What You Need To Start Form

The information collected here will be added to the Government Paperwork, and used in the Application for Insolvency therefore the information provided by you must be 100% accurate, as it forms part of the declaration that will be signed by you as being true and correct in a court of law.

APPLICATION TO BECOME BANKRUPT Bankruptcy Act 1966 Section 55(2)
The information you are required to provide on this form is collected under, and for the purposes of, the Bankruptcy Act 1966 or related legislation.
AUSSIE DEBT RELIEF has a privacy policy that provides information regarding the collection, storage, use and disclosure of personal information, the information collected here is solely, specifically and only used it the application process.

Title -Mr/Mrs/Ms-

Given names include all names that you use now-DP

Surname that you use now-DP

If you have used Other Names in the past 10 years
Place the name you used in the last three years in the 3 fields below
Title Mr/Mrs/Ms

Given names include all names_2-DP

Surname_2-DP

If you have used Other Names in the past 10 years
Place the name you used in the last three years in the 3 fields below
Title Mr/Mrs/MS-DP

Given names include all names_3-DP

Surname 3-DP

Primary Contact number include area code
Contact number include area code-DP

If Working Primary Contact number include area code
Work number include area code-DP

Primary Mobile Contact number
Mobile number-DP

Your current Email address
Email address

Your current place of residence
Address

Postcode

Your Current occupation

Your Date of birth DDMMYYYY

To be eligible to present this petition you must have a relevant Australian connection.
Select the statement that describes your connection to Australia
I am personally present in Australia or ordinarily resident in AustraliaI have a dwelling-house or place of business in AustraliaI or my firm/partnership is carrying on a business in Australia

I am presenting this debtor's petition to become bankrupt:
against a business partnership of which I am a partneras an individual debtorjointly with another person and we are not in a business partnership

Note: When applying for bankruptcy your petition will not be accepted if you do not provide appropriate proof of identity details below. Identification required when submitting bankruptcy that can prove your ID your Licence and or Medicare Card separately below in the boxes
Type of identification e.g Licence/Medicare

Name on document that you will use to identify you e.g Licence

Licence number

Type of ID eg Medicare Card

Name exactly as its printed on the Medicare Card

Numbers on the card, include all numbers

If the name on your ID above is different to the name in the contact details at the very beginning of this page, please explain why

Reason the debtor required your assistance enter "Completion and Compliance"

Full name and address of the assisting person-We will add this information

Date DDMMYYYY-DP

Date DDMMYYYY-PI

Your Message

What You Need To Start Form

What You Need To Start Form

The information collected here will be added to the Government Paperwork, and used in the Application for Insolvency therefore the information provided by you must be 100% accurate, as it forms part of the declaration that will be signed by you as being true and correct in a court of law.

Like this:

Tax Debt What Can I Do

Drowning In Credit Card Debt!

What You Need To Start Form

What You Need To Start Form

The information collected here will be added to the Government Paperwork, and used in the Application for Insolvency therefore the information provided by you must be 100% accurate, as it forms part of the declaration that will be signed by you as being true and correct in a court of law.

Share this:

Like this: