10. Other TOTAL 108,001.00 105,000.00 0.00 LIABILITIES Liabilities type code 1. Real Property or Immovable Mortgage or 5. Credit Cards Other Issuers (LTC): Hypothec 6. Taxes Federal/Provincial/Municipal 2. Bank Loans (except real property mortgage) 7. Student Loans 3. Finance Company Loans 8. Loans from Individuals 4. Credit Cards Bank/Trust Companies Issuers 9. Other Amount of Debt Address including Account Enter Creditor postal code No. LTC Unsecured Secured Preferred ABC Soup Supplier 3,000.00 0.00 0.00 9 American Express c/o DRN Commerce 40,000.00 0.00 0.00 4 Inc. P.O. Box 2514, Station B London ON N6A 4G9 Bank of Nova Scotia c/o 5,000.00 0.00 0.00 2 P.O. Box 57100 Toronto ON M8Y 3Y2 Bank of Nova Scotia c/o 5,000.00 0.00 0.00 2 P.O. Box 57100 Toronto ON M8Y 3Y2 Canada Revenue London Tax Services GST 10,000.00 5,000.00 0.00 6 Agency Office Attn: Collections P.O. Box 5548, Division 451 Talbot Street London ON N6A 4R3 Capital One P.O. Box 2514 Station 15,000.00 0.00 0.00 5 Inc. Attn: B, London, ON C/O DNR Commerce Inc EI 3,000.00 0.00 0.00 9
10. Other TOTAL 108,001.00 105,000.00 0.00 LIABILITIES Liabilities type code (LTC): 1. Real Property or Immovable Mortgage or Hypothec 2. Bank Loans (except real property mortgage) 3. Finance Company Loans 4. Credit Cards Bank/Trust Companies Issuers 5. Credit Cards Other Issuers 6. Taxes Federal/Provincial/Municipal 7. Student Loans 8. Loans from Individuals 9. Other Creditor Address including postal code Account No. Amount of Debt Enter LTC Unsecured Secured Preferred ABC Soup Supplier 3,000.00 0.00 0.00 9 American Express c/o DRN Commerce Inc. P.O. Box 2514, Station B London ON N6A 4G9 40,000.00 0.00 0.00 4 Bank of Nova Scotia c/o P.O. Box 57100 Toronto ON M8Y 3Y2 5,000.00 0.00 0.00 2 Bank of Nova Scotia c/o P.O. Box 57100 Toronto ON M8Y 3Y2 5,000.00 0.00 0.00 2 Canada Revenue Agency Attn: Collections Division London Tax Services Office P.O. Box 5548, 451 Talbot Street London ON N6A 4R3 GST 10,000.00 5,000.00 0.00 6 Capital One Inc. Attn: C/O DNR Commerce Inc P.O. Box 2514 Station B, London, ON 15,000.00 0.00 0.00 5 EI 3,000.00 0.00 0.00 9
file_Summary_Administration_Revised_February_2013.docx