Company Bankrupt - PDF by qpu89681

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									Declaration of Independence, Relevant Relationships
                  and Indemnities
[company/bankrupt name]
[ACN / Estate number]


Independence
I, [name, firm] have undertaken a proper assessment of the risks to my
independence prior to accepting the appointment as
[liquidator/administrator/trustee] of [company/bankrupt]. This assessment
identified no real or potential risks to my independence. I am not aware of any
reasons that would prevent me from accepting this appointment.


Relevant Relationships
Neither I, nor my firm, have, or have had within the preceding 24 months, any
relationships with the [company/bankrupt], an associate of the
[company/bankrupt], a former insolvency practitioner appointed to the
[company/bankrupt] or any person or entity that has a charge on the whole or
substantially whole of the [company’s/bankrupt’s] property.
OR
I, or a member of my firm, have, or have had within the preceding 24 months, a
relationship with:


Name                 Nature of relationship          Reasons why not an
                                                     Impediment or Conflict


    Disclose here any relevant relationships with:
    •   the company/bankrupt;
    •   an associate of the company/bankrupt;
    •   a former Practitioner of the company/bankrupt; or
    •   a person who has a charge on the whole of substantially the whole of the
        company’s/bankrupt’s property.

There are no other prior professional or personal relationships that should be
disclosed.


Prior Engagements for the Insolvent
Neither I, nor my Firm, have undertaken any prior engagements for
[company/bankrupt].
OR




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I, or a member of my Firm, have undertaken the following engagements for
[company/bankrupt] prior to the acceptance of this appointment:


Name                      Nature of engagement           Reasons why not an
                                                         Impediment or Conflict


    Disclose here:
    •   the nature of pre-appointment advice (if any);
    •   the nature of work carried out more than two years prior to the
        appointment (if any);
    •   the nature of any other work undertaken which fits within any of the
        exclusions included in the Code.

There are no other prior professional relationships or engagements that should be
disclosed.


Indemnities
I have been provided with the following indemnities for the conduct of this
[liquidation/administration/bankruptcy]:


Name                        Nature of indemnity




    Disclose here:
    •   each indemnifier; and
    •   the extent and nature of each indemnity, other than statutory indemnities

This does not include statutory indemnities.
OR
I have not been indemnified in relation to this administration, other than any
indemnities that I may be entitled to under statute.


Dated:


.....................................................
(signed, Practitioner name)

NOTE:          If circumstances change, or new information is identified, I am required under the
               IPA Code of Professional Practice to update this Declaration and provide a copy to
               creditors with my next communication as well as table a copy of any replacement
               declaration at the next meeting of the company’s creditors.



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