby acknowledged do hereby sell, assign and convey to said ....

all my right, interest

a bank

and title in and to a certain claim against rupt, together with the right to collect and receive a dividend in bankruptcy or a payment in composition upon said claim, which said claim is for the amount of .... ($..........) for

Said claim has been duly proved in the proceed

ings in bankruptcy in re security is held for said claim.

No.

; and no

I hereby waive the ten days notice provided in General Orders Rule XXI, as well as any notice required by the local rules of the Bankruptcy Court for the district of ....

In witness whereof I have hereunto set my hand and seal this

day of

(Seal)

Personally appeared before me the above named

to me personally known and made oath that the above statements by him subscribed are true to the best of his knowledge and belief.

Notary Public.

Form No. 211

ACKNOWLEDGMENT TO LETTER OF ATTORNEY BY MEMBER OF PARTNERSHIP

(Hagar and Alexander's Bankruptcy Forms [2d Ed.], No. 156.)

STATE OF.
County of..

On the

came

day of ..

SS.:

19... before me personally to me known and known to me to be one of the persons described in and who executed the foregoing instrument and who duly acknowledged that he executed the same, and who being by me duly sworn, did depose and say that he is a member of said partnership and is duly authorized to execute same on behalf of his said firm.

[Official character.]

Cross-references.- See General Order XXI. Also Forms No. 20 and 21. Must state that deponent was known to officer or identified. Matter of Saslaw (D. C., Ohio), 47 Am. B. R. 243, 275 Fed. 587.

Form No. 212

ACKNOWLEDGMENT TO LETTER OF ATTORNEY BY CORPORATION

(Hagar and Alexander's Bankruptcy Forms [2d Ed.], No. 157.)

of the

in the year 19..., before to me known, who being by

....

; the corpo

me duly sworn, did depose and say that he resided in that he is the ration described in and which executed the above instrument; that he knew the seal of said corporation; that the seal affixed to said