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Affidavit verifying list of creditors
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............... of the said company. 2. The writing now produced and shown to me and marked with the letter 'A' contains a list of the creditors of, and persons having claims upon, the said company on the ............... day of ............... 19 ........, (the date fixed by the order made in this matter dated ............... ) together with their respective addresses and the nature and amount of the....