Insolvency, Restructuring and Dissolution (Personal Insolvency) Rules 2020

Form PIR-1

Rule 13(4)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(PERSONAL INSOLVENCY) RULES 2020

NOTICE OF RENEWAL OF ORIGINATING APPLICATION

Renewed for months from the day of 20 by an order of Court dated the day of 20 .

Dated this day of 20 .

Solicitor for the

Form PIR-2

Rule 64(1)(a)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(PERSONAL INSOLVENCY) RULES 2020

(Title)

STATUTORY DEMAND
UNDER SECTION 312 OF INSOLVENCY,
RESTRUCTURING AND DISSOLUTION ACT 2018

Warning

•	This is an important document. You should refer to the notes entitled “How to comply with a statutory demand or have it set aside” in Part B of this demand.

•	If you wish to have this demand set aside you must make application to do so within *14 days/21 days/6 months after its service on you.

•	If you do not apply to set it aside within 14 days/21 days/6 months or settle your debts within *21 days/6 months after its service on you, you could be made bankrupt and your property and goods taken from you.

•	Please read the demand and notes carefully. If you are in any doubt about your position you should seek advice immediately from a solicitor or, if you qualify for legal aid, from the Director of Legal Aid.

*Delete accordingly. Please refer to rule 67(2) of the Insolvency, Restructuring and Dissolution (Personal Insolvency) Rules 2020 for the applicable period within which an application to set aside the statutory demand must be made.

**Delete accordingly. Please refer to section 312(a)(i) of the Insolvency, Restructuring and Dissolution Act 2018 and section 21(1)(e) of the COVID‑19 (Temporary Measures) Act 2020.

Demand

To _______________________________________________________

Address __________________________________________________
__________________________________________________________

This demand is served on you by the creditor —

Name ____________________________________________________

Address __________________________________________________
__________________________________________________________

The creditor claims that you owe the sum of $ ____________________,

(Exact sum due as of date of demand)

full particulars of which are set out in PART A of this demand, and that it is payable immediately and, to the extent of the sum demanded, is unsecured.

The creditor demands that you pay the above debt or secure or compound for it to the creditor’s satisfaction within *21 days/6 months after the service of this statutory demand on you. If you fail to do so, the creditor may file a bankruptcy application against you.

Signature of individual _______________________________________

Name (in Block Letters) ______________________________________

Date ______________________________________________________

**Position with or relationship to creditor ________________________

**I am authorised to make this demand on the creditor’s behalf.

Address __________________________________________________
__________________________________________________________

Tel. No. _________________

Ref. ____________________

*Delete accordingly. Please refer to section 312(a)(i) of the Insolvency, Restructuring and Dissolution Act 2018 and section 21(1)(e) of the COVID‑19 (Temporary Measures) Act 2020.

**Delete if signed personally by the creditor.

PART A

Particulars of Debt

(These particulars must strictly be in accordance with rule 64(1)(a) of the Insolvency, Restructuring and Dissolution (Personal Insolvency) Rules 2020. The particulars must include actual amount of debt as of the date of the demand, details of interest claimed, date debt was incurred, consideration for the debt, such other particulars as would enable the debtor to identify the debt and any property of the debtor or security held by the creditor. If the debt has been assigned, particulars of the assignment must also be given.)

PART B

How to comply with this statutory demand or have it set aside.

If you do not comply with this statutory demand or set it aside, the creditor may file a bankruptcy application against you.

If you wish to avoid a bankruptcy application being made against you, you must pay the sum demanded, particulars of which are set out in Part A of this statutory demand, within the period of *21 days/6 months after its service on you. Alternatively, you can attempt to come to a settlement with the creditor within the said *21 days/6 months. To do this you should inform immediately the individual (or one of the individuals) named below that you are willing and able to —

•	offer security for the debt to the creditor’s satisfaction; or

•	compound for the debt to the creditor’s satisfaction

If you consider that you have grounds to have this demand set aside or if you do not quickly receive a satisfactory written reply from the individual named below whom you have contacted, you should apply within **14 days/21 days/6 months after the date of service of this demand on you to the General Division of the High Court to have the demand set aside.

Any application to set aside the demand should be made within **14 days/21 days/6 months after date of its service on you and be supported by an affidavit stating the grounds on which the demand should be set aside.

If you are unable to make the application within **14 days/21 days/6 months after date of its service on you, you can apply to Court for more time to make the application.

The individual or individuals to whom any communication regarding this demand may be addressed is/are —

Name (in Block Letters)

Address

Tel. No.

Ref. No.

*Delete accordingly. Please refer to section 312(a)(i) of the Insolvency, Restructuring and Dissolution Act 2018 and section 21(1)(e) of the COVID‑19 (Temporary Measures) Act 2020.

**Delete accordingly. Please refer to rule 67(2) of the Insolvency, Restructuring and Dissolution (Personal Insolvency) Rules 2020 for the applicable period within which an application to set aside the statutory demand must be made.

Form PIR-3

Rule 69(1)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(PERSONAL INSOLVENCY) RULES 2020

In the General Division of the High Court of the Republic of Singapore

In Bankruptcy   )
O.A. No.            )
Of 20               )

(Seal)

In the matter of the Insolvency, Restructuring and Dissolution Act 2018 (Act 40 of 2018)

And

In the matter of

Between

Claimant

And

Defendant

CREDITOR’S BANKRUPTCY APPLICATION

Let all parties concerned attend before the Judge (or Registrar) in chambers on (date/time) on the hearing of the application by the claimant that

1. a bankruptcy order be made against (state name of defendant)

2. (state name of trustee of bankruptcy), whose certificate of consent to act is annexed hereto, be appointed as trustee of the bankruptcy estate.

Dated this day of 20 .

Registrar

Memorandum to be subscribed on the summons.

This summons is taken out by of solicitor for the said claimant whose address is [or where the claimant sues in person]. This summons is taken out by the said claimant who resides at and is [state occupation] and [if the claimant does not reside within the jurisdiction] whose address for service is

Note: This summons shall be served together with an affidavit in support of the application. This summons may not be served more than 6 calendar months after the above date unless renewed by order of the court.

Endorsement

This application has been filed in court on the day of 20 .

If you intend to oppose this application you must not later than 3 days before the day fixed for hearing —

(a)	file in court a notice specifying the grounds on which you object to the making of a bankruptcy order;

(b)	send a copy of the notice to the claimant or his solicitor at the abovementioned address; and

(c)	send a copy of the notice to the Official Assignee at 45 Maxwell Road #07‑11, the URA Centre (East Wing), Singapore 069118.

If a defendant does not attend personally or by his counsel or solicitor at the time and place abovementioned such order will be made as the court may think just and expedient.

Form PIR-4

Rule 77(a)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(PERSONAL INSOLVENCY) RULES 2020

(Title)

AFFIDAVIT IN SUPPORT OF
CREDITOR’S BANKRUPTCY APPLICATION

I/We , of do make oath (or affirm) and say as follows:

1. [explanation as to how rule 75 of the Insolvency, Restructuring and Dissolution (Personal Insolvency) Rules 2020 is satisfied].

2. The defendant is justly and truly indebted to me/us in the aggregate sum of $_____________ [exact sum as of date of bankruptcy application], full particulars of which are set out in the annexure to this application which is marked ____ [The annexure shall be strictly in accordance with rule 71 of the Insolvency, Restructuring and Dissolution (Personal Insolvency) Rules 2020 and include particulars of assignment of debt, if any].

3. The abovementioned debt is for a liquidated sum payable immediately and the defendant appears unable to pay it.

4. On __________, a statutory demand was served on the defendant by _______________ [manner of service] in respect of the abovementioned debt *during the prescribed period under the COVID‑19 (Temporary Measures) Act 2020. **21 days referred to in section 312(a)(i) of the Insolvency, Restructuring and Dissolution Act 2018/6 months referred to in section 312(a)(i) of the Insolvency, Restructuring and Dissolution Act 2018 as modified by section 21(1)(e) of the COVID‑19 (Temporary Measures) Act 2020 have lapsed since the service of the demand and to the best of my/our knowledge and belief, the demand has neither been complied with nor set aside in accordance with the Insolvency, Restructuring and Dissolution (Personal Insolvency) Rules 2020 and no application to set it aside is outstanding.

*Delete these words if they do not apply.

**Delete accordingly. Please refer to section 312(a)(i) of the Insolvency, Restructuring and Dissolution Act 2018 and section 21(1)(e) of the COVID‑19 (Temporary Measures) Act 2020.

OR

4. On __________, a statutory demand was served on the defendant by _______________ [manner of service] in respect of the abovementioned debt *during the prescribed period under the COVID‑19 (Temporary Measures) Act 2020. **21 days referred to in section 312(a)(i) of the Insolvency, Restructuring and Dissolution Act 2018/6 months referred to in section 312(a)(i) of the Insolvency, Restructuring and Dissolution Act 2018 as modified by section 21(1)(e) of the COVID‑19 (Temporary Measures) Act 2020 have not lapsed since the service of the demand and to the best of my/our knowledge and belief, the demand has neither been complied with nor set aside in accordance with the Insolvency, Restructuring and Dissolution (Personal Insolvency) Rules 2020 and no application to set it aside is outstanding. I/We believe that there is a serious possibility that the debtor’s property, or the value of all or any of the debtor’s property, will be significantly diminished after the service of the statutory demand and before the end of the period of **21 days referred to in section 312(a) of the Insolvency, Restructuring and Dissolution Act 2018/6 months referred to in section 312(a) of the Insolvency, Restructuring and Dissolution Act 2018 as modified by section 21(1)(e) of the COVID‑19 (Temporary Measures) Act 2020. [further explanation as to how section 314 of the Insolvency, Restructuring and Dissolution Act 2018 is satisfied].

*Delete these words if they do not apply.

**Delete accordingly. Please refer to section 312(a)(i) of the Insolvency, Restructuring and Dissolution Act 2018 and section 21(1)(e) of the COVID‑19 (Temporary Measures) Act 2020.

OR

4. On __________, a certificate of inapplicability under section 299 of the Insolvency, Restructuring and Dissolution Act 2018 was issued by the Official Assignee against the defendant, and to the best of my/our knowledge and belief, the defendant has not disputed the issuance of the certificate.

OR

4. On __________, a certificate of failure under section 300 of the Insolvency, Restructuring and Dissolution Act 2018 was issued by the Official Assignee against the defendant, and to the best of my/our knowledge and belief, the defendant has not disputed the issuance of the certificate.

OR

4. [Give particular of other grounds relied upon for application]

5. I/We do not, nor does any person on my/our behalf, hold any security on the defendant’s estate, or any part thereof, for the payment of the abovementioned sum.

OR

5. I/We hold security for the payment of [part of] the abovementioned sum.

I/We will give such security for the benefit of all the creditors in the event of a bankruptcy order being made.

OR

5. I/We hold security for the payment of part of the abovementioned sum and I/we estimate the value of such security to be $____________. This application is not made in respect of the secured part of my/our debt.

6. There has been no stay of enforcement in respect of this debt [for judgment debts only].

7. To the best of my/our knowledge and belief, I/we verily believe that the Debt Repayment Scheme applies to the defendant as the defendant —

(a)	does not have debts exceeding $150,000/$250,000, or the aggregate of his unsecured debts in respect of which this bankruptcy application is made, does not exceed $150,000/$250,000;

(b)	is not an undischarged bankrupt;

(c)	has not been a bankrupt in the 5 years preceding the date of this application;

(d)	is not presently subject to a voluntary arrangement;

(e)	has not been subject to a voluntary arrangement in the 5 years preceding the date of this application;

(f)	is not presently subject to a debt repayment scheme;

(g)	has not been subject to a debt repayment scheme in the 5 years preceding the date of this application;

(h)	is not a sole-proprietor;

(i)	is not a partner in a firm;

(j)	is not a partner in a limited liability partnership.

(Note: The Debt Repayment Scheme does not apply to the applicant if the applicant fails to satisfy any of the conditions specified in paragraph 7 above.)

*Delete accordingly. Please refer to section 289(2)(a) of the Insolvency, Restructuring and Dissolution Act 2018 and section 21(1)(a) of the COVID‑19 (Temporary Measures) Act 2020.

OR

7. To the best of my/our knowledge and belief, I/we verily believe that the Debt Repayment Scheme does not apply to the defendant as the defendant —

(a)	has debts exceeding $150,000/$250,000, or the aggregate of his debts in respect of which this bankruptcy application is made, exceeds $150,000/$250,000;

(b)	is an undischarged bankrupt;

(c)	has been a bankrupt in the 5 years preceding the date of this application;

(d)	is presently subject to a voluntary arrangement;

(e)	has been subject to a voluntary arrangement in the 5 years preceding the date of this application;

(f)	is presently subject to a debt repayment scheme;

(g)	has been subject to a debt repayment scheme in the 5 years preceding the date of this application;

(h)	is a sole-proprietor;

(i)	is a partner in a firm;

(j)	is a partner in a limited liability partnership.

(Note: Please delete the sub-paragraphs which you are not relying on to support your knowledge and belief.)

*Delete accordingly. Please refer to section 289(2)(a) of the Insolvency, Restructuring and Dissolution Act 2018 and section 21(1)(a) of the COVID‑19 (Temporary Measures) Act 2020.

8. The Official Assignee / [the name of the licensed insolvency practitioner] has consented to being appointed as trustee of the bankrupt’s estate. [A copy of the licensed insolvency practitioner’s licence is annexed.]

(Note: A copy of the licensed insolvency practitioner’s licence granted under section 53 of the Insolvency, Restructuring and Dissolution Act 2018 must be annexed if a licensed insolvency practitioner is being appointed as trustee of the bankrupt’s estate.)

9. [Deleted by S 688/2023 wef 01/11/2023]

Sworn (or affirmed) on the day of 20 ,

at

(through the interpretation of )

Before me

Commissioner for Oaths

Form PIR-5

Rule 77(a)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(PERSONAL INSOLVENCY) RULES 2020

(Title)

AFFIDAVIT IN SUPPORT OF CREDITOR’S BANKRUPTCY APPLICATION ARISING FROM DEFAULT IN
CONNECTION WITH VOLUNTARY ARRANGEMENT

I/We , of do make oath (or affirm) and say as follows:

1.	[explanation as to how rule 75 of the Insolvency, Restructuring and Dissolution (Personal Insolvency) Rules 2020 is satisfied].

2.

On the day of 20 a voluntary arrangement proposal by the defendant was approved by his creditors and I am a creditor who is for the time being bound by the said voluntary arrangement/nominee supervising the said voluntary arrangement [The nominee supervising the said voluntary arrangement is (state name)].

3.	[give details of the defendant’s default under the voluntary arrangement, upon which the bankruptcy order is sought].

4.	A copy of the defendant’s proposal under the said voluntary arrangement is annexed to this application and marked

Sworn (or affirmed) on the day of 20 ,

at

(through the interpretation of )

Before me

Commissioner for Oaths

Form PIR-6

Rule 88(2)(a)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(PERSONAL INSOLVENCY) RULES 2020

(Title)

NOTICE OF INTENTION TO APPEAR AT
HEARING OF BANKRUPTCY APPLICATION

In the matter of a bankruptcy application filed on the day of 20 , to be heard on the day of 20 .

I, [state full name and address] a creditor of the abovenamed defendant in respect of [state amount and nature of debt] intend to appear on the hearing of the abovementioned application and to [support][oppose] the application.

Signed

Name

Date

Address

Tel. No.

Ref. No.

Form PIR-7

Rule 95(3)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(PERSONAL INSOLVENCY) RULES 2020

(Title)

NOTICE TO DEBTOR OF ORDER OF ADJOURNMENT
OF HEARING OF BANKRUPTCY APPLICATION

In the matter of a bankruptcy application filed on the day of 20 .

Take notice that by order of the court dated the further hearing of the bankruptcy application has been adjourned to

Date

Time

Place

Signed (by the claimant or his solicitor)

Name (name of claimant or his solicitor)

Address

Tel. No.

Ref. No.

To: [insert name and last known address of debtor]

Form PIR-8

Rule 96(3)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(PERSONAL INSOLVENCY) RULES 2020

(Title)

ORDER FOR SUBSTITUTION OF CLAIMANT
ON CREDITOR’S BANKRUPTCY APPLICATION

Upon the hearing of this application this day of 20 , and upon the application of [name of creditor who wishes to be substituted as claimant] for an order that he be substituted as claimant therein pursuant to rule 96 of the Insolvency, Restructuring and Dissolution (Personal Insolvency) Rules 2020.

And upon hearing

And upon reading [details of statutory demand, return of execution etc.]

It is ordered that the said be substituted as claimant in place of the said [name of original claimant in bankruptcy application] and that the said [name of new claimant] be at liberty to amend the said bankruptcy application accordingly.

And it is ordered that the hearing of the said amended bankruptcy application be adjourned to

Date

Time

Place

Dated this day of 20 .

By the Court,

Registrar

Form PIR-9

Rule 100(1)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(PERSONAL INSOLVENCY) RULES 2020

In the General Division of the High Court of the Republic of Singapore

In Bankruptcy   )
O.A. No.           )
Of 20               )

(Seal)

DEBTOR’S BANKRUPTCY APPLICATION

In the matter of the Insolvency, Restructuring and
Dissolution Act 2018 (Act 40 of 2018)

And

In the matter of

Applicant

Let all parties concerned attend before the Judge/Registrar on (date/time) on the hearing of the application by

that

1.	a bankruptcy order be made against myself, [state name]; and

2.	[state name of trustee of bankruptcy], whose certificate of consent to act is annexed hereto, be appointed as trustee of my bankruptcy estate.

Dated this day of 20 .

Registrar

This summons is taken out by of solicitor for the said applicant whose address is [or where the applicant appears in person]. This summons is taken out by the said applicant who resides at and is [state occupation] and [if the applicant does not reside within the jurisdiction] whose address for service is

Note: This summons shall be served together with an affidavit in support of the application. This summons may not be served more than 6 calendar months after the above date unless renewed by order of the court.

Form PIR-10

Rule 101(1)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(PERSONAL INSOLVENCY) RULES 2020

(Title)

AFFIDAVIT IN SUPPORT OF
DEBTOR’S BANKRUPTCY APPLICATION

I , of do make oath (or affirm) and say as follows:

1.	[explanation as to how rule 100(5) of the Insolvency, Restructuring and Dissolution (Personal Insolvency) Rules 2020 is satisfied].

2.	I have assets worth $ and liabilities of $ owing to creditors.

3.	I am unable to pay my debts. The cause(s) of my insolvency is/are

4.	Prior to my filing of this bankruptcy application, I verily believe that the Debt Repayment Scheme applies to me as —

(a)	the aggregate of the unsecured debts specified in the statement of affairs exhibited in this affidavit does not exceed *$150,000/$250,000;

(b)	I am not an undischarged bankrupt;

(c)	I have not been adjudged a bankrupt in the 5 years preceding the date of this application;

(d)	I am not presently subject to a voluntary arrangement;

(e)	I have not been subject to a voluntary arrangement in the 5 years preceding the date of this application;

(f)	I am not presently subject to a debt repayment scheme;

(g)	I have not been subject to a debt repayment scheme in the 5 years preceding the date of this application;

(h)	I am not a sole-proprietor;

(i)	I am not presently a partner in a firm;

(j)	I am not presently a partner in a limited liability partnership.

(Note: The Debt Repayment Scheme does not apply to the applicant if the applicant fails to satisfy any of the conditions specified in paragraph 4 above.)

*Delete accordingly. Please refer to section 289(2)(a) of the Insolvency, Restructuring and Dissolution Act 2018 and section 21(1)(a) of the COVID‑19 (Temporary Measures) Act 2020.

OR

4.	Prior to my filing of this bankruptcy application, I verily believe that the Debt Repayment Scheme does not apply to me as —

(a)	the aggregate of the unsecured debts specified in the Statement of Affairs exhibited in this affidavit exceeds *$150,000/$250,000;

(b)	I am an undischarged bankrupt;

(c)	I have been adjudged a bankrupt in the 5 years preceding the date of this application;

(d)	I am presently subject to a voluntary arrangement;

(e)	I have been subject to a voluntary arrangement in the 5 years preceding the date of this application;

(f)	I am presently subject to a debt repayment scheme;

(g)	I have been subject to a debt repayment scheme in the 5 years preceding the date of this application;

(h)	I am a sole-proprietor;

(i)	I am presently a partner in a firm;

(j)	I am presently a partner in a limited liability partnership.

(Note: Please delete the sub-paragraphs which you are not relying on to support your belief.)

*Delete accordingly. Please refer to section 289(2)(a) of the Insolvency, Restructuring and Dissolution Act 2018 and section 21(1)(a) of the COVID‑19 (Temporary Measures) Act 2020.

5.	A statement of my affairs has been filed in court with this application.

6.	The Official Assignee / [the name of the licensed insolvency practitioner] has consented to being appointed as trustee of the bankrupt’s estate. [A copy of the licensed insolvency practitioner’s licence is annexed.]

(Note: A copy of the licensed insolvency practitioner’s licence granted under section 53 of the Insolvency, Restructuring and Dissolution Act 2018 must be annexed if a licensed insolvency practitioner is being appointed as trustee of the bankrupt’s estate.)

Sworn (or affirmed) on the day of 20 ,

at

(through the interpretation of )

Before me

Commissioner for Oaths

Form PIR-11

Rule 102(1)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018

(ACT 40 OF 2018)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(PERSONAL INSOLVENCY) RULES 2020

STATEMENT OF AFFAIRS

PART 1

1:	Personal Details

1.1	Bankruptcy No.

:

_______________________________

1.2

Name

:

_______________________________

1.3	Any Other Names (Aliases, Maiden Name)

:

_______________________________

1.4	NRIC/Passport/FIN No.

:

_______________________________

1.5	Latest ID No. (if any)

:

_______________________________

1.6	Date of Birth

:

_______________________________

1.7	Nationality

:

_______________________________

1.8

Sex

:

Male / Female

1.9	Highest Educational Qualification

:

_______________________________

1.10

Race

:

_______________________________

1.11	Telephone No. (Home)

:

_______________________________

1.12	Telephone No. (Mobile)

:

_______________________________

1.13	Email Address

:

_______________________________

1.14	Address (As in NRIC)

:

_______________________________

1.15	Correspondence Address (if different from above)

:

_______________________________

2:	Family Particulars

2.1	Marital Status

:

_______________________________

2.2	Name of Spouse

:

_______________________________

2.3	Spouse ID Type

:

_______________________________

2.4	NRIC/Passport No. (Spouse)

:

_______________________________

2.5	Spouse Net Income

:

_______________________________

2.6	If you own any HDB flat, please complete the following:

Address of Flat

:

_______________________________

Type of Flat

:

_______________________________

Sole Owner / Joint Tenancy / Tenancy-In-Common (Share ___ %)

Name of Co‑Owner(s)

:

_______________________________

If you own a share in property(s) other than an HDB flat, please complete the tables at 2.1.4 and/or 2.2.2 of Part 2, where appropriate.

2.7 Please provide the Name(s), Age(s) of all your children and individuals who are financially dependent on you.

S/N

Name

Age

Relationship

Employment Status

1

2

3

4

5

Please provide details of your personal expenses and the expenses of the persons dependent on you.

Your total monthly expenses

:

_______________________________

Total monthly expenses for your family

:

_______________________________

Please list the expenses below:

3:	Employment Records

3.1

Are you

:

Employed / Self-employed / Unemployed

3.2	If employed, please provide:

Name of Employer

:

_______________________________

Job Title

:

_______________________________

Length of Service

:

_______________________________

Net Monthly Salary

:

_______________________________

3.3	If self-employed, please provide:

Name of Business/UEN No.

:

_______________________________

Address of Business

:

_______________________________

Nature of Business

:

_______________________________

Net Monthly Salary

:

_______________________________

3.4	If unemployed, please provide:

Name of Previous Employer

:

_______________________________

Previous Job Title

:

_______________________________

Last Date of Employment

:

_______________________________

Last Net Monthly Salary

:

_______________________________

Reason for Unemployment

:

_______________________________

Industry of Previous Employment

:

_______________________________

Last Held Position in Industry

:

_______________________________

Name & Relationship of person providing you financial support

:

_______________________________

3.5 Do you have any other Sources of Income (e.g. income from rental of flat/room, any part time job)? Please state details of the source and amount of income received.

4: Bankruptcy Details and Business Ownership

4.1 Were you previously adjudged a Bankrupt: Yes / No

If “Yes”, please provide Bankruptcy Number: _____________ and Date of Discharge/Annulment: ____________

4.2 Are you currently a director of any company or involved in the management of a company/ business? Yes / No

4.3 Were you previously (in the last 5 years) a director of any company or involved in the management of a company/business? Yes / No

4.4 If “Yes” for 4.2 or 4.3 or both, please give details of the company/business:

S/N

Name of
Company/Business

UEN No.

Nature of Business

Position in
Company

1

2

3

4

5

4.5 Are you presently involved in any Legal Proceedings: Yes / No

If Yes, please provide the details requested below:

S/N

Description of Case

Case Reference Number

Name and Address of Solicitors

1

2

3

4

5

4.6	Main Cause(s) of Bankruptcy (Please tick only 1 box)

□	Business failure (e.g. director/business owner and acted as guarantor for company loans, company hire-purchase)

□	Claims against you as a result of criminal offences (e.g. criminal breach of trust, misappropriation of funds)

□

Gambling

□	Liabilities due to guarantees of a personal nature (e.g. acted as guarantor for friend/family)

□	Loss of income due to unemployment or retrenchment

□	Loss of income due to medical problems or ill health

□	Overspending on consumer goods/services (e.g. family expenses, purchase of luxury items)

□	Speculation (e.g. shares, properties, forex trading)

□	Others, please indicate _______________________________________

4.7	Source(s) of Debt Contributing to Bankruptcy (tick all that apply)

□	Credit facilities from financial institutions (e.g. overdraft facilities, credit cards, renovation loans, company loans)

□	Hire-purchase facilities

□	Loans from licensed moneylenders

□	Personal loans (e.g. loans from friends/family)

□	Others, please indicate _______________________________________

You may provide details on the cause(s) of your bankruptcy:

PART 2

2: SUMMARY OF ASSETS AND LIABILITIES (Sections 2.1 & 2.2)

Assets

Amount

Liabilities

Amount

Cash at Bank/In Hand

Preferential Creditors

Sundry Debtors

Secured Creditors

Personal Assets

Unsecured Creditors

Real Estate Assets

Contingent Liabilities

Business Assets

Contingent Assets

Total Assets (A)

Total Liabilities (B)

Total Assets (A) - Total Liabilities (B) =

2.1 Assets

2.1.1 Cash at Bank (Savings/Current/Joint accounts/Fixed Deposits) and in Hand.

S/N

Name of Bank

Type of
A/C

A/C No.

Foreign Currency (Indicate currency type)

Amount

Amount
(SGD)

1

2

3

4

5

6

7

8

9

10

2.1.2 Sundry Debtors (Individuals/Companies/Businesses that owe you money)

S/N

Name of Debtor

NRIC/UEN
No.

Address

Date Debt Incurred

Foreign Currency (Indicate currency type/amount)

Amount
(SGD)

1

2

3

4

5

6

7

8

9

10

2.1.3 Personal Assets (Including Safe Deposit Box items, Insurance Policy, Vehicle, Trust/Will, Public or Private Limited Company Shares or Club Membership)

Note: If you have any asset still under hire purchase [i.e., not fully paid], please declare it here and also under section 2.2.2 “Secured Creditors” section.

S/N

Description of
Asset

Registration/
Account No.

Location of Asset

Quantity

Value of Asset
(SGD)

1

2

3

4

5

6

7

8

9

10

2.1.4 Real Estate (Including Commercial, Industrial, Foreign Properties, Executive Condominiums, HUDC property.) (Excludes HDB flat e.g. Maisonette or 5‑room flat and below.)

Note: If you have any property currently under mortgage [i.e., not fully paid], please declare it here and also under “Secured Creditors” section.

S/N

Description of
Asset

Address

Particulars of Ownership
(*Please select one)

%
Share

Value of Asset
(SGD)

Foreign Currency (Indicate currency type/amount)

1

Sole Owner / Joint Tenancy / Tenancy-in-Common / Beneficial Owner

2

Sole Owner / Joint Tenancy / Tenancy-in-Common / Beneficial Owner

3

Sole Owner / Joint Tenancy / Tenancy-in-Common / Beneficial Owner

4

Sole Owner / Joint Tenancy / Tenancy-in-Common / Beneficial Owner

2.1.5 Business Assets (Inventory/Plant and Equipment/Furniture and Fittings)

S/N

Description of Asset

Business Name

Type of Business
(*Please select one)

UEN
No.

Location of Asset

%
Share

Value of Asset
(SGD)

Foreign Currency (Indicate currency type/
amount)

1

Sole Proprietor / Pte Ltd / Partnership

2

Sole Proprietor / Pte Ltd / Partnership

3

Sole Proprietor / Pte Ltd / Partnership

4

Sole Proprietor / Pte Ltd / Partnership

5

Sole Proprietor / Pte Ltd / Partnership

2.1.6 Contingent Assets

Note: This is for pending law suits or legal claims that you have against another party (ie, you are the claimant). If there is a counter-claim against you in the law suit, please declare the counter-claim under “Contingent Liabilities” section in 2.2.4 below. The relevant documents evidencing the law suit/legal claim must also be submitted. If there are outstanding loans owed to you currently being serviced and there is a guarantor for this loan, please declare said guarantor in this section.

S/N

Nature of Contingency
(*Please select one)

Details of
Suit or Guarantee

Amount Owed
(SGD)

Debtor’s Name

Debtor’s ID No.

Debtor’s Address

1

Pending Suit/Arbitration

Guarantee

Others:______________

General Division of the High Court / State Courts / Foreign Court

Suit No:
_______________

Guarantee No./Information
_________________

2

Pending Suit/Arbitration

Guarantee

Others:______________

General Division of the High Court / State Courts / Foreign Court

Suit No:
_______________

Guarantee No./Information
_________________

3

Pending Suit/Arbitration

Guarantee

Others:______________

General Division of the High Court / State Courts / Foreign Court

Suit No:
_______________

Guarantee No./Information
_________________

4

Pending Suit/Arbitration

Guarantee

Others:______________

General Division of the High Court / State Courts / Foreign Court

Suit No:
_______________

Guarantee No./Information
_________________

2.2 Creditors

2.2.1 Preferential Creditors (Employees e.g. wages, work injury compensation; Inland Revenue Authority of Singapore (‘IRAS’) e.g. income tax, property tax, Goods and Services Tax; Central Provident Fund (‘CPF’) Board e.g. CPF contribution, MediShield Life premiums, foreign worker levy)

S/N

Name of Creditor

ID No.
(NRIC/FIN)

Description of Liability

Amount Outstanding
(SGD)

1

2

3

4

5

6

7

8

9

10

2.2.2 Secured Creditors (Either Fully or Partly Secured) (e.g. Mortgages/Pledges/Lien/Charge/Hire Purchase Agreements)

S/N

Name of Creditor

Address

Description of Asset

Amount Owed
(SGD)
(A)

Estimated Value
(SGD)
(B)

Estimated Surplus/Deficit
(SGD)
(B-A)

1

2

3

4

5

6

7

8

9

10

2.2.3 Unsecured Creditors (Personal Creditors, Licensed Moneylenders, Banks/Financial Institutions, other Businesses and Service Providers e.g. Telcos, utilities)

S/N

Name of Creditor

Address
(and NRIC No. where applicable)

Amount Owed
(SGD)

Nature of Debt

Foreign Currency (Indicate currency type/amount)

1

2

3

4

5

6

7

8

9

10

2.2.4 Contingent Liabilities

Note: This is for law suits or legal claims that another party has against you (ie, you are the defendant). If there is a counter‑claim by you against the claimant in the law suit, please declare the counter‑claim under “Contingent Assets” section in 2.1.6 above. The relevant documents evidencing the law suit/legal claims must also be submitted. If you are currently a guarantor for any hire‑purchase or personal loans and these hire-purchase or loans are still being serviced and have not been defaulted upon, please declare in this section.

S/N

Nature of Contingency
(*Please select one)

Details of Suit or Guarantee

Amount Owed
(SGD)

Creditor’s Name

Creditor’s ID No.

Creditor’s Address

1

Pending Suit/Arbitration

Guarantee

Others:___________

General Division of the High Court / State Courts / Foreign Court

Suit No:
____________

Guarantee No./Information
______________

2

Pending Suit/Arbitration

Guarantee

Others:___________

General Division of the High Court / State Courts / Foreign Court

Suit No:
____________

Guarantee No./Information
______________

3

Pending Suit/Arbitration

Guarantee

Others:___________

General Division of the High Court / State Courts / Foreign Court

Suit No:
____________

Guarantee No./Information
______________

4

Pending Suit/Arbitration

Guarantee

Others:___________

General Division of the High Court / State Courts / Foreign Court

Suit No:
____________

Guarantee No./Information
______________

PART 3

3: Disposal of Assets before Bankruptcy

3.1 Property Disposed 5 years prior to date of Bankruptcy Application

Note: Please declare all assets given away, transferred or sold in the last 5 years. This includes any assets given away, transferred or sold as a result of divorce proceedings or following a court order.

S/N

Description of Asset

Estimated Market Value or Fair Value of Asset

Date of Sale/
Transfer/Disposal

Name of Buyer/
Transferee

Net Sale Proceeds

1

2

3

4

5

3.2 Repayment of Debt(s) to creditors before and after date of Bankruptcy Application

Note: If you made payment to any creditor in the last 2 years before the date of Bankruptcy Application or payment to any creditor after the date of the Bankruptcy Application, please provide the information below:

S/N

Creditor

ID No.
(NRIC/FIN)

Amount Owed

Amount Paid

Relationship

Date of Repayment

1

2

3

4

5

Form PIR-12

Rule 102(2)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(PERSONAL INSOLVENCY) RULES 2020

In the General Division of the High Court of the Republic of Singapore

IN BANKRUPTCY NO. OF

RE:

AFFIDAVIT VERIFYING STATEMENT OF AFFAIRS

I, ............................................................ of .......................................................... holder of Singapore NRIC / Passport No. / Identification No. ............................. *make oath / affirm and say that the particulars contained in the statement of affairs – PARTS 1, 2 and 3 relating to *myself / the abovenamed firm which are *submitted electronically / signed by me on .................... 20..... are true and complete to the best of my knowledge and belief.

*Sworn / Affirmed at )

this day of 20 )

Before me,

___________________

Commissioner for Oaths

* Delete where appropriate

Form PIR-13

Rule 107(2)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(PERSONAL INSOLVENCY) RULES 2020

(Title)

BANKRUPTCY ORDER ON CREDITOR’S APPLICATION

Upon the application of [Name and address of claimant], a creditor, which was filed on the day of 20 , and upon reading the affidavit of

And upon hearing

It is ordered that [full description of debtor as set out in the application] be adjudged bankrupt [and it is ordered that be appointed trustee of the bankrupt’s estate]

Dated this day of 20 .

By the Court,

Registrar

Notice to the Bankrupt

Upon written notification by the Official Assignee / trustee in bankruptcy*, please comply with the instructions contained in the written notification from the [Official Assignee / trustee in bankruptcy].

*Delete accordingly.

ENDORSEMENT ON ORDER

The solicitor to the claimant is

Name

Address

Tel. No.

Ref. No.

Form PIR-14

Rule 107(3)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(PERSONAL INSOLVENCY) RULES 2020

(Title)

BANKRUPTCY ORDER ON DEBTOR’S APPLICATION

Upon the application of the abovenamed debtor, which was filed on the
day of 20 ,

And upon hearing

And upon reading the affidavit and statement of affairs of

It is ordered that [insert full description of debtor as set out in the debtor’s bankruptcy application] be adjudged bankrupt.

[And it is ordered that be appointed trustee of the bankrupt’s estate]

Dated this day of 20 .

By the Court,

Registrar

Notice to the Bankrupt

Upon written notification by the Official Assignee / trustee in bankruptcy*, please comply with the instructions contained in the written notification from the [Official Assignee / trustee in bankruptcy].

*Delete accordingly.

Form PIR-15

Rule 113(1)(a)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(PERSONAL INSOLVENCY) RULES 2020

(Title)

APPLICATION FOR INTERIM RECEIVER

I, ________________________________, do, on the grounds set forth in

(Name of applicant)

the annexed affidavit, apply to the court to appoint the Official Assignee as Interim Receiver of the property or part of the property of __________________

(Name of debtor)

and _________________________________________________________

(Any special directions to the Official Assignee that may be desired)

Dated this day of 20 .

Signature of Applicant

Form PIR-16

Rule 113(2)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(PERSONAL INSOLVENCY) RULES 2020

(Title)

ORDER APPOINTING INTERIM RECEIVER

Upon reading this application and the affidavit therein referred to, and hearing _________________________________, it is ordered that upon a deposit of $____________ being lodged by the applicant, the Official Assignee be thereupon appointed Interim Receiver of the property or part of the property of the said _______________________________

(Name of debtor)

_____________________________________________________________

(Nature, short description and locality of the property and special directions, if any)

Dated this day of 20 .

By the Court,

Registrar

Form PIR-17

Rule 117(1)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(PERSONAL INSOLVENCY) RULES 2020

(Title)

APPLICATION FOR AN ORDER FOR AN EXAMINATION
UNDER SECTION 335(1) OF INSOLVENCY,
RESTRUCTURING AND DISSOLUTION ACT 2018

A Bankruptcy Order having been made in the above matter, application is hereby made to the court by _____________________________________

(Name, address and capacity of applicant)

for an order appointing such date, time and place as the court shall direct for holding an examination of ______________________________________________________________________________________________________

(Name, NRIC/Passport No. and address)

and that he does attend such examination.

Dated this day of 20 .

(Signature)

Address

Form PIR-18

Rule 117(2)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(PERSONAL INSOLVENCY) RULES 2020

(Title)

ORDER APPOINTING A DATE FOR AN EXAMINATION
UNDER SECTION 335(1) OF INSOLVENCY,
RESTRUCTURING AND DISSOLUTION ACT 2018

Upon the application of ______________________________________

(Name and address of applicant)

it is ordered that the examination of ________________________________

(Name, NRIC/Passport No. and address)

is to be held at __________________________________________________

(Venue)

on the day of 20 at _________.

(Time)

And it is ordered that the abovenamed person do attend at the date, time and place abovementioned.

Dated this day of 20 .

By the Court,

Registrar

Note: Notice is hereby given that if you fail to attend at the date, time and place mentioned above without reasonable excuse, you will be liable to be committed to prison without further notice.

Form PIR-19

Rules 121(3), 122(4) and 123(3)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(PERSONAL INSOLVENCY) RULES 2020

(Title)

NOTICE OF APPLICATION TO REVIEW/VARY MONTHLY
CONTRIBUTION AND TARGET CONTRIBUTION UNDER
SECTION *340(4)/341(4)/343(3)(b) OF INSOLVENCY,
RESTRUCTURING AND DISSOLUTION ACT 2018

Take notice that [insert name of bankrupt or creditor], who is a *bankrupt/creditor is dissatisfied with the bankrupt’s monthly contribution and target contribution determined by the *[Official Assignee/trustee in bankruptcy] and he/she has applied to the court to review the monthly contribution and target contribution.

OR

Take notice that the *[Official Assignee/trustee in bankruptcy/bankrupt/creditor] has applied to the court to vary the bankrupt’s monthly contribution and target contribution.

^#A copy of the application is attached herein.

The hearing of the application has been fixed on [insert date] at [insert time of hearing] at [insert venue of hearing].

Signed (by *Official Assignee/trustee in bankruptcy)

Address

Dated this day of 20 .

To:

^#If upon the request of any person given notice of the application.

*Delete where appropriate

Form PIR-20

Rules 121(5)(a), 122(5)(a)
and 123(5)(a)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(PERSONAL INSOLVENCY) RULES 2020

(Title)

NOTICE OF VARIATION ORDER UNDER
SECTION *340(8)/341(7)/343(7) OF INSOLVENCY,
RESTRUCTURING AND DISSOLUTION ACT 2018

Upon the application of *[Official Assignee/trustee in bankruptcy/bankrupt/creditor], which was filed on the day of 20 .

The General Division of the High Court ordered that the monthly contribution and the target contribution *not be varied. / be varied to be the sums of (i) $ and
(ii) $ respectively.

The variation of the monthly contribution and the target contribution takes effect on [Insert Date].

A copy of the variation order is attached.

Dated this day of 20 .

Official Assignee/trustee in bankruptcy

(Signature)
Address

To:

*Delete where appropriate

Form PIR-21

Rule 130(1)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(PERSONAL INSOLVENCY) RULES 2020

(Title)

NOTICE TO BANKRUPT
UNDER SECTION 372 OF INSOLVENCY,
RESTRUCTURING AND DISSOLUTION ACT 2018

Take notice that an application has been made by [Official Assignee/trustee in bankruptcy] to this court on the day of 20 , for an order under section 372 of the Insolvency, Restructuring and Dissolution Act 2018 for the payment of a part of your salary, income, half‑pay, pension, or compensation to me as trustee for the benefit of the creditors under your bankruptcy.

A copy of the application is attached herein.

The hearing of the application has been fixed on [insert date], [insert time] at [insert place].

You are at liberty to show cause against this order being made against you.

Dated this day of 20 .

Signed (by Official Assignee/trustee in bankruptcy)

Form PIR-22

Rule 131(1)(a)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(PERSONAL INSOLVENCY) RULES 2020

(Title)

ORDER SETTING ASIDE PAY OR SALARY
UNDER SECTION 372(1) OF INSOLVENCY,
RESTRUCTURING AND DISSOLUTION ACT 2018

Whereas it appears to the court that the bankrupt is an officer of the Singapore Armed Forces or a public officer or otherwise employed or engaged in the public service of the Government (select where appropriate), and as such is in receipt of the monthly pay (or salary) of about ___________ dollars; and whereas upon the application of the *Official Assignee/trustee in bankruptcy and upon hearing the bankrupt, it appears to the court just and reasonable that the monthly sum of _____________ dollars, a portion of the said pay (or salary) ought to be paid to the *Official Assignee/trustee in bankruptcy during the bankruptcy, in order that the same may be applied in payment of the debts of the bankrupt, and that such payment ought to be made out of the first moneys which shall be due after the _________ day of
____________ 20 , and be continued until this court shall make order to the contrary; it is ordered, that such portion of the pay (or salary) shall be paid to the *Official Assignee/trustee in bankruptcy [insert trustee’s name if trustee has been authorised to receive the moneys] accordingly.

Dated this day of 20 .

By the Court,

Registrar

*Delete where appropriate

Form PIR-23

Rule 131(1)(b)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(PERSONAL INSOLVENCY) RULES 2020

(Title)

ORDER SETTING ASIDE SALARY OR INCOME
UNDER SECTION 372(2) OF INSOLVENCY,
RESTRUCTURING AND DISSOLUTION ACT 2018

Whereas it appears to the court that the bankrupt is in the receipt of (or entitled to) a salary (or income, half‑pay, pension, or compensation granted by the Government, as the case may be) of about ___________ dollars; as (here set forth the circumstances under which the salary or income is received):

And whereas upon the application of the *Official Assignee/trustee in bankruptcy and upon hearing the bankrupt, it appears to the court just and reasonable that the monthly sum of _____________ dollars, a portion of the said salary (or income, etc.) ought to be paid by the bankrupt by monthly payment to the *Official Assignee/trustee in bankruptcy [insert trustee’s name if trustee has been authorised to receive the moneys] during the bankruptcy, in order that the same may be applied in payment of the debts of the said bankrupt, and that the first of such payment ought to be made on the ___ day of ____________ 20 , and be continued monthly until this court shall make order to the contrary; it is ordered that the said sum shall be paid by ______________________________ in the manner aforesaid out of the bankrupt’s salary (or income, etc.).

Dated this day of 20 .

By the Court,

Registrar

*Delete where appropriate

Form PIR-24

Rule 172

INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(PERSONAL INSOLVENCY) RULES 2020

In the General Division of the High Court of the Republic of Singapore

In Bankruptcy )

O.A. No. )

Of 20 )

CREDITOR’S APPLICATION FOR
ADMINISTRATION OF ESTATE OF DECEASED DEBTOR
UNDER SECTION 419 OF INSOLVENCY,
RESTRUCTURING AND DISSOLUTION ACT 2018

In the matter of the Insolvency, Restructuring and Dissolution Act 2018 (Act 40 of 2018)

And

In the matter of

Between

Claimant

And

Defendant

Let all parties concerned attend before the Judge (or Registrar) in chambers on (date/time) on the hearing of the application by the claimant that —

1. An order be made for the administration in bankruptcy of the estate of the late [state full particulars of deceased debtor], who died on the ______ day of _________ 20 ;

2. The Official Assignee be appointed as trustee of the deceased debtor’s estate in bankruptcy.

Dated this day of 20 .

Registrar

This summons is taken out by of solicitor for the said claimant whose address is [or where the claimant sues in person]. This summons is taken out by the said claimant who resides at and is [state occupation] and [if the claimant does not reside within the jurisdiction] whose address for service is

Note: This summons shall be served together with an affidavit in support of the application. This summons may not be served more than 6 calendar months after the above date unless renewed by order of the court.

Endorsement

This application has been filed in court on the day of 20 .

And you, [Name of Executor/Administrator of deceased’s estate] are to take notice that if you intend to oppose this application you must not later than 3 days before the day fixed for hearing —

(a)	file in court a notice specifying the grounds on which you object to the making of an administration order;

(b)	send a copy of the notice to the claimant or his solicitor at the abovementioned address; and

(c)	send a copy of the notice to the Official Assignee at [state address].

If a defendant does not attend personally or by his counsel or solicitor at the time and place abovementioned, such order will be made as the court may think just and expedient.

Form PIR-25

Rule 172

INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(PERSONAL INSOLVENCY) RULES 2020

(Title)

AFFIDAVIT IN SUPPORT OF
CREDITOR’S APPLICATION FOR ADMINISTRATION OF
ESTATE OF DECEASED DEBTOR UNDER SECTION 419 OF
INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018

I/We ___________________________, of _________________________ do make oath (or affirm) and say as follows:

1.	[explanation as to how rule 75 of the Insolvency, Restructuring and Dissolution (Personal Insolvency) Rules 2020 is satisfied].

2.

The estate of the said deceased is justly and truly indebted to me/us in the aggregate sum of $_____________ [exact sum as of date of bankruptcy application], full particulars of which are set out in the annexure to this application which is marked ____ [The annexure shall be strictly in accordance with rule 71 of the Insolvency, Restructuring and Dissolution (Personal Insolvency) Rules 2020 and include particulars of assignment of debt, if any].

3.	The abovementioned debt is for a liquidated sum payable immediately.

4.	I/We do not, nor does any person on my/our behalf, hold any security on the deceased debtor’s estate, or any part thereof, for the payment of the abovementioned sum.

OR

4.	I/We hold security for the payment of [part of] the abovementioned sum.

I/We will give such security for the benefit of all the creditors in the event of an order for administration in bankruptcy being made.

OR

4.	I/We hold security for the payment of part of the abovementioned sum and I/we estimate the value of such security to be $____________. This application is not made in respect of the secured part of my/our debt.

5.	The assets of the estate are as follows [state description and estimation or actual value].

6.	The will of the said deceased debtor was on the day of 20 , proved by [state name and address of Executor(s)].

OR

6.	The letters of administration were on the day of 20 , granted to [state name and address of Administrator(s)].

7.	The total assets of the estate are to my knowledge and information insufficient to settle the debts of the estate.

8.	There has been no stay of enforcement in respect of this debt. [applicable to judgment debts only].

9.	[any other relevant information].

Sworn (or affirmed) on the day of 20 ,

at

(through the interpretation of )

Before me

Commissioner for Oaths

Note: If the applicant is the Official Assignee, paragraphs 2, 3 and 4 do not apply.

Form PIR-26

Rule 176(a)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION ACT 2018
(ACT 40 OF 2018)

INSOLVENCY, RESTRUCTURING AND DISSOLUTION
(PERSONAL INSOLVENCY) RULES 2020

(Title)

ORDER FOR ADMINISTRATION OF ESTATE
OF DECEASED DEBTOR

Upon the application of [Name and address of claimant], a creditor, which was filed on the day of 20 , and upon reading the affidavit of

And upon hearing

It is ordered that an order be made for the administration of the estate of [full description of debtor as set out in the application] [and it is ordered that the Official Assignee be appointed trustee of the deceased debtor’s estate]

Dated this day of 20 .

By the Court,

Registrar

Notice to the Legal Representative of the Deceased Debtor

You are required to attend upon the Official Assignee at his office at 45 Maxwell Road #07-11, the URA Centre (East Wing), Singapore 069118 upon written notification by the Official Assignee. The Official Assignee’s office is open every Monday to Friday (except public holidays) from 8.30 a.m. to 5.00 p.m.

ENDORSEMENT ON ORDER

The solicitor to the claimant is

Name

Address

Tel. No.

Ref. No.

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