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R-2.2, r. 1 - Regulation respecting the application of the Act respecting the collection of certain debts
Schedule
Disposition versions
FORM N-40
(s. 43)
ACQUITTANCE
(Regulation respecting the application of the Act respecting the collection of certain debts (chapter R-2.2, r. 1, s. 43)
______________________________
(number of holder’s permit)
Date: ______________________________
(date of the acquittance)
___________________________________
(name of permit holder)
___________________________________
(address of permit holder)
___________________________________
(name of debtor)
___________________________________
(address of debtor)
___________________________________
(name of creditor of debt to be collected)
___________________________________
(amount of debt to be collected)
In consideration of the payment in the amount of $__________ made on ________________________, we hereby give to __________(name of debtor)__________, his heirs, successors and those claiming under him, a complete and final acquittance in the amount of $__________ which we had a mandate to collect for the creditor against the said debtor.
