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Forms for Debtors
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 | Instructions |
1. | It is strongly recommended that you read the Personal Insolvency Information booklet before you complete any of the forms below. The booklet provides important information on some of the consequences of presenting these forms to ITSA. There are important threshold amounts which you need to consider when contemplating bankruptcy, a debt agreement or a personal insolvency agreement. These amounts are indexed and the current amounts are available here.
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2. | You need to download each of the forms/documents shown in RED for each type of administration.
For example, if you want to become bankrupt, you need to download the Information and Instructions, Debtor's Petition, and Statement of Affairs. These forms/documents need to be attached together at the time of lodgement.
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3. | Read all instructions carefully and complete all the questions on the forms. Incomplete forms will be returned to you. If you do not understand a particular question, email info@itsa.gov.au or call us on 1300 364 785 and we will be happy to assist.
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Choose the option that applies to you:
Forms for declaring an intent to present a debtor’s petition |
| Form 5 | Declaration of intention to present a debtor's petition |  | |
| Additional pages for extra information on Statement of Affairs (Form 3) |
 | Cash, Financial Institutions, Superannuation, Vehicles (extra page 10) | | |
 | Real Estate (extra page 11) | | |
 | Secured creditors (extra page 14) | | |
 | Unsecured creditors (extra page 15) | | |
 | Businesses (extra page 16) | | |
 | Companies (extra page 18) | | |
 | Trusts (extra page 19) | | |
Forms required if you became bankrupt under a sequestration order |
 | Information and instructions |  | |
| Form 3 | Statement of Affairs
To assist debtors who have additional secured creditors unsecured creditors, businesses, companies or trusts to list than space on the form, separate proformas of these pages are accessible here. | | |
Form for a deceased person's insolvent estate: |
| Form 4 | Statement of Affairs | | |
| Additional pages for extra information on Statement of Affairs (Form 4) |
 | Cash, Financial Institutions, Superannuation, Vehicles (extra page 10) | | |
 | Real Estate (extra page 11) | | |
 | Secured creditors (extra page 14) | | |
 | Unsecured creditors (extra page 15) | | |
 | Businesses (extra page 16) | | |
 | Companies (extra page 18) | | |
 | Trusts (extra page 19) | | |
| * 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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