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ITSA Forms Index

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Form Number

Form Title

Last Date Updated

File Format


Form 1

Application for Issue of Bankruptcy Notice including a Bankruptcy Notice template (for use where there is a single debtor and a single creditor)

23 May 2011



Form 1

Application for Issue of Bankruptcy Notice including a Bankruptcy Notice template (for use where there are multiple debtors and/or multiple creditors)

23 May 2011



Form 2

Trustee's Account of Receipts & Payments

1 July 1997



Form 3

Statement of Affairs

1 December 2010



extra page for Form 3

Cash, Financial Institutions, Superannuation, Vehicles (extra page 10)

1 December 2010



extra page for Form 3

Real Estate (extra page 11)

1 December 2010



extra page for Form 3

Secured creditors (extra page 14)

1 December 2010



extra page for Form 3

Unsecured creditors (extra page 15)

1 December 2010



extra page for Form 3

Businesses (extra page 16)

1 December 2010



extra page for Form 3

Companies (extra page 18)

1 December 2010



extra page for Form 3

Trusts (extra page 19)

1 December 2010



Form 3 Checklist

Personal Insolvency Agreement proposal checklist

TBC



Form 4

Statement of Affairs under Part XI: Deceased person's insolvent estate

17 December 2003



Form 5

Declaration of intention to present a debtor's petition

December 2010



Form 6 + 3 + Info & Instructions

Debtor's Petition (application to become bankrupt)
- includes information & instructions
- includes Form 3 Statement of Affairs

12 January 2011

Word (Zip)


Form 7

Statement of Claim & Proxy for a Meeting of Creditors

March 2010



Form 8

Proof of Debt

30 May 2011



Paragraph 185EA(2)(b)
Paragraph 185MA(2)(b)
Paragraph 185PA(2)(b)

Claim and Vote Form

TBC



Form 9

Notice of Demand

February 2010



Form 10

Application for registration as a trustee

February 2010



Form 11

Application for change of conditions on practising as a registered trustee

1 July 1997



Form 12

Consent to Act & Trustee Declaration

July 2009



Form 13

Controlling Trustee Authority & Trustee Declaration

September 2010



Form 14

Request to Advertise Meeting of Creditors

1 July 2011



Form 15

Remittance of Interest Charge

October 2009



Form 16

Remittance of Realisations Charge

October 2009



Paragraph 185C(2)aa

Debt Agreement Proposal and Explanatory Statement

23 December 2009



Form 17

Debt Agreement Statement of Affairs

23 December 2009



Section 185C (2D)

Certificate for Debt Agreement Administrator

18 June 2007



Debt Agreement Form Pack

Complete pack of Forms for debtors who want to propose a debt agreement

23 December 2009



Subsection 185P (1A)

Proposal to Terminate Debt Agreement and Explanatory Statement

February 2010



Subsection 185M (1A)

Proposal to Vary Debt Agreement and Explanatory Statement

October 2009



Section 185LC

Notification of Six Month Arrears Default of Debt Agreement

October 2009



Subsection 185N (6)

Notification of Completion of Debt Agreement

October 2009



Form 18

Notice of Special Resolution

23 May 2011



Form 19

Notice of Completion, Variation, Termination or Setting Aside of a PIA, Composition or SOA

February 2011



Form 20

Supervised Account Notice Determination

February 2010



Form 21

Supervised Account Notice

February 2010



Form 22

Revocation of Supervised Account Notice

February 2010



Form 23

Request for refund of Realisations or Interest Charge

February 2010



Form 24A

Application for Registration as a Debt Agreement Administrator (Individual or Person with Overall Management Responsibility)

February 2010



Form 24B

Application for Registration as a Debt Agreement Administrator (Company)

February 2010



Form 25

Application to Change or Remove Conditions Imposed on the Registration of a Debt Agreement Administrator

February 2010



Form 26

Application for surrender of registration as a Registered Debt Agreement Administrator

29 January 2008



Form 27

Application form for issue of a notice under section 77CA requiring debtor to file a Statement of Affairs

December 2010



Form 28

Application for Review of Trustee Remuneration

December 2010



Form 29

Application for Approval of Trustee Remuneration

December 2010



Form 30

Payment of Debt Agreement Proposal Lodgement Fee

December 2010



Info & Instructions

Bankruptcy: Essential forms and information

February 2011



Info & Instructions

Declaration of Intention to present a Debtor's Petition: Essential forms and information

February 2011



Info & Instructions

Bankruptcy by Sequestration Order

February 2011



Info & Instructions

Personal Insolvency Agreement: Essential forms and information

June 2008



Prescribed Info

Prescribed Information

TBC



Order Form

Debtor Pack Bulk Order form

TBC



Overseas Travel Form

Request for permission to travel overseas whilst bankrupt

October 2009



Change Address Form

Advice of Change of Address, Contact Numbers and/or Income

October 2009



Credit Application

ITSA Credit Application

8 November 2011




* Need more help?
Forms can either be printed and completed manually or downloaded in Word or PDF and completed electronically.

Should you have difficulty in reading, printing or downloading these documents, please email webmanager@itsa.gov.au for further assistance.

For all other enquiries, please email info@itsa.gov.au.

Portable Document Format (PDF)

Portable document format, or PDF, is a document format created by Adobe which is platform independent.
To open, view and print PDF files, you will need Adobe Acrobat Reader 4.0 or greater, which is available free from the Adobe website (external link.).

Word Document Format (DOC)

Word document format, or DOC, is a document format created by Microsoft which is software dependent.
To open, view and print DOC files, you will need Word Viewer 2003 or greater, which is available free from the Microsoft website (external link.)


Page Last Updated: 01/30/2012     
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