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BANKRUPTCY

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  • pg 1
									                                BANKRUPTCY.CO.UK


                                INDIVIDUAL QUESTIONNAIRE

FULL NAME

PREVIOUS NAME (if applicable)

DATE OF BIRTH


MARITAL STATUS

RESIDENTIAL ADDRESS (inc.
postcode)


HOME TEL. NO.
MOBILE TEL. NO
EMAIL
OCCUPATION
EMPLOYED OR SELF
EMPLOYED




          SCHEDULE OF ASSETS (EXCLUDING VEHICLES AND PROPERTIES

    ASSET                        DESCRIPTION & APPROXIMATE VALUE
    SAVINGS

    Petty Cash

    Cash at Building Society

    SHARES

    PREMIUM BONDS

    ENDOWMENT
    POLICIES
    LIFE ASSURANCE
    POLICIES
    PENSION FUNDS

    OTHER
HISTORY AND BACKGROUND

The “History and Background” is an important part of the proposal and its purpose is to give the
reader an overall picture of how your present circumstances have arisen. It should be ideally ¾ page
of A4 paper and should include the following information:
• Your name, where you live, and whether you are employed and for whom you work, or whether you
are self-employed and the type of business you run.
• Your marital status (married/single/co-habiting), and whether you have any children.
• Your current home status i.e. Mortgage payer or renting, sole or joint.
• If self-employed, when the business started, from where it traded, how it was financed and how
trading went initially.
      If employed, a brief employment history and any relevant professional or academic
         qualifications obtained.
      A brief summary of what went wrong or the change in circumstances, including things that
         were beyond your control, such as bad debts, unforeseen items of expenditure, loss of a major
         contract, theft, vandalism, illness etc.
      An explanation for each of your major liabilities should be given in as clear a manner as
         possible.

                                     History And Background



                                            See attached




Signed:____________________________________________________________________

Name in block letters:_________________________________________________________

Date:______________________________________________________________________

                  MONTHLY PERSONAL INCOME AND EXPENDITURE SHEET

Full Name
NUMBER OF CHILDREN/DEPENDANTS:



             Monthly income
             Net wage after PAYE
             Drawings from business
             Spouses net wage
             Income support
             Family credit
             Pension
             Child benefit
             Child maintenance
             Non-Dependants
             Other Income please specify
             Total monthly income (A)
             Less:Monthly expenditure (B)
             Surplus (A-B)
             Amount available for creditors




Number of persons in Household


             MONTHLY EXPENDITURE                     £
             Mortgage 1
             Mortgage 2
             Rent
             Council Tax
             Water Rates
             House Contents insurance
             TV License
             Car HP
             Car Tax
             Car insurance
             Car Maintenance
             Life Insurance
             Housekeeping
             Traveling Costs
             School Meals
             Clothing
             Gas
             Electric
             Telephone
             Other expenses not mentioned
             Total monthly expenditure




                                 Outstanding Court Actions
Name of Creditor   Name of court   How much is         Type of action   Dates of forthcoming
                                   being claimed                              hearings




                                       Creditor List
Names of parties of whom    Joint or sole debt   Amount Outstanding &   Solicitor/Debt collectors
   you owe money to                                reference number        name address and
                                                                         reference and contact
                                                                                  name




                      Asset Questionnaire Motor Vehicles Owned and used
Vehicle make    Finance    Reg: no      Engine      Owner of   Present    Date of
  & Model      company      Year of      Size        vehicle   Mileage   purchase
                          manufacture




                                    Asset Questionnaire
                      Details of properties currently or previously owned or occupied

Address of property      Freehold      Name(s) of     Dates of       Date     Cost      Present             Value of
including postcode      Leasehold/      owners         entry/      property   price      value             mortgages/
                        Rented ETC   /landlord and   acquisition   vacated            (We need a recent     charges/
                                                                                       valuation from an
                                        address                                         estate agent or    unpaid rent
                                                                                            valuer)        (Please provide
                                                                                                              statement)




                                           INVICTUS GROUP
                                     9 CLEMENTS MEWS (1st floor)
                                         5 RL STEVENSON AVE
                                            BOURNEMOUTH
                                               BH4 8ED
                                     Email: enquiries@invictusgroup.eu

								
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