FORM 72E

AFFIDAVIT OF INITIAL INVENTORY

THE KING'S BENCH

Centre

[Title of Proceeding]

AFFIDAVIT OF INITIAL INVENTORY

I, [name of committee] , of the of in the Province of Manitoba, [occupation] , make oath and say:

1.	I am the committee of property of the Respondent, being so appointed by the order of [name of judge] made on [date] in this proceeding.

2.	Attached and marked Exhibit "A" to this affidavit is a true inventory of the whole of the property of the Respondent, setting out the assets, liabilities and income of the property, so far as they are known to me.

3.	This initial inventory is as of [date] .

SWORN before me, at the	)

of in the Province of	)	Committee

Manitoba, this day , 19 :	)

[signature] ,	)

a in	)

and for the Province of Manitoba.	)

APPROVED:

Date:

Associate Judge