Source: https://aussiedebtrelief.com.au/your-bankruptcy/
Timestamp: 2019-02-21 15:30:03
Document Index: 468713918

Matched Legal Cases: ['arty 4', 'arty 5', 'arty 6', 'arty 7', 'arty 8', 'arty 9', 'arty 10']

Your Bankruptcy - AUSSIE DEBT RELIEF
AUSSIE DEBT RELIEF
HELPING STRUGGLING AUSSIES WITH DEBT - Free Call 1300 861 455
8 Things About Debt You Need to Know.
Bankruptcy Q&A facts
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.
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.
Additional notes can be added here
Statement of Affairs relates to you and details required on the form when submitting the application.
Email address_2
Do you prefer to receive correspondence by email where possible
Name and Address of some know that does not live with you, this is required if you cannot be contacted for some reason.
Given names of person that does not live with you
Surname of person that does not live with you
Do you have any passports
Passport number #1 expiry date
Passport number #1 Country of issue
Passport number #2 expiry date
Passport number #2 Country of issue
Do you have a current drivers licence
State of issue in Australia
Are you of Aboriginal or Torres Strait Islander origin optional
Were you born overseas optional
Which country optional
What languages do you speak at home optional
SECTION 2 ACCOUNTANT
Do you have an accountant
Firm name_Accountant
Contact person Accountant
Accountant Postcode
SECTION 3 SOLICITOR Go to Section 4 if you dont have a Solicitor.
Do you have a solicitor
Firm name Solicitor
Contact person Solicitor
Phone number Solicitor
ABOUT YOUR FAMILY SITUATION
Do you have a spousepartner
If yes Your spouse/partner's full name
Do you live with your spousepartner
What is your spouse/partner's separate gross income $ per year
or What is your spouse/partner's separate gross income $ per week
Do you have any dependants residing with you
Child Support if not Go to SECTION 6
In the next 12 months, do you expect to receive any financial support under the Child Support Act or the Family Law Act?
No_11 Yes_11
I pay child support/mainenance
Click Here If YOU PAY SUPPORT/MAINTAINANCE
Amount $ paid
Frequency paid
I receive child support/maintenance
Click Here if YOU RECEIVE SUPPORT/MAINTENANCE
Amount $ received
Frequency received
FAMILY LAW FINANCIAL PROCEEDINGS if no GO TO SECTION 7
Have you been a party to a family law property
Are you currently involved in any family law property or spousal maintenance proceedings
No_13 Yes_13
Are you likely to become involved in any such proceedings?
LEGAL ACTION if non GO TO SECTION 8
Are you involved in any legal processes or disputes
Plaint 2
Plaintiff 2
Plaint no 2
Plaintiff 3
Plaint no 3
SECTION 8 in not GO TO SECTION 9
Are you or your property subject to a proceeds of crime order or an application for a proceeds of crime order?
SUMMARY OF YOUR INCOME IN THE LAST (PAST)12 MONTHS MUST BE FILLED IN.
Government benefits/pension payment type: The Name of Benefit paid to you
Government benefits/pension amount $
Income from self employment Business name
Income from self employment Amount $
Income from business Business name
Income from business Amount $
Gross wages salary before tax Employer name
Gross wages salary before tax Amount $
Superannuation retirement funds Fund name
Superannuation retirement funds Amount $
Lump sum termination payments Received from
Lump sum termination payments Amount $
Deceased estate or trusts Received from
Deceased estate or trusts Amount $
Income from investments eg dividends interest trusts Received from
Income from investments eg dividends interest trusts Amount $
Income from reverse mortgages received from:
Income from reverse mortgages Amount $
Any other source Received from
Any other source Amount $
SECTION 10 SUMMARY OF YOUR EXPECTED INCOME IN THE NEXT 12 MONTHS.
Expected income Government benefits/pensions payment type
Expected income Government benefits/pensions amount $
Expected income from self employment business name
Expected income from self employment Amount $
Expected income from business details, business name:
Expected Gross wages salary before tax Amount $
Expected Superannuation retirement funds Fund name
Expected Superannuation retirement funds Amount $
Expected Lump sum termination payments Received from
Expected Lump sum termination payments Amount $
Expected Deceased estate or trusts Received from
Expected Deceased estate or trusts Amount $
Expected Income from investments eg dividends interest trusts Received from
Expected Income from investments eg dividends interest trusts Amount $
Expected Income from reverse mortgages received from:
Expected Income from reverse mortgages Amount $
Expected any other source Received from
Expected income Total $
SECTION 11 EMPLOYMENT STATUS
How long have you been employed? Years
How long have you been employed? Months
What was your occupation when you were last employed?
SECTION 12 CURRENT EMPLOYMENT if NOT GO TO SECTION 13
Job 1 Employer Name
Job 1 Address
Job 1 Employed as
Job 1 Type of industry
Job 1 Pay period week/fortnight/month
Job 1 How many hours do you work per week
Is your employer a related entity in this job above
Job 2 Employer Name
Job 2 Address
Job 2 Employed as
Job 2 Type of industry
Job 2 Pay period week/fortnight/month
Job 2 How many hours do you work per week
Job 1 Income $
Job 1 Gross pay per pay period before tax
Job 1 Deductions
Job 1 Income tax
Job 1 Garnishees by creditors
Job 1 Superannuation
Job 1 Maintenancechild support
Job 1 Other
Job 1 Total Deductions
Job 2 Income
Job 2 Gross pay per pay period (before tax)
Job 2 Deductions
Job 2 Income tax
Job 2 Garnishees by creditors
Job 2 Superannuation
Job 2 Maintenancechild support
Job 2 Other
Job 2 Total deductions $
Job 1 What is your net pay
Job 2 What is your net pay
SECTION 13 PRIVATE HEALTH INSURANCE
Do you have private patient hospital cover
Is your salary now or at any time in the last 2 yrs subject to a salary sacrifice arrangement
SECTION 14 SALARY SACRIFICE if none GO TO SECTION 15
Salary sacrifice - please give details
SECTION 15 SUPERANNUATION BENEFITS if NONE GO TO 16
Do you, or any member of your family receive or expect to receive any benefits from any other person or entity?
Name and address of the person making the paymentRow1
Where is it paid toRow1
How much is paid per weekRow1
Name and address of the person making the paymentRow2
Where is it paid toRow2
How much is paid per weekRow2
SECTION 16 OTHER BENEFITS if NONE GO TO SECTION 17
Do you, or any member of your family, receive or expect to receive any benefit from any other person or entity
No_23 Yes_23
If yes, please give details of other benefits
1 Type of benefit
1 Name of person giving benefit
1 Name of personal receiving benefit
1 Value of benefit per year $
2 Type of benefit
2 Name of person giving benefit
2 Name of person receiving benefit
2 Value of benefit per year $
1 Your contribution per year $
2 Your contribution per year $
SECTION 17 MOTOR VEHICLE BENEFITS.
Do you use a vehicle that is owned by someone else?
Vehicle owner's name and address
Relationship (eg employer/spouse)
When did the owner purchase the vehicle
How much do you contribute for the use of the vehicle $
How many days per week do you have the vehicle
How many km do you travel per week
SECTION 18 ABOUT YOUR INSOLVENCY
What do you believe is the main cause of your insolvency?
Adverse legal action Domestic discord or relationship breakdowns Economic conditions affecting industry, including competition, credit restrictions, fall in prices or increases in costs Excessive drawings including failure to provide for taxation Excessive interest payments on loan monies and capital losses on repayments Excessive use of credit facilities including losses on repossessions, high interest payments and pressure selling Failure to keep proper books of account and costing records Gambling or speculation Gambling, speculation & extravagance in living Ill health or absence of health insurance Inability to collect debts due to disputes, faulty work or bad debts Lack of business ability including underquoting or failure to assess potential of business Lack of sufficient working capital Liabilities due to guarantees Other reason not listed Seasonal conditions including floods and drought Unemployment or loss of income
Please specify other reason for insolvency:
When did you first have difficulty paying your debts (mth/yr)
Where did you obtain information about bankruptcy and the alternatives? (select one only)
AFSA AFSA pamphlets AFSA website Accountant Debt agreement consultant/administrator Financial counsellor Other Registered trustee Solicitor
Have you been declared Bankrupt before, please give details_2
Bankruptcy administration number
Have you had a Part IX debt agreement and if so provide administration number
Year of debt agreement
Have you had a Part X personal insolvency agreement if so provide administration number
The Year you had a Part X PIA
Have you take out a Declaration of Intention to present a debtor's petition administration number
Year of DOI
SECTION 19 ABOUT YOU.
ALL QUESTIONS TO BE ANSWERED
Miss Mr Mrs Ms Other_2
Your given names
List all other names you have used in the last 10 years
Did you own this property
If no to the question above are you renting this property
Did you own or were you buying this property
Date sold (DD/MM/YYYY)
Previous residential Address 2
Postcode_4
Did you own or were you buying this property_2
Date sold_2 (DD/MM/YYYY)
SECTION 20 OCCUPATION.
What is your usual trade or profession?
SECTION 21 BUSINESS if NO GO TO SECTION 22.
In the past 5 years have you operated a business as a sole trader, via a partnership, via a company or a trust?
SECTION 22 CASH.
How much cash do you have? (include cash at bank at Q23)
PART C-YOUR ASSETS-PUBLIC
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)
Full name of bank/other financial institution Row1
Branch nameRow1
Account number and account typeRow1
Current balance Row1
Is this a Joint account
Full name of bank/other financial institution Row2
Branch nameRow2
Account number and account typeRow2
Current balance Row2
Is this a Joint account_row2
Full name of bank/other financial institution Row3
Branch nameRow3
Account number and account typeRow3
Current balance Row3
is this a Joint account_row3
Full name of bank/other financial institution Row4
Branch nameRow4
Account number and account typeRow4
Current balance Row4
Is this a Joint account_row4
SECTION 24 TAX REFUND.
Do you expect to receive a tax refund?
Year_row1 (YYYY)
Amount expected_row1
The Year you expect a tax refund (YYYY)
SECTION 25 TOOLS OF THE TRADE.
Do you have tools of trade?
What is their estimated resale value? $
SECTION 26 SUPERANNUATION AND LIFE INSURANCE POLICIES.
LIST ALL SUPERANNUATION FUNDS AND INSURANCE POLICIES.
Name of fundRow1
Is this a regulated fund?_Row1
Is this a regulated fund?_Row2
Balance of fund _2
Type of fund_Row2
Life_2 Super_2
Name of fundRow3
Is this a regulated fund?_Row3
Balance of fund _3
Type of fund_Row3
Life_3 Super_3
Have you received a superannuation payout from any fund in the last 5 years?
Date superannuation payout received (dd/mm/yyyy)
Amount received $
Have you made a lump sum payment to any superannuation fund in the last 5 years?
Date lump sum paid (dd/mm/yyyy)
Do you expect to receive payment from any superannuation fund in the next 3 years?
SECTION 27 VEHICLES.
Do you own, or have any interest in any vehicles?
Type of vehicle eg car boatRow1
Estimated resale value Row1
Amount owed if any
Type of vehicle eg car boat
Amount owed if any Row
SECTION 28 REAL ESTATE
IF MORE THAN ONE PROPERTY THIS PAGE IS TO BE COPIED CONTACT YOUR DEBT CONSULTANT.
Do you own or are you buying any land or buildings in Australia or overseas
No Go to Q 29 Yes please give details
Is there a building on the land
Type eg houseunit
What is the property address
Date the property was acquired or purchased (dd/mm/yyyy)
Amount paid to acquire or purchase the property $
What is the estimated resale value of the property $
How much do you owe to creditors who hold security over this property $
Are there any other owners
Owner 1Name
Owner 1Address
Owner 2Name
Owner 2Address
No_46 Yes_46
Does your partner live at the property?
Gross rent per week
Name of person collecting rent
Is the property listed for sale
No_50 Yes_50
AgentsAddress
Is the property insured
Expiry date_2
SECTION 29 SHARES.
Do you own or are you entitled to any shares options rights convertible notes or other securities
Name and address of companyRow1
Number of sharesRow1
Shareholder numberRow1
Date acquiredRow1
Market value Row1
See note belowRow1
Name and address of companyRow2
Number of sharesRow2
Shareholder numberRow2
Date acquiredRow2
Market value Row2
See note belowRow2
SECTION 30 INVESTMENTS.
Do you have any managed investments insurance bonds debentures or other investments
Investment type 1
Investment type 2
Date acquiredRow2_2
Investment type 3
SECTION 31 MONEY OWED TO YOU.
Do you have debts owed to you
Name and address of person or organisation who owes you money 1
Date debt was created 1
Amount owed 1
Amount likely to be received 1
Name and address of person or organisation who owes you money 2
Date debt was created 2
Amount owed 2
Amount likely to be received 2
Name and address of person or organisation who owes you money 3
Date debt was created 3
Amount owed 3
Amount likely to be received 3
Name and address of person or organisation who owes you money 4
Date debt was created 4
Amount owed 4
Amount likely to be received 4
SECTION 32 DECEASED ESTATE.
Do you have an interest in a deceased estate
Name of deceasedRow1
Date of deathRow1
Executor name and addressRow1
Estimated value of benefitRow1
Name of deceasedRow2
Date of deathRow2
Executor name and addressRow2
Estimated value of benefitRow2
SECTION 33 SALE, TRANSFER OR GIFT ASSETS IN THE LAST 5 YEARS.
Have you sold, transferred or given away any assets worth more than $1000 in the last 5 years
What did you sell transfer or give awayRow1
To whom was it sold transferred or giftedRow1
Date transferred 1
What was it worth 1
How much was it sold for 1
How much did you receive net 1
What did you sell transfer or give awayRow2
To whom was it sold transferred or gifted 2
Date transferred 2
What was it worth 2
How much was it sold for 2
How much did you receive net 2
What did you sell transfer or give away 3
To whom was it sold transferred or gifted 3
Date transferred 3
What was it worth 3
How much was it sold for 3
How much did you receive net 3
SECTION 34 ASSETS YOU OWN WHICH ARE IN SOMEBODY ELSE'S POSSESSION.
Do you own assets that are currently in your possession
Who has the asset Name and address 1
What is it worth 1
Who has the asset Name and address 2
What is it worth 2
SECTION 35 ASSETS YOU CONTRIBUTED TOWARDS OR HELPED PURCHASE.
Have you contributed or otherwise assisted in the purchase or improvement of any asset valued over $1000 that is held by someone else
No_58 Yes_58
Name and address of person who has the asset 1
Name and address of person who has the asset 2
SECTION 36 ASSETS/MONEY PAID TO CREDITORS
As a result of pressure, have you paid a total amount of $1000 over your normal repayments to creditors in the last 12 months
Date paidsurrendered 1
Type of asset eg cashhouse 1
Value of asset 1
Name of creditor 1
Date paidsurrendered 2
Type of asset eg cashhouse 2
Value of asset Row2
Name of creditor 2
SECTION 37 OTHER ITEMS OF VALUE.
Other than your household furniture, do you own any other assets or items of value
Description of assetRow 1
Location of asset 1
Estimated resale value 1_2
Jointly owned items of value 1
Location of asset 2
Jointly owned items of value 2
Location of asset 3
Jointly owned items of value 3
Location of asset 4
Jointly owned items of value 4
Location of asset 5
Jointly owned items of value 5
Description of asset 6
Location of asset 6
Jointly owned items of value 6
Description of asset 7
Location of asset 7
Estimated resale value 7
Jointly owned items of value 7
Description of asset 8
Location of asset 8
Estimated resale value 8
Jointly owned items of value 8
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.
Secured creditor no 1 Creditors name
Secured creditor no 1 Creditors postal address
Secured creditor no 1 Account loan number
Secured creditor no 1 Total amount owing to this creditor
Secured creditor no 1 Type of security eg mortgage
Secured creditor no 1 Date the security was given
Secured creditor no 1 Description of secured asset
Secured creditor no 1 Location of asset
Secured creditor no 1 Estimated resale value of the asset
Secured creditor no 1 Is this a joint loan
Secured creditor no 1 Are repayments up to date
Secured creditor no 1Has the creditor repossessed the asset
Secured creditor no 1 Related creditor
Secured creditor no 2 Creditors name
Secured creditor no 2 Creditors postal address
Secured creditor no 2 Account loan number
Secured creditor no 2 Total amount owing to this creditor
Secured creditor no 2 Type of security eg mortgage
Secured creditor no 2 Date the security was given
Secured creditor no 2 Description of secured asset
Secured creditor no 2 Location of asset
Secured creditor no 2 Estimated resale value of the asset
Secured creditor no 2 Is this a joint loan
Secured creditor no 2 Are repayments up to date
Secured creditor no 2 Has the creditor repossessed the asset
Secured creditor no 2 Related creditor
Secured creditor no 3 Creditors name
Secured creditor no 3 Creditors postal address
Secured creditor no 3 Account loan number
Secured creditor no 3 Total amount owing to this creditor
Secured creditor no 3 Type of security eg mortgage
Secured creditor no 3 Date the security was given
Secured creditor no 3 Description of secured asset
Secured creditor no 3Location of asset
Secured creditor no 3 Estimated resale value of the asset
Secured creditor no 3 Is this a joint loan
Secured creditor no 3 Are repayments up to date
Secured creditor no 3 Has the creditor repossessed the asset
Secured creditor no 3 Related creditor
SECTION 39 EQUITY LOAN.
Have you used any equity or made any additional loan withdrawals against any of the above secured property in the last 12 months
Date Withdrawn Equity
Amount Equity Withdrawn $
SECTION 40 UNSECURED CREDITORS.
AN UNSECURED CREDITIOR IS A CREDITOR WHO DOES NOT HOLD SECURITY
Creditor name and addressRow1
Nature of debt 1
MthYr incurred 1
Total amount owing 1
Joint debt 1
Creditor name and address 2
Nature of debt 2
MthYr incurred 2
Total amount owing 2
Joint debt 2
Creditor name and address 3
Nature of debt 3
MthYr incurred 3
Total amount owing 3
Joint debt 3
Creditor name and address 4
Nature of debt 4
MthYr incurred 4
Total amount owing 4
Related party 4
Joint debt 4
Creditor name and addressRow5
Nature of debt 5
MthYr incurred 5
Total amount owing 5
Related party 5
No_90 Yes_90
Joint debt 5
Creditor name and address 6
Nature of debt 6
MthYr incurred 6
Total amount owing 6
Related party 6
Joint debt 6
Creditor name and address 7
Nature of debt 7
MthYr incurred 7
Total amount owing 7
Relate party 7
Joint debt 7
Creditor name and addressRow8
Nature of debt 8
MthYr incurred 8
Total amount owing 8
Related party 8
Joint debt 8
Creditor name and address 9
Nature of debt 9
Account number 9
MthYr incurred 9
Total amount owing 9
Related party 9
Joint debt 9
Creditor name and address 10
Nature of debt 10
Account number 10
MthYr incurred 10
Total amount owing 10
Related party 10
Joint debt 10
Total amount owing unsecured $
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.
Have you been in business as a sole trader or in partnership at any time in the last 5 years
No Go to Q43 Yes, please give details 2
Is the business registered with ATO for GST payments
Is the GST registration on a cash or accrual basis
Accrual Cash
Do you have an Australian Business Number
What is the nature of this business
Partner's name and address (if any)
Second partner's name and address (if any)
Do you have a written partnership agreement
When did the business start operating (DD/MM/YYYY)
Has the business ceased operating
Have you sold any business assets or have you sold the business as
Business name asset descriptionRow1
Date sold 1
Amount received 1
Business name asset description 2
Date sold 2
Amount received 2
Business name asset description 3
Date sold 3
Amount received 3
Are there any other business assets not sold
Resale valueStock
Location of assets Stock
Resale valuePlant and Equiqment
Location of assetsPlant and equipment
Resale valueFixtures and fittings
Location of assetsFixture and fittings
Resale valueLicences
Location of assetsLicences
Resale valueBankaccounts
Location of assetsBank accounts
Resale valueBook debts
Location of assetsBook debts
Resale valueOther
Location of assetsOther
Describe Other type of asset
Did your business cease operating more than 6mth ago
No - you must answer Q42 before moving on to Q43 Yes - go to Q43
SECTION 42 SOLE/PARTNERSHIP=OPERATING OR CEASED IN PAST 6 MONTHS.
Is any stock on consignment or subject to retention of title
Is there a bill of sale or other security over business assets
No_109 Yes_109
Do you have a lease agreement over your business premises
Period of lease - from (DD/MM/YYYY)
Period of lease - to (DD/MM/YYYY)
Have you sold or tried to sell the business
Agent name 2
Who has your business recordsName
Who has your business recordsTelephone number
Who has your business recordsAddress
Who prepares the financial statementsName
Who prepares the financial statementsTelephone number
SECTION 43 COMPANIES.
Have you been a director or had a management role in a company at any time in last 5 years
No Go to Q 44 Yes please give details_2
CompanyRegistered address
Nature of company activity
Is this a trustee company? If yes what is the name of the trust
DirectorCheckBox
Date resigned as Director (DD/MM/YYYY)
SecretaryCheck box
Date resigned as Secretary (DD/MM/YYYY)
Has a liquidator, receiver or administrator been appointed to manage the company
No_112 Yes_112
Name of liquidator, receiver or administrator
Is a dividend or distribution expected
Does the company owe you any wages, loans or other money
DescriptionRow1
Amount owed in wages Row1
DescriptionRow2
Amount owed in wages Row2
Do you own, or have owned in the last 5 years any shares in this company
No_115 Yes_115
Number of sharesRow1_1
Date shares soldRow1
Transferee name and addressRow1
Sale proceedsRow1
Number of sharesRow2_1
Date shares soldRow2
Transferee name and addressRow2
Sale proceedsRow2
Have you transferred any assets to the company in the last 5 years
No_116 Yes_116
Date of transfer 1
Money you received 1
Date of transfer 2
Value of asset 2_2
Money you received 2
Who prepares the company financial statements and tax returnsName
Who prepares the company financial statements and tax returnsTelephone number
SECTION 44 TRUSTS.
In the last 5 years have you been a unit holder in or beneficiary of a trust OR have you transferred any assets to a trust
Discretionary Other_3 Unit
Are there any assets owned by the trust
No_118 Yes_118
Asset descriptionRow1
Asset resale valueRow1
Asset descriptionRow2
Asset resale valueRow2
Asset descriptionRow3
Asset resale valueRow3
Does the trust owe you any wages, loans or other money
Wages, loans or other money DescriptionRow1
Wages, loans or other money DescriptionRow2
Have you received any income or capital distribution from this trust in the last 2 years
How often do you receive a distributionRow1
Date of last paymentRow1
Amount of last payment Row1
How often do you receive a distributionRow2
Date of last payment 2
Amount of last payment 2
Have you transferred any assets to the trust in the last 5 years
No_121 Yes_121
Description of transferredasset 1
Value of transferred assetRow1
Money you received for transferRow1
Description of transferredassetRow2
Value of transferred asset 2
Money you received for transfer 2
Description of transferredasset 3
Date of transfer 3
Value of transferred asset 3
Money you received for transfer 3
Name of person holding the trust deed
Address_6
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.
Reason the debtor required your assistance
COMPLETION AND COMPLIANCE
Full name and address of the person assisting
Contribution Thresholds.
Bankruptcy 1 Year before the Australian Parliament expected end 2018.
ABN 70485986288
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