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ITSA Forms Index

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Form Number
Form Title
File Format


Form 1
Bankruptcy Notice


Form 2
Trustee's Account of Receipts & Payments


Form 3
Statement of Affairs


extra page for Form 3
Cash, Financial Institutions, Superannuation, Vehicles (extra page 10)


extra page for Form 3
Real Estate (extra page 11)


extra page for Form 3
Secured creditors (extra page 14)


extra page for Form 3
Unsecured creditors (extra page 15)


extra page for Form 3
Businesses (extra page 16)


extra page for Form 3
Companies (extra page 18)


extra page for Form 3
Trusts (extra page 19)


Form 3 Checklist
Personal Insolvency Agreement proposal checklist


Form 4
Statement of Affairs under Part XI: Deceased person's insolvent estate


Form 5
Declaration of intention to present a debtor's petition


Form 6 + 3 + Info & Instructions
Debtor's Petition (application to become bankrupt)
- includes information & instructions
- includes Form 3 Statement of Affairs


Form 7
Statement of Claim & Proxy for a Meeting of Creditors


Form 8
Proof of Debt


Section 185EA(2)(b)
Section 185MA(2)(b)
Section 185PA(2)(b)
Statement of Claim and Voting


Form 9
Notice of Demand


Form 10
Application for registration as a trustee


Form 11
Application for change of conditions on practising as a registered trustee


Form 12
Consent to Act & Trustee Declaration


Form 13
Controlling Trustee Authority & Trustee Declaration


Form 15
Remittance of Interest Charge


Form 16
Remittance of Realisations Charge


Paragraph 185C(2)aa
Debt Agreement Proposal and Explanatory Statement


Form 17
Debt Agreement Statement of Affairs


Section 185C (2D)
Certificate for Debt Agreement Administrator


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


Subsection 185P (1A)
Proposal to Terminate Debt Agreement and Explanatory Statement


Subsection 185M (1A)
Proposal to Vary Debt Agreement and Explanatory Statement


Section 185LC
Notification of Six Month Arrears Default of Debt Agreement


Subsection 185N (6)
Notification of Completion of Debt Agreement


Form 18
Notice of Special Resolution


Form 19
Notice of Completion, Variation, Termination or Setting Aside of a PIA, Composition or SOA


Form 20
Supervised Account Notice Determination


Form 21
Supervised Account Notice


Form 22
Revocation of Supervised Account Notice


Form 23
Request for refund of Realisations or Interest Charge


Form 24A
Application for Registration as a Debt Agreement Administrator (Individual or Person with Overall Management Responsibility)


Form 24B
Application for Registration as a Debt Agreement Administrator (Company)


Form 25
Application to Change or Remove Conditions Imposed on the Registration of a Debt Agreement Administrator


Form 26
Application for surrender of registration as a Registered Debt Agreement Administrator


Info & Instructions
Bankruptcy: Essential forms and information


Info & Instructions
Bankruptcy by Sequestration Order


Info & Instructions
Personal Insolvency Agreement: Essential forms and information


Prescribed Info
Prescribed Information


Order Form
Debtor Pack Bulk Order form


Overseas Travel Form
Request for permission to travel overseas whilst bankrupt


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

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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.
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