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ITSA Forms Index Form Number Form Title File Format Form 1 Bankruptcy Notice (current) Important Notice: Concerning new threshold for issue of Bankruptcy Notices Word PDF Form 1 Application for Issue of Bankruptcy Notice (effective from 1 August 2010) Important Notice: Concerning new threshold for issue of Bankruptcy Notices PDF Form 2 Trustee's Account of Receipts & Payments Word PDF Form 3 Statement of Affairs Word PDF extra page for Form 3 Cash, Financial Institutions, Superannuation, Vehicles (extra page 10) Word PDF extra page for Form 3 Real Estate (extra page 11) Word PDF extra page for Form 3 Secured creditors (extra page 14) Word PDF extra page for Form 3 Unsecured creditors (extra page 15) Word PDF extra page for Form 3 Businesses (extra page 16) Word PDF extra page for Form 3 Companies (extra page 18) Word PDF extra page for Form 3 Trusts (extra page 19) Word PDF Form 3 Checklist Personal Insolvency Agreement proposal checklist Word PDF Form 4 Statement of Affairs under Part XI: Deceased person's insolvent estate Word PDF Form 5 Declaration of intention to present a debtor's petition PDF Form 6 + 3 + Info & Instructions Debtor's Petition (application to become bankrupt) - includes information & instructions - includes Form 3 Statement of Affairs Word PDF Form 7 Statement of Claim & Proxy for a Meeting of Creditors PDF Form 8 Proof of Debt PDF Paragraph 185EA(2)(b) Paragraph 185MA(2)(b) Paragraph 185PA(2)(b) Claim and Vote Form Word PDF Form 9 Notice of Demand PDF Form 10 Application for registration as a trustee PDF Form 11 Application for change of conditions on practising as a registered trustee Word PDF Form 12 Consent to Act & Trustee Declaration PDF Form 13 Controlling Trustee Authority & Trustee Declaration PDF Form 15 Remittance of Interest Charge PDF Form 16 Remittance of Realisations Charge PDF Paragraph 185C(2)aa Debt Agreement Proposal and Explanatory Statement Word PDF Form 17 Debt Agreement Statement of Affairs Word PDF Section 185C (2D) Certificate for Debt Agreement Administrator Word PDF Debt Agreement Form Pack Complete pack of Forms for debtors who want to propose a debt agreement PDF Subsection 185P (1A) Proposal to Terminate Debt Agreement and Explanatory Statement Word PDF Subsection 185M (1A) Proposal to Vary Debt Agreement and Explanatory Statement Word PDF Section 185LC Notification of Six Month Arrears Default of Debt Agreement Word PDF Subsection 185N (6) Notification of Completion of Debt Agreement Word PDF Form 18 Notice of Special Resolution PDF Form 19 Notice of Completion, Variation, Termination or Setting Aside of a PIA, Composition or SOA PDF Form 20 Supervised Account Notice Determination PDF Form 21 Supervised Account Notice PDF Form 22 Revocation of Supervised Account Notice PDF Form 23 Request for refund of Realisations or Interest Charge PDF Form 24A Application for Registration as a Debt Agreement Administrator (Individual or Person with Overall Management Responsibility) PDF Form 24B Application for Registration as a Debt Agreement Administrator (Company) PDF Form 25 Application to Change or Remove Conditions Imposed on the Registration of a Debt Agreement Administrator PDF Form 26 Application for surrender of registration as a Registered Debt Agreement Administrator Word PDF Info & Instructions Bankruptcy: Essential forms and information PDF Info & Instructions Bankruptcy by Sequestration Order PDF Info & Instructions Personal Insolvency Agreement: Essential forms and information PDF Prescribed Info Prescribed Information Word PDF Order Form Debtor Pack Bulk Order form Word Overseas Travel Form Request for permission to travel overseas whilst bankrupt PDF Change Address Form Advice of Change of Address, Contact Numbers and/or Income PDF Please select from the following categories if you are unsure of the selection above: . Forms for Debtors . Forms for Creditors Forms for Trustess and Debt Agreement Administrator Available types of forms: I want to present a declaration of intention to present a debtor's petition I want to become bankrupt I have become bankrupt under a sequestration order I want to propose a debt agreement I want to propose a personal insolvency agreement I am administering a deceased person's insolvent estate Available types of forms: Bankruptcy Notice Statement of Claim & Proxy for a Meeting of Creditors Proof of Debt Statement of Claim and Voting Available types of forms: I am (or will be) acting as a trustee for a bankruptcy matter I am (or will be) a debt agreement administrator for a matter I am (or will be) the controlling trustee for a personal insolvency agreement I want to register as a trustee or my registration status has changed I want to register as a debt agreement administrator or my registration status has changed * 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.)

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