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Individual Debt Assessment

Personal Information

Applicant

Spouse:



Is There Any Special Needs Dependants?



Marital status:





  • When married in community of property both parties apply for sequestration.
  • When married out of community of property we will need your Spouses information as well, but if both parties wish to apply it is 2 x applications.
Spouse

Monthly Expenses

Assets & Liabilities

Immovable Property Information

Immovable Property Owner:



Rental Property:



1st Property
2nd Property

Vehicle Information

Vehicle 1

Are The Vehicle Instalments in Arrears:



Vehicle 2

Are The Vehicle Instalments in Arrears:



Creditor Information

Creditor 1
Creditor 2
Creditor 3
Creditor 4
Creditor 5
Creditor 6
Creditor 7
Creditor 8
Creditor 9
Creditor 10

Reasons for Financial Distress

Privacy Policy
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