Form 2.29	Receiver’s affidavit and account
Court Procedures Rules 2006
(see r 771 (Receiver—accounts))
In the Supreme Court of the Australian Capital Territory

No SC		of (year)

(name)
Plaintiff

(name)
Defendant

On (date), I, (name of receiver) of (home or business address or place of employment), *[say on oath/solemnly affirm]—
1.	My account dated (date) annexed to this affidavit and marked ‘A’ contains a true account of all amounts received by me for my use on account for the period stated in the account.
2.	The amounts stated in the account as paid or allowed have actually 	been paid or allowed for the respective purposes stated in the account.
3.	I believe the account is an accurate record of the accounts for the period stated in the account.

*[Sworn/Affirmed] by (name of receiver): 
(signature of receiver)
at (place) in the presence of: 
(signature of person before whom affidavit is made) 
(full name of person before whom affidavit is made) of (address)
*[Justice of the Peace/Barrister/Solicitor/(other)]
Note	If the affidavit is longer than a page, the person making the affidavit and the person taking the affidavit must sign or initial each page of the affidavit (see r 6715 (1) (Affidavit—taking of)).
*omit if, or whichever is, inapplicable

		The  account of (name of receiver), the receiver appointed *[by/under a direction of] the Court in this proceeding, from                                              to                                             .	

Part 1—Real estate
Receipts
item 	date 
when received	tenant’s name	description of premises	annual rent	arrears owing at	amount owing at	amount received	amount remaining owing	observations	
		(for example)		$	$	$	$	$		
1		John Jones	Home Farm, Tharwa							
2		Thomas Jones	House at Tharwa							

Payments and allowances 
item 	date of payment 
or allowance	names of people to whom paid or allowed	for what purpose paid or allowed	amount	
		(for example)		$	
1		Sun Fire Office		1 year’s insurance of, due			
2		Thomas Carpenter		bill for repairs at house let to Thomas Jones		
3			income	
total payments			

Part 2—Personal estate

Receipts 	Payments and allowances	
item 	date when received	names of people from whom received	on what account received	amount received	item number	date when paid or allowed	names of people to whom paid or allowed	for what purpose paid or allowed	amount paid or allowed	
				$					$	

Summary
Part 1—Real estate		$	$	
Amount of balance owing from receiver on last account					
Amount of receipts					
Balance of last account paid into court		$			
Amount of payments and allowances					
Amount of receiver’s costs of passing this account in relation to real estate					
Balance owing from the receiver		$			
				
Part 2—Personal estate		$	$	
Amount of balance owing from receiver on last account					
Amount of receipts					
				
Balance of last account paid into court					
Amount of payments and allowances					
Amount of receiver’s costs of passing this account in relation to personal estate					
Balance owing from the receiver			$		

*omit if, or whichever is, inapplicable