破產 Questionaire

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Male
Female

 pls state the monthly rent and other charges, produce tenancy copy, if any

Yes, tenant
No, not tenant
oral tenancy
written tenancy
Single
Married
Divorced
Separated
Widowed

 

Yes
No
YES, I own a business
NO, I don't own a business

 

Yes, employed
No, unemployed

 

Yes, self-employed
No, not self-employed

PART E ASSETS (Quesion No.12 not required to answer if all included in Statement of Affairs)

Yes
No
Yes (answer (ii) below if Yes)
No (write N/A in (ii) below if No)
Yes
No
Yes (answer (ii) Q if Yes)
No (write N/A in (ii) below if No)
Yes (answer (ii) below if Yes)
No (write N/A in (ii) below if No)
Yes
No

19.(i) Did u within 12 mths before petition pledge, sell, remove or dispose of any portion of your stock, furniture, or effects, otherwise than in the ORDINARY COURSE OF YOUR BUSINESS?

Yes
No

20.Within 5 yrs prior petition, did u enter into any transactions as follows?

Yes (need answer Table A)
No (no need to answer Table A)
Yes (need answer Table A)
No (no need to answer Table A)
Yes (need answer Table A)
No (no need to answer Table A)
Yes (answer Table B if Yes)
No (no need to answer Table B if No)

(v) if your answer to (i) or (ii) or (iii) is Yes, provide details in Table A below:

Table A:

father
mother
sister
brother
son or daughter
other relative
friend
other relation

(v) if your answer to (iv): Waiving Debt is Yes, provide details in Table B below:


Table B:

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