Debtor'S Bankruptcy Petition Form Page 2

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2. I am (f)[not] resident in England and Wales. I am presenting this petition to the High
Court because (f)[I have neither carried on business nor resided in England and Wales
within the 6 months immediately preceding the presentation of this petition][I am a
member of an insolvent partnership (f)[which is being wound up][in relation to which a
winding-up petition has been presented which has not yet been disposed of]].
OR
I am (f)[not] resident in England and Wales. I am presenting this petition to the (f)[High
Court][Central London County Court] because (f)[I carried on business in England and
Wales within the 6 months immediately preceding the presentation of this petition and I
carried on business within the area of the London insolvency district (f)[for the greater
part of that period of 6 months][for a longer period than in any other insolvency
district]][I have not carried on business in England and Wales but have resided in
England and Wales within the 6 months immediately preceding the presentation of this
petition and I resided within the area of the London insolvency district (f)[for the greater
part of that period of 6 months][for a longer period than in any other insolvency
district]] and the unsecured liabilities set out in the statement of affairs attached to this
petition are (f)[£100,000 or more][less than £100,000].
OR
I am (f)[not] resident in England and Wales. I am presenting this petition to this county
court because within the 6 months immediately preceding the presentation of this
petition (f)[I carried on business in England and Wales and for the longest part of the
period during which I carried on business in England and Wales within that 6 period of
months, the (f)[principal] place of business was situated in the district of
(f)[this][……….] county court][I have not carried on business in England and Wales but
resided in England and Wales and for the longest part of the period during which I
resided in England and Wales within that period of 6 months, I resided in the district of
(f)[this][…………] county court]][and in order to expedite the presentation of this
petition, I am presenting it to this court as it is the [nearest full time] court (f)[to my
[principal] place of business][for the insolvency district in which I reside]].
3. I am unable to pay my debts.
4. (f) That within the period of five years ending with the date of this petition:-
(j) Insert date
(i) I have not been adjudged bankrupt
(k) Insert name of
court
OR
I was adjudged bankrupt on (j)
in the (k)
(l) Insert number of
bankruptcy
Court No. (l)
proceedings
(ii) I have not (f) [made a composition with my creditors in satisfaction of my debts] or
(f) [entered into a scheme of arrangement with creditors] (S16 BA1914)
OR
On (j)
I (f) [made a composition] [entered into a scheme of
arrangement] with my creditors.
(iii) I have not entered into a voluntary arrangement
OR
On (j)
I entered into a voluntary arrangement

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