Bankruptcy Application in a Case
FORM 22
Family Law Rules ~ RULES 26.04(1)(b), 26.04(2), 26.05(6), 26.14, 26.19
Please type or print clearly and mark [X] all boxes
that apply. Attach extra pages if you need more space
to answer any question/s.
Client ID
_______________________
Filed in:
Name of bankrupt estate
File number
Family Court of Australia
______________________
____________________________
Family Court of Western Australia
Filed on behalf of:
Full name:
Filed at
Filed on
MARK [X] IN THE BOX THAT APPLIES TO YOU
Trustee
Court location
Court date
Other (specify)
This form is used to make an application to the Court
once a case has been started by a Bankruptcy
Application (Form 21).
Time
_______________________
____________________________
Procedural Hearing
You must file an Affidavit in support of this application.
Hearing
This application is brought under the following section(s) of the Bankruptcy Act 1966 or the following
regulation(s) of the Bankruptcy Regulations 1996:
Section/s
Bankruptcy Act 1966
Regulation/s
Bankruptcy Regulations 1996
IMPORTANT – see Notice to Respondent on page 3
Part A
1
About the parties
APPLICANT 1
Family name as used now
RESPONDENT 1
Family name as used now
Given names
Given names
Male
Female
Male
APPLICANT 2
Family name as used now
RESPONDENT 2
Family name as used now
Given names
Given names
Male
Female
Male
Female
Female
1
2
3
What is your contact address (address for service)
in Australia?
You do not have to give your residential address. You may give
another address at which you are satisfied that you will receive
documents. If you give a lawyer’s address, include the name of
the law firm.
State
Postcode
State
Phone
Fax *
Phone
Postcode
DX
Lawyer’s code
Email *
* Please do not include email or fax addresses unless you are willing to receive documents from the Court and other parties
in that way.
Part B
3
The orders you [the applicant] are seeking
On the grounds stated in the supporting affidavit, the applicant seeks the following orders: [PLEASE
NUMBER EACH ORDER SOUGHT]
1.
Part C
Signature of applicant or lawyer
Signed
Date
/
/
This application was signed by
the applicant/s
lawyer for the applicant/s
This application was prepared by
the applicant/s
lawyer for the applicant/s
PRINT NAME AND LAWYER’S CODE
2
Important Notice to the Respondent(s)
If you oppose the orders sought in this application you must:

within at least 3 days before the date fixed for the hearing of the application
~ file with the Court a Notice of Appearance (Form 23);
~ file with the Court a Notice stating the grounds of opposition to the application (Form 24);
~ file with the Court an Affidavit in support of the grounds of opposition; and
~ serve the notices and supporting Affidavit on the applicant.

Attend the hearing. If you or your legal representative do not attend the hearing orders may be
made in your absence.
3