Cap. 6:07 No. 7/2018 1:-JSOLYENCY Should you fail to comply with this dcmand,this does not preclude you from opposing an application for the liquidation of your estate. If you deny indebtedness wholly or in part, you should contact the creditor without delay. SIGNArURE: .............................................................................................................. . NAME OF CREDITOR: ............................................................................................. .. (PRINT) DATE: .......................................................................................................................... . CAPACITY: ................................................................................................................. . (IF NOT CREDITOR PERSONALLY) ADDRESS: ................................................................................................................. . TEL. No: ...................................................................................................................... . PERSON YOU MAY CONTACT IF NOT CREDITOR PERSONALLY: NAME: ......................................................................................................................... . ADDRESS: .................................................................................................................. . If debt obtained by cession or otherwise: I Date of cession or other act i Name I Original creditor I ~ Cessi onari es I I I 337