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. ```html <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> ``` > Note: ‡Note > Note: Subsection 35A(5) of the Act provides that a party to proceedings in which a Registrar has exercised any of the powers of the Court under subsection 35A(1) of the Act may, within the time prescribed by the Rules of Court, or within any further time allowed in accordance with the Rules of Court, apply to the Court to review that exercise of power. > Note: Rule 2.03 provides that, subject to any direction by the Court to the contrary, an application under subsection 35A(5) of the Act for review of the exercise of a power of the Court by a Registrar under subsection 35A(1) of the Act must be made by interlocutory application within 21 days after the day on which the power was exercised. An applicant seeking a review can apply to a Judge to waive the requirement that the application for review be made by interlocutory application (see rule 1.34 of the Federal Court Rules 2011). \* Omit if inapplicable ‡ Omit this note if the orders have not been made by a Registrar.