Isi Notes On The Forms For Bankruptcy Page 27
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34iii) Investments
Give details of any investments you have, i.e. stocks, shares, bonds, savings certificates, endowment insurance, pension, life policies, etc.
No.
Type of Investment
Name and address of
Ref. No.
Current Estimated Value
Company or Institution
INV1
N/A
INV2
INV3
INV4
INV5
INV6
Give details of any company (registered with Company’s Registration Office) in which you have had a management role in the last five years
No.
Name and address of Company
% Shareholding
CRO. No.
Current Estimated Value of
your interest allowing for
dividend distributions,
Directors Loans to and from
N/A
company etc.
SH1
SH2
SH3
iv) Debts due to you
No.
Name and address of Debtor
Nature of Debt
Amount due (€)
Disputed Y/N
D1
N/A
D2
D3
D4
D5
Give details of any debts owed to you, stating the name and address of the person or body by whom the debt is owed.
Gerry Scenario
Signed:
26
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