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Your Bankruptcy

    This information will prefill the legal documentation required to lodge Bankruptcy.
    Some questions are compulsory.
    No all question will have an answer.
    Where you notice requesting information you have added and doing a gain it is because the application is two forms, one being the Debtor's Partition and the other Statement of Affairs.
    This is a legal document and all answers must be accurate.
    It will take about 20 mins to fill, please have all your creditors (people you owe money to) on hand as accounts details need to be lodged so your accounts will be wiped.

    STATEMENT OF AFFAIRS.
    FILL IN THE FIELDS THAT APPLY TO YOUR SITUATION AND ONCE YOU HAVE COMPLETED AND CLICK THE SUBMIT BUTTON IF YOU HAVE MISSED A QUESTION SCROLL UP TO FIND THE ERROR.






    Part A
    Section 1
    Statement of Affairs relates to you and details required on the form when submitting the application.






    NoYes
    Name and Address of some know that does not live with you, this is required if you cannot be contacted for some reason.








    NoYes







    NoYes






    NoYes


    NoYes




    SECTION 2 ACCOUNTANT

    NoYes







    SECTION 3 SOLICITOR Go to Section 4 if you dont have a Solicitor.

    NoYes







    SECTION 4
    ABOUT YOUR FAMILY SITUATION

    NoYes



    NoYes




    NoYes





























    SECTION 5
    Child Support if not Go to SECTION 6

    No_11Yes_11


    Click Here If YOU PAY SUPPORT/MAINTAINANCE





    Click Here if YOU RECEIVE SUPPORT/MAINTENANCE





    SECTION 6
    FAMILY LAW FINANCIAL PROCEEDINGS if no GO TO SECTION 7

    NoYes



    No_13Yes_13


    NoYes
    SECTION 7
    LEGAL ACTION if non GO TO SECTION 8

    NoYes













    SECTION 8 in not GO TO SECTION 9

    NoYes

    SECTION 9
    SUMMARY OF YOUR INCOME IN THE LAST (PAST)12 MONTHS MUST BE FILLED IN.





















    SECTION 10 SUMMARY OF YOUR EXPECTED INCOME IN THE NEXT 12 MONTHS.
    MUST BE FILLED IN.



















    SECTION 11 EMPLOYMENT STATUS
    MUST BE COMPLETED.

    NoYes



    SECTION 12 CURRENT EMPLOYMENT if NOT GO TO SECTION 13








    NoYes








    NoYes





















    SECTION 13 PRIVATE HEALTH INSURANCE

    NoYes


    NoYes

    SECTION 14 SALARY SACRIFICE if none GO TO SECTION 15

    SECTION 15 SUPERANNUATION BENEFITS if NONE GO TO 16

    NoYes







    SECTION 16 OTHER BENEFITS if NONE GO TO SECTION 17

    No_23Yes_23












    SECTION 17 MOTOR VEHICLE BENEFITS.

    NoYes










    SECTION 18 ABOUT YOUR INSOLVENCY

    Adverse legal actionDomestic discord or relationship breakdownsEconomic conditions affecting industry, including competition, credit restrictions, fall in prices or increases in costsExcessive drawings including failure to provide for taxationExcessive interest payments on loan monies and capital losses on repaymentsExcessive use of credit facilities including losses on repossessions, high interest payments and pressure sellingFailure to keep proper books of account and costing recordsGambling or speculationGambling, speculation & extravagance in livingIll health or absence of health insuranceInability to collect debts due to disputes, faulty work or bad debtsLack of business ability including underquoting or failure to assess potential of businessLack of sufficient working capitalLiabilities due to guaranteesOther reason not listedSeasonal conditions including floods and droughtUnemployment or loss of income




    AFSAAFSA pamphletsAFSA websiteAccountantDebt agreement consultant/administratorFinancial counsellorOtherRegistered trusteeSolicitor


    NoYes









    SECTION 19 ABOUT YOU.
    ALL QUESTIONS TO BE ANSWERED

    FemaleMale



    MissMrMrsMsOther_2







    NoYes


    NoYes






    NoYes





    NoYes


    SECTION 20 OCCUPATION.

    SECTION 21 BUSINESS if NO GO TO SECTION 22.

    NoYes

    SECTION 22 CASH.


    PART C-YOUR ASSETS-PUBLIC
    SECTION 23
    BANKS/BUILDING SOCIETIES/CREDIT UNIONS/OTHER FINANCIAL INSTITUTIONS.
    List all accounts held(include joint and overdrawn accounts) with any of the above types of institutions within the last 12 months (NOTE: PRESENTLY OVERDRAWN ACCOUNTS SHOULD ALSO BE INCLUDED AS CREDITOR AT Q40)





















    SECTION 24 TAX REFUND.

    NoYes






    SECTION 25 TOOLS OF THE TRADE.

    NoYes



    SECTION 26 SUPERANNUATION AND LIFE INSURANCE POLICIES.
    LIST ALL SUPERANNUATION FUNDS AND INSURANCE POLICIES.


    NoYes



    LifeSuper



    NoYes



    Life_2Super_2



    NoYes



    Life_3Super_3


    NoYes




    NoYes




    NoYes

    SECTION 27 VEHICLES.

    NoYes
















    SECTION 28 REAL ESTATE
    IF MORE THAN ONE PROPERTY THIS PAGE IS TO BE COPIED CONTACT YOUR DEBT CONSULTANT.

    No Go to Q 29Yes please give details


    NoYes











    NoYes






    No_46Yes_46


    NoYes


    NoYes


    NoYes





    No_50Yes_50




    NoYes


    SECTION 29 SHARES.

    NoYes













    SECTION 30 INVESTMENTS.

    NoYes










    SECTION 31 MONEY OWED TO YOU.

    NoYes

















    SECTION 32 DECEASED ESTATE.

    NoYes









    SECTION 33 SALE, TRANSFER OR GIFT ASSETS IN THE LAST 5 YEARS.

    NoYes



















    SECTION 34 ASSETS YOU OWN WHICH ARE IN SOMEBODY ELSE'S POSSESSION.

    NoYes







    SECTION 35 ASSETS YOU CONTRIBUTED TOWARDS OR HELPED PURCHASE.

    No_58Yes_58







    SECTION 36 ASSETS/MONEY PAID TO CREDITORS

    NoYes









    SECTION 37 OTHER ITEMS OF VALUE.

    NoYes





    NoYes





    NoYes





    NoYes





    NoYes





    NoYes





    NoYes





    NoYes





    NoYes

    PART D - YOUR LIABILITIES-PUBLIC.
    LIST YOUR SECURED CREDITORS. (CREDITORS NOT SECURED SHOULD BE LISTED AT Q40)

    A SECURED CREDITOR IS S CREDITOR WHO CAN REPOSSESS OR SELL YOUR ASSET/S IF YOU FALL BEHIND WITH YOUR PAYMENTS.
    FOR EXAMPLE, A MORTGAGE OVER YOUR HOUSE, A HIRE PURCHASE/LEASE AGREEMENT OVER YOUR VEHICLE, A CHATTEL MORTGAGE OR A BILL OF SALE OVER YOUR BUSINESS ASSETS.

    RELATED CREDITORS- IF YOU ARE UNSURE WHETHER A CREDITOR IS RELATED, PLEASE REFER TO THE INFORMATION SHEET ACCOMPANY THIS FORM BEFORE ANSWERING THIS QUESTION.
    RELATED CREDITORS MUST BE DISCLOSED BY SELECTING YES OR NO.










    NoYes


    NoYes


    NoYes


    NoYes











    NoYes


    NoYes


    NoYes


    NoYes











    NoYes


    NoYes


    NoYes


    NoYes

    SECTION 39 EQUITY LOAN.

    NoYes




    SECTION 40 UNSECURED CREDITORS.
    AN UNSECURED CREDITIOR IS A CREDITOR WHO DOES NOT HOLD SECURITY






    NoYes


    NoYes







    NoYes


    NoYes







    NoYes


    NoYes







    NoYes


    NoYes







    No_90Yes_90


    NoYes







    NoYes


    NoYes







    NoYes


    NoYes







    NoYes


    NoYe







    NoYes


    NoYes







    NoYes


    NoYes


    Note: certain creditors can continue recovery action during bankruptcy and you may not be released from debts such as child support, maintenance and debts incurred by fraud

    PART E-BUSINESS DETAILS-PUBLIC
    SECTION 41 SOLE TRADER/PARTNERSHIP.


    No Go to Q43Yes, please give details 2




    NoYes


    AccrualCash


    NoYes






    NoYes



    NoYes



    NoYes














    NoYes

















    No - you must answer Q42 before moving on to Q43Yes - go to Q43

    SECTION 42 SOLE/PARTNERSHIP=OPERATING OR CEASED IN PAST 6 MONTHS.

    NoYes


    No_109Yes_109


    NoYes






    NoYes










    SECTION 43 COMPANIES.

    No Go to Q 44Yes please give details_2








    Yes



    Yes



    No_112Yes_112




    NoYes


    NoYes






    No_115Yes_115










    No_116Yes_116












    SECTION 44 TRUSTS.

    NoYes




    DiscretionaryOther_3Unit




    No_118Yes_118








    NoYes






    NoYes








    No_121Yes_121

















    DECLARATION
    Note: S267(2) of the Bankruptcy Act provides that a person must not make a declaration that the person knows to be false. Penalty: Imprisonment for 12 months.
    I declare that the particulars set out in this statement are correct.

    If you received assistance completing this form, the person providing the assistance should sign the statement below.

    I declare that before this form was completed, I carefully read to/interpreted for the person named above the that the person had read and understood the information and questions. The responses provided in this form are those of the person named above. Reason the debtor required your assistance.
    THIS DATE FIELD TO BE FILLED ONCE THE DOCUMENT IS TO BE SUBMITTED COMPLETELY YOUR BANKRUPTCY.
    ALONG WITH THE STATUTORY DECLARATION SIGNATURE BY THE APPLICANT.




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