ONLINE LIQUIDATION ASSESSMENT FORM

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Company name

COMPANY INFORMATION

Registration number

Postal Address

Physical Address

Tel (Office)

E-mail address

Is the annual CIPC fees up to date

Is the staff still employed or retrenched?

Any outstanding retrenchment packages?

Is the company still trading

If no, when did the company stop trading

Full names

DIRECTOR INFORMATION

Surname

First name

ID number

Address

Tel Home

Tel Work

Cell number

e-mail address

Full names

Surname

First name

ID number

Address

Tel Home

Tel Work

Cell number

e-mail address

Do you have Property registered on the company’s name?

INFORMATION ON PROPERTY

Do you have a property without a bond?

Do you have more than one (1) property?

If the business premises are rented, what is the duration on the rental / lease agreement, is there any outstanding moneys on the monthly rent?

Plot / Stand number

PROPERTY 1

Street address

The amount you purchased the property for

Outstanding amount on you bond

Bond holder – which bank

Account number at the bank

Is the property on the market?

If so – what is the listing price

Do you utilize the property? (If yes, please explain)

Did you sign surety for the property?

Plot / Stand number

PROPERTY 2

Street address

The amount you purchased the property for

Outstanding amount on you bond

Bond holder – which bank

Account number at the bank

Is the property on the market?

If so – what is the listing price

Do you utilize the property? (If yes, please explain)

Did you sign surety for the property?

Fabricate

VEHICLE 1 - INFORMATION ON VEHICLES - (registered to the company’s name)

Year model

Registration number

Value

Hire purchase / Lease

Your instalment

Financed through

Is the account up to date?

Is the vehicle insured

Fabricate

VEHICLE 2

Year model

Registration number

Value

Hire purchase / Lease

Your instalment

Financed through

Is the account up to date?

Is the vehicle under insurance?

Please list all paid off assets

ANY PAID ASSETS OWNED BY THE COMPANY

Have you ever applied for business rescue?

GENERAL INFORMATION

If so - when

REASONS FOR APPLYING FOR LIQUIDATION

LIST OF CREDITORS - CREDITORS - ADRESS - MONTHLY PAYMENT - OUTSTANDING BALANCE

(Please indicate which of the company creditors you have signed suretyship for in your personal capacity.)

LIST OF DEBTORS - DEBTOR - ADRESS - MONTHLY PAYMENT - OUTSTANDING BALANCE

Please tell us where you heard about us?