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THIS COMPONENT IS PRIVATE AND CONFIDENTIAL ALL QUESTIONS ARE REQUIRED TO BE ANSWERED.
THE INFORMATION GATHERED HERE IS ADDED TO THE PAPERWORK TO BE SUBMITTED AS PART OF YOUR INSOLVENCY.
*FAMILY LAW FINANCIAL PROCEEDINGS.
*ANY LEGAL ACTION AGAINST YOU OR COURT CASES YOU ARE INVOLVED IN.
*SUMMARY OF PREVIOUS 12 MONTHS INCOME
*SUMMARY OF YOUR NEXT 12 MONTHS INCOME
*ALL YES/NO QUESTIONS MUST BE ANSWERED

**You must provide evidence of your income to your trustee (eg payslips, tax returns, statements) on the anniversary of your bankruptcy and when your income changes.
**Where Court Orders have been served a copy of the orders must be submitted with application as supporting documents.
**Copies of summons, writ or other legal documents must be provided with the application.


No_12Yes_12



No_13Yes_13


No_14Yes_14


No_15Yes_15
















No_16Yes_16

Provide details of your income (before tax) over the past 12 months.






















Provide details of your income (before tax) that you expect to receive in the next 12 months. If you are not sure, please estimate.






















No_17Yes_17




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