From on or about ________ until on or about _____________,in
the_______District of____, JOHN DOE and JANE DOE, defendants herein,
individually and as officers and agents of Bust Out Company ------, debtor,
Bankruptcy Case No. __________ and in contemplation of the filing of
bankruptcy
proceedings by [against] said company, knowingly and fraudulently and with
intent
to defeat the provisions of Title 11, transferred to, and wilfully aided and
abetted in the transfer to, themselves property belonging to the estate of
the
debtor, specifically, cash and clothing: by causing to be ordered and
received
large amounts of men's clothing; by paying for only a small portion of the
clothing ordered; by causing to be sold and by secreting all but a small
portion
of the clothing ordered and received; and by keeping for themselves a large
amount of the clothing and cash proceeds from the sale of the clothing,
thereby
causing a loss of assets to the debtor of cash and clothing, and by
concealing
the existence of the cash and clothing from the trustee, creditors and other
officers of the court.