Form 12	Notice of appointment of provisional liquidator
Court Procedures Rules 2006
(see sch 6 r 6.2 (Notice of appointment of provisional liquidator))
In the Supreme Court of the Australian Capital Territory

No SC		of (year) 
In the matter of (name of company to which proceeding relates)
*[ABN/ACN]: (ABN or ACN of company to which proceeding relates)

On (date), in proceeding No SC (insert number) of (year), heard by the Supreme Court, I was appointed as the provisional liquidator of the company.

Date:
Name and address of provisional liquidator: (name and address).

*omit if, or whichever is, inapplicable