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Insolvency Act, 1936 (Act No. 24 of 1936)

Schedules

First Schedule : Forms

Form B : Statement of Debtor’s Affairs (Sections 4(3) and 16

Annexure VIII : Personal Information

 

ANNEXURE VIII

PERSONAL INFORMATION

 

 

State whether the debtor is married, widowed or divorced

_________________________________________________________________

 

If the debtor is or was married, state-

a) name or names of spouse or spouses (a "spouse" means not only a wife or husband in the legal sense, but also a wife or husband by virtue of a marriage according to any law or custom, and also a woman living with a man as his wife or a man living with a woman as her husband, although not married to one another)

_____________________________________________________________

 

_____________________________________________________________

b) whether the debtor is or was married in or without community of property and whether the accrual system applies

_____________________________________________________________

 

_____________________________________________________________

c) date of marriage-

____________________________________________________________

d) whether the matrimonial property system has been changed since entering into the marriage and, if so, the nature of the change

_____________________________________________________________

_____________________________________________________________

e) full names and date of birth of the spouse and, if an identity number has been assigned, the identity number of the spouse

_____________________________________________________________

 

State the debtor's nationality

__________________________________________________________________

 

State the debtor's place of birth, date of birth and, if an identity number has been assigned, the identity number

__________________________________________________________________

Was the debtor's estate or the estate of a partnership in which the debtor is or was a partner previously sequestrated or placed in bankruptcy, whether in the Republic or elsewhere?

__________________________________________________________________

 

If the preceding answer is in the affirmative, state-

a) whether the debtor's own estate or his partnership's estate was
i) sequestrated; or
ii) placed in bankruptcy;
b) the place where and the date when that estate was sequestrated or placed in bankruptcy;
c) whether the debtor has been rehabilitated or his estate released; if so, when,

The foregoing balance sheet and statements shall be verified by an affidavit in the subjoined form, made by the debtor or by the person who on behalf of the debtor presented the petition tendering the surrender of the debtor's estate, or who is the representative of the debtor or his estate.

 

 

AFFIDAVIT

 

I __________________________________________________________________declare under oath/solemnly and sincerely declare* that to the best of my knowledge and belief the statements contained in the foregoing balance sheet and the Annexures thereto are true and complete, and that every estimated amount therein contained is fairly and correctly estimated.

 

Signature of declarant:

 

______________________________

 

 

 

Sworn/ Solemnly declared *before me on the __________ day of _____________ at _______________________.

 

 

_____________________________

Commissioner of Oaths

 

 

 

 

* Delete inappropriate words.