Circuit Court Forms

FORM 53B

GENERAL PROXY

[Title as in Form No. 53A]

I/We, .... of ... a creditor [or member] hereby appoint [Note 1] ... to be my/our general proxy to vote at the meeting of creditors [or members] to be held in the above matter on the ... day of ..., 20 ... or at any adjournment thereof.

Dated

(Signed) [Note 2]

NOTES: 

[Note 1] The person appointed general proxy may be the Examiner or such other person (not being a child) as the creditor [or member] may appoint.

[Note 2] If a firm, sign the firm’s trading name and add "by A.B. a partner in the said firm." If the appointor is a corporation, the form of proxy must be under its common seal or under the hand of some officer duly authorised in that behalf and the fact that the officer is so authorised must be so stated.

[Note 3] The proxy form when signed must be lodged with the Examiner no later than 4.00 in the afternoon of the day before the meeting at the address stated for that purpose in the notice convening the meeting at which it is to be used.

[Note 4] For rules on the conduct of meetings, see Order 53A, rule 17 of the Circuit Court Rules.