SEQUESTRATION ORDER†SEQUESTRATION ORDER†

SEQUESTRATION ORDER†

IN THE [name of Court]

REGISTRY: [name of Registry]

GENERAL DIVISION

No. of \[year\]
IN THE MATTER OF \[name of debtor or bankrupt estate\]
\[name of applicant(s)\]
Applicant(s)
\[name of respondent(s)\]
Respondent(s)
\*JUDGE\*/\*REGISTRAR:
DATE OF ORDER:
WHERE MADE:
THE COURT ORDERS THAT:
1. A sequestration order be made against the estate of \[name of debtor\].
2. The applicant creditor’s costs be taxed and paid from the estate of the respondent debtor in accordance with the Bankruptcy Act 1966.
The Court notes that the date of the act of bankruptcy is \[date\].
Date entry stamped:
\[signed, Registrar\]
Registrar

† The following information must appear at the foot of the first page of this order.

<table cellspacing="0" cellpadding="0" style="width:361.5pt; border-collapse:collapse"><tbody><tr><td colspan="5" style="width:176.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="margin-top:2pt; margin-bottom:2pt; page-break-inside:avoid; page-break-after:avoid"><span style="font-size:10pt">Filed on behalf of</span><span style="font-size:10pt; font-style:italic"> </span><span style="font-size:10pt">(name and role of party)</span></p></td><td colspan="3" style="width:163.6pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="margin-top:2pt; margin-bottom:2pt; page-break-inside:avoid; page-break-after:avoid"><span style="font-size:9pt"></span></p></td></tr><tr><td colspan="5" style="width:176.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="margin-top:2pt; margin-bottom:2pt"><span style="font-size:10pt">Prepared by (name of person/lawyer)</span></p></td><td colspan="3" style="width:163.6pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="margin-top:2pt; margin-bottom:2pt"><span style="font-size:10pt"></span></p></td></tr><tr><td colspan="3" style="width:109.7pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="margin-top:2pt; margin-bottom:2pt"><span style="font-size:10pt">Law firm (if applicable)</span></p></td><td colspan="5" style="width:230.2pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="margin-top:2pt; margin-bottom:2pt"><span style="font-size:10pt"></span></p></td></tr><tr><td style="width:24.65pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="margin-top:2pt; margin-bottom:2pt"><span style="font-size:10pt">Tel</span></p></td><td colspan="5" style="width:141.45pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="margin-top:2pt; margin-bottom:2pt"><span style="font-size:10pt"></span></p></td><td style="width:22.8pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="margin-top:2pt; margin-bottom:2pt"><span style="font-size:10pt">Fax</span></p></td><td style="width:129.4pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="margin-top:2pt; margin-bottom:2pt"><span style="font-size:10pt"></span></p></td></tr><tr><td colspan="2" style="width:41.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="margin-top:2pt; margin-bottom:2pt"><span style="font-size:10pt">Email</span></p></td><td colspan="6" style="width:298.6pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="margin-top:2pt; margin-bottom:2pt"><span style="font-size:10pt"></span></p></td></tr><tr><td colspan="4" style="width:122.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:bottom"><p style="margin-top:2pt; margin-left:1.7pt; margin-bottom:2pt"><span style="font-size:10pt; font-weight:bold">Address for service</span><br><span style="font-size:10pt">(include State and postcode)</span></p></td><td colspan="4" style="width:217.6pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt"><span style="font-size:10pt"></span></p></td></tr><tr style="height:0pt"><td style="width:35.45pt"></td><td style="width:16.65pt"></td><td style="width:68.4pt"></td><td style="width:12.6pt"></td><td style="width:54pt"></td><td style="width:0.6pt"></td><td style="width:33.6pt"></td><td style="width:140.2pt"></td></tr></tbody></table>