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
Select target paragraph3
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