INSOLVENCY No. 7/2018 Cap.6:07 FIRST SCHEDULE FORM A (sections 4(4) (a), 5(4) (a), 9(5) (a), 43(1) (b) (i) and (ii)) STATEMENT OF DEBTOR'S AFFAIRS FAILURE TO SUBMIT THIS FORM TO THE MASTER AND THE LIQUIDATOR WITHIN seven days IS A CRIMINAL OFFENCE AND MAY DELAY REHABILITATION, WHERE APPLICABLE PART I BALANCE SHEET OF ............................................................................................................................... * * Here insert the name in full of the debtor ¢ Assets $ Liabilities $ ¢ Immovable property as per part 2 .............................................. Movable property as per Part 2 Debts due as per Part 5 ......... ................................................ Outstanding claims, etc, as per Part 3 ...................................... Deficiency/surplus .................. Total Total PART2 IMMOVABLE PROPERTY Description of property Situation and extent Mortgages and Estimated values other secured claims Property situate in Zimbabwe Property situate elsewhere ......... $ ¢ Total PART3 ANY MOVABLE PROPERTY WHATSOEVER WHICH IS NOT INCLUDED IN PART 4 OR PART 5 Estimated value Description of property $ ¢ Property situate in Zimbabwe ....... Property situate elsewhere ............. Total Note: Movable property includes assets such as insurance policies and credit balances in accounts \Vith banks or other institutions or persons. Any merchandise mentioned in 324

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