Form 35—Certificate of Assignment (br02175)

For persons to which the 2009 amendments apply

(Paragraph 50.4(8)(b.1) of the Act)

District of:

Division N^o.:

Court N^o.:

Estate N^o.:

In the Matter of the Bankruptcy of:

Debtor

Licensed Insolvency Trustee

Administration

Date and time of bankruptcy: ,

Date of trustee appointment:

Meeting of creditors:

Chair:

Security:

Designated person:

I, the undersigned, official receiver in and for this bankruptcy district, do hereby certify that:

a notice of intention in respect of the aforenamed debtor was filed under section 50.4 of the Bankruptcy and Insolvency Act;
the debtor has failed to file a cash-flow statement or a proposal within the provided period following the filing of the notice of intention or within any Court-granted extension and 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