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Online Bankruptcy Form


The interface below once completed will fill both forms Debtors Partition and Statement of Affairs required to become bankrupt in PDF document and we will send it to you.

  • Not every question will be relevant to your personal situation.

  • Where a question is required and not answered the interface will redirect you to the question and it must be answered.

  • Or you can call us and we can advise what needs to be done.

 

If its overwhelming and stressful we can lodge the complex paperwork for you (80 pages) however we will apply an administration fee.

Don’t waist your money and time, get a fresh start, what are you waiting for!!

 

 

DEBTOR’S PETITION (APPLICATION TO BECOME BANKRUPT) Bankruptcy Act 1966 Section 55(2) The information you add is part of the official information the AFSA requires.

DEBTOR’S PETITION (APPLICATION TO BECOME BANKRUPT) Bankruptcy Act 1966 Section 55(2) The information you add is part of the official information the AFSA requires.

This ONLINE Bankruptcy interface has a number of questions the Government requires for you to become bankrupt, questions with the HIGHLIGHTED asterisk red * are required fields, not all questions will be relevant to your situation.
PLEASE READ EACH QUESTION CAREFULLY AS YOU ARE REQUIRED BY LAW TO ANSWER QUESTIONS TRUTHFULLY.

YOU CAN START YOUR FORM AND SAVE IT AND COME BACK AT ANOTHER TIME TO COMPLETE.
WE CAN ASSIST YOU ALSO IF YOU HAVE ANY QUESTIONS.
Create a login and save your password it allows you to save and come back and complete your form.

Create Password
Confirm Password
YOUR CURRENT NAME.
SURNAME YOU USE NOW.
Title.
USE THIS FIELD IF YOU HAVE USED ANOTHER NAME IN THE LAST 10 YEARS OTHERWISE LEAVE BLANK.
Other surname names used in the last 10 years
Given Names.
Other surname used in last 10 years.
Phone Number land line..
Phone number include area code.
Mobile number.
Valid email address
Current residential address.
Your occupation or if not working note unemployed.
Date of birth (DD/MM/YYYY)
Select one that applies to you. must select one.
Select the one that applies to you, must select one.
A: Type of identification
Include all numbers.
Reason the debtor required your assistance
Your signature this will be signed once documents are sent to you , if you have electronic signature sign.
Given name/s (include all names)
Your surname
Include area code
Include area code.
Your email address.
This is used if you are not able to be contacted
Given name/s (include all names)
Surname.
Mother,brother or friend.
If YES please give details.
Number of passports.
1st Passport Number and expiry dd/mm/yyyy
1st Passport country of issue.
2nd Passport Number and expiry dd/mm/yyyy
2nd Passport country of issue
If YES please give details.
Number on your licence.
DD/MM/YYYY
Drop down select.
Optional
Optional.
Optional.
Optional.
If yes please give detail.
Address.
Post Code.
If YES please give details.
Address.
Post Code.
If YES please give details.
Name.
Relationship to you.
dd/mm/yyyy
If applicable $
Name
Relationship to you.
dd/mm/yyyy
If applicable $
Name.
Relationship to you.
dd/mm/yyyy
If applicable $
Name.
Relationship to you.
dd/mm/yyyy
If applicable $
Name.
Relationship to you.
dd/mm/yyyy
$
Name.
Relationship to you.
dd/mm/yyyy
$
Name.
Relationship to you.
dd/mm/yyyy
If applicable $
Please give details and provide acopy of the assessment or order
Persons name.
$
weekly/fortnightly or monthly.
Persons name.
$
Weekly/fortnightly or monthly.
If YES Please provide a copy of the agreement ororder
dd/mm/yyyy
If YES Please provide a copy of the application. Donot include proceedings for custody of children
If YES Please provide a copy of the agreement ororder
Name
Name.
Name
Plaint Number on document.
Name.
Name.
Name
Plaint number on court document.
Name.
Name.
Name.
Plaint number on Court document.
If YES Provide a copy of the order.
Add Below
If Pension or Centrelink Name of Government Benefit.
Provide details of your income (before tax) over the past 12 months.
Name of your SELF EMPLOYED BUSINESS
Provide details of your income (before tax) over the past 12 months.
Name of your business.
Provide details of your income (before tax) over the past 12 months.
Your income (before tax) over the past 12 months.
Provide details of your income (before tax) over the past 12 months.
Fund Name
Provide details of your income (before tax) over the past 12 months.
Received from Company name.
Provide details of your income (before tax) over the past 12 months.
Received from:
Amount given from estate or trust $
Name of Investments/shares/trust/interest.
Provide details of your income (before tax) over the past 12 months.
Name.
Amount $ received.
Name of income source
Provide details of your income (before tax) over the past 12 months.
Value of total income received.You must provide evidence of your income to your trustee (eg payslips, tax returns, statements) on the anniversaryof your bankruptcy and when your income changes
Payment type example- Newstart. Pension
$ Amount expected in the next 12 months.
Name of your business.
$ details of your income (before tax) that you expect to receive in the next 12 months.If you are not sure, please estimate.
Name of your business
$ details of your income (before tax) that you expect to receive in the next 12 months.If you are not sure, please estimate.
Name of your employer.
Your expected income from your employer in the next 12 months.
Name of Fund.
Provide details of your income (before tax) over the next 12 months.
Name
Provide details of your income (before tax) over the next 12 months.
Name
$ Provide details of your income (before tax) over the next 12 months.
:Name of investments (eg dividends, interest, trusts) Received from:
Income from investments (eg dividends, interest, trusts) $ Provide details of your income (before tax) over the next 12 months.
Name of bank or company.
Provide details of your income (before tax) over the next 12 months.
Name
$ Provide details of your income (before tax) over the next 12 months.
$ Value of total income received.You must provide evidence of your income to your trustee (eg payslips, tax returns, statements) on the anniversaryof your bankruptcy and when your income changes
NAME OF YOUR CURRENT EMPLOYER.
Address
What are you employed as.
Industry you work in.
week/fortnight/monthly
Hours worked per week.
Are you related in any way to your employer. If you are unsure whether your employer is related, please refer to the instructions in the front of this booklet beforeanswering this question.
NAME OF YOUR EMPLOYER -JOB2
Address
Name.
Industry you work in.
Week/fortnight/monthly
Hours worked per week.
Are you related in any way to your employer. If you are unsure whether your employer is related, please refer to the instructions in the front of the AFSA booklet beforeanswering this question.
GROSS $ FIGURE IN NEXT BOX BELOW.
GROSS PER PAY PERIOD-WEEKLY FORTNIGHTLY OR MONTH
DOLLAR FIGURE IN NEXT BOX BELOW
$
$
$
$
$
$
UPLOAD CURRENT PAYSLIPS AS SUPPORTING DOCUMENTATION AT THE END OF THE PAGE.
DOLLAR FIGURE IN NEXT BOX BELOW
$
FIGURE IN BOXS BELOW
$
$
$
$
$
$
UPLOAD CURRENT PAYSLIP AS SUPPORTING DOCUMENTATION AT THE END OF THE PAGE
Do you have private patient hospital cover?
Is your salary now or at any time in the last 2 years subject to a SALARY SACRIFICE arrangement ( that is, you have given up cash wages for another type of non-cash benefit)
Provide detail of salary sacrifice.
Does any party make a superannuation contribution for you?
Name and the address of the person/company making super payments
Name of Super Fund
Amount Paid per week.
Name and the address of the person/company making super payments
Name of Super Fund. #2
$
Do you, or any member of your family, receive or expect to receive any benefit from any other person or entity? (include rent, low interest loans, payment of your expenses or children's education)interest loans, payment of your expenses or children’s education)
Name.
$
$
$
$
Who owns the vehicle you are using.
dd/mm/yyyy
Toyota,Holden,Ford ect.
Corolla, Berlina, Focus ect.
Year made.
$
Days
kms.
Non-business related
Only select if you have/had a business.
mm/yyyy
Have you been bankrupt before.
Document number.
yyyy
Number.
yyyy
Number.
yyyy
Number.
yyyy
Gender
DD/MM/YYYY
Surname.
First and middle names.
Name.
Address.
Number.
Address.
Number.
Address.
Number.
Address you lived at before address 1.
Number.
dd/mm/yyyy
Job Name.
This figure is to be added to what you have in the Q23 Savings account below, should include all cash on your person ( wallet/purse).
List all accounts held (include joint and overdrawn accounts) with any of the above types of institutions within thelast 12 months. (Note: presently overdrawn accounts should also be included as creditors at Q40)
Suburb.
Number/Name
$
List all accounts held (include joint and overdrawn accounts) with any of the above types of institutions within thelast 12 months. (Note: presently overdrawn accounts should also be included as creditors at Q40)
Suburb.
Number/name.
$
List all accounts held (include joint and overdrawn accounts) with any of the above types of institutions within thelast 12 months. (Note: presently overdrawn accounts should also be included as creditors at Q40)
Suburb.
Number/name.
$
List all accounts held (include joint and overdrawn accounts) with any of the above types of institutions within thelast 12 months. (Note: presently overdrawn accounts should also be included as creditors at Q40)
Name or Online.
Number/Type
$
30 June YYYY
$
30 June yyyy
$
$
Name of fund
$
List all superannuation funds and life insurance policies
$
Name.
Amount $
dd/mm/yyyy
$
dd/mm/yyyy
$
Car,boat,caravan,trailer,motorbike,jetboats.
Holden, Toyota, Mazda ect.
Corolla,Berlina, Focus ect.
Year of Manufacture
Rego plate number.
$
$
Car,boat,caravan,trailer,motorbikes,jetboats.
Holden, Toyota, Mazda ect.
Corolla, Berlina, Focus ect.
Year of Manufacture.
Rego plate number.
$
$
House/Unit.
When was the building constructed.
Number.
Number.
Address.
dd/mm/yyyy
$
$
$
Name.
Address.
Name
Address.
Below rent, who collects rent.
$
Name.
Name.
Below.
Name of real estate.
Address.
Date below
dd/mm/yyyy
Do you own, or are you entitled to any shares, options, rights, convertible notes or other securities?
Name and address of company
Number.
Number.
dd/mm/yyyy
$
If restrictions apply put 'R' here.
Name and address of company
Number.
Number.
dd/mm/yyyy
Note: Do any of the above shares have any restrictions on their sale? (Eg certain types of employee shares cannot be sold for a specified period) If there are any sal restrictions, please write 'R' in below.
Name.
Number.
Shareholder number the identification of shares.
dd/mm/yyyy
$
If restricted shares write 'R' here.
Do you have any managed investments, insurance bonds, debentures orother investments?
Name.
dd/mm/yyyy
$
Name.
dd/mm/yyyy
$
Name.
dd/mm/yyyy
$
Do you have any debts owed to you? (include loans to friends and relatives and to family trusts or private companies; do not include child support arrears)
Name and address.
dd/mm/yyyy
$
$
Name/address.
dd/mm/yyyy
$
$
Name/address.
dd/mm/yyyy
$
$
Do you have an interest in a deceased estate? Provide a copy of the will or letters from the executor
Name.
dd/mm/yyyy
Name/address.
$
Name.
dd/mm/yyyy
Name/address.
$
Have you sold, transferred or given away any assets worth more than $1000 in the last 5 years? Provide a copy of the receipt or settlement statement
Description.
Name.
dd/mm/yyyy
$
$
$
Description.
Name.
dd/mm/yyyy
$
$
$
Description.
Name.
dd/mm/yyyy
$
$
$
Do you own any assets which are not currently in your possession?
Description.
$
Name/address.
Description.
$
Name/address.
Have you contributed or otherwise assisted in the purchase or improvement of any asset valued over $1000 which is held by someone else?
Description.
Name/address.
$
Description.
Name/address.
$
As a result of pressure for payment from creditors have you, in the last 12 months, paid a total amount of more than $1000 over and above your normal repayments or surrendered any assets to a creditor?
dd/mm/yyyy
Name.
$
Name.
dd/mm/yyyy
Name.
$
Name.
Other than your general household furniture,
Description.
Description.
Description.
Description.
Description.
Location.
Location.
Location.
Location.
Location.
$
$
$
$
$
Description.
Name.
Name.
Location.
Location.
Location.
Please attach a list if you have more assets
$
$
Name
Creditor's postal address.
Account or loan number.
Total amount owing to this creditor ($).
Mortgage or personal loan.
dd/mm/yyyy
Description.
Location address.
$ this value should match the value stated in Q27 VEHICLES- Estimated resale value ($)
Related creditors - If you are unsure whether a creditor is related, please refer to the information sheetaccompanying this form before answering this question. Related creditors must be disclosed by selecting Yes or No.
Name of your creditor.List your secured creditors. (Creditors who are not secured should be listed at Q40)
Postal address.
Account/loan number.
$
Mortgage or personal loan.
dd/mm/yyyy
Description
Location address.
$
Related creditors - If you are unsure whether a creditor is related, please refer to the information sheetaccompanying this form before answering this question. Related creditors must be disclosed by selecting Yes or No.
Name of your creditor.List your secured creditors. (Creditors who are not secured should be listed at Q40)
Postal address.
Account/Loan number.
$
Mortgage , loan.
dd/mm/yyyy
Description.
Location address.
$
Related creditors - If you are unsure whether a creditor is related, please refer to the information sheetaccompanying this form before answering this question. Related creditors must be disclosed by selecting Yes or No.
Have you used any equity or made any additional loan withdrawals againstany of the above secured property in the last 12 months?
dd/mm/yyyy
Amount
If you have more than 10 creditors please email us as we will need to add a supplementary sheet.
Bank or person you owe money to.Creditors name and address.
Loan, Credit card, ect
Account number.
mm/yyyy
$
Bank or person you owe money to.Creditors name and address.
Credit card, loan ect.
Account number.
mm/yyyy
Dollar value owed.
Bank or person you owe money to.Creditors name and address.
Loan, Card
Account number.
mm/yyyy
$
Related to you.
Bank or person you owe money to.Creditors name and address.
Credit Card, personal loan.
Account number.
mm/yyyy
$
Related to you?
Bank or person you owe money to.Creditors name and address.
Credit card, loan ect
Account number.
mm/yyyy
$
Are you related.
Bank or person you owe money to.Creditors name and address.
Credit card, loan ect.
Account Number.
mm/yyyy
$
Related to you.
Bank or person you owe money to.Creditors name and address.
Credit card, loan, ect
Account number.
mm/yyyy
$
Related to you.
Bank or person you owe money to.Creditors name and address.
Credit card, loan, ect
Account number.
mm/yyyy
$
Are you related.
Bank or person you owe money to.Creditors name and address.
Credit card, loan, ect.
Account number .
mm/yyyy:
$
Are you related.
Bank or person you owe money to.Creditors name and address.
Credit card, loan, ect.
Account number .
mm/yyyy.
$
Are you relate.
Note: certain creditors can continue recovery action during bankruptcy and you may not be released from debts suchas child support, maintenance and debts incurred by fraud.
Have you been in business as a sole trader or in partnership at any time in the last 5 years.
Name.
Address of business.
Number below
Number
Name.
Name.
Name/Address.
Copy will be sent as supporting documentation.
dd/mm/yyyy
dd/mm/yyyy
Add detail below.
Names
dd/mm/yyyy
Name.
$
Names
dd/mm/yyyy
Name.
$
Names.
dd/mm/yyyy
Name.
$
$
Address where asset is located.
$
Address where the asset is located.
$
Address where the asset is located.
$
Address where the asset is located.
$
Address where the asset is located.
$
Location.
$
Address
Discription.
Is any stock on consignment or subject to retention of title?
Name
Name.
From.
End date.
Name.
Name
$
Name
Number.
Address.
Name
Number including area code if land line
Attach copies of the last avaliable statements
If you have operated more than one company please copy this section, complete and attach.
Name.
Number.
Address.
Name.
Name.
Name of trust.
date resigned
date resigned
Name.
Address.
Description.
$
Description.
$
Number.
dd/mm/yyyy
Name/Address.
$
Number.
dd/mm/yyyy
Name/Address.
$
Description.
dd/mm/yyyy
$
$
Description.
dd/mm/yyyy
$
$
Name of person/company.
Number.
Attach a copy of the last available statements this will be a seperate document.
If you have been involved in more than one trust please copy this section, complete and attach.
Name.
Name.
Name.
Address.
Description.
$
Description.
$
Description.
$
Description.
$
Description.
$
Number.
dd/mm/yyyy
$
Number.
dd/mm/yyyy
$
Description.
dd/mm/yyyy
$
$
Description.
dd/mm/yyyy
$
$
Description.
dd/mm/yyyy
$
$
Name.
Number.
Address.
Attach a copy of the last available financial statements
Bankrupters Signature.
Date
Reason the debtor required your assistance
Name/Address.
Assisting person signature.
dd/mm/yyyy
Drop a file here or click to uploadChoose File
Maximum upload size: 516MB

Online interface allows you to enter the relevant details and fills out the AFSA form that can be printed out reviewed and signed.

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