Isi Notes On The Forms For Bankruptcy Page 25

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Appendix 1 - Sample Statement of Affairs incorporating Affidavit
based on ISI Bankruptcy Scenario 1
No.23
Summary of Statement of Affairs
(Please insert total sums in relation to each heading)
Part 1: Assets
A
Moveable Property
€5,114.23
Page …2
i) Cash
€ NIL
Page …2
ii) Accounts with Financial Institutions which show a
€ NIL
Page …2
balance to credit
iii) Investments
€ NIL
Page …3
iv) Debts due to you
€ NIL
Page …3
v) Other Assets
€5,000
Page …4
B
Immoveable Property
€180,000
Page …5
Part 2: Liabilities
i) Unsecured Creditors
€120,000
Page …6
ii) Secured Creditors
€160,000
Page …7
iii) Lease or Hire Purchase Creditors
€ 0
Page ...8
Part 3: General
i) Income
€3,052
Page …9
ii) Property in Expectancy Yes/No
NO
Page …9
iii) Accounts, Papers, Deeds, Etc. Yes/No
NO
Page …9
Part 4: Declaration
Gerry Scenario
Signed:
24

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