Completing your Statement of Affairs

A Statement of Affairs is a form that outlines your financial situation, including assets, debts, income, and expenses.  

When you need to fill out a Statement of Affairs

If you want to apply for an insolvency procedure like bankruptcy, No Asset Procedure or Debt Repayment Order, you must complete a Statement of Affairs form as part of your application. You can fill out the form online.

How to apply for an insolvency procedure

You will also need to fill out a Statement of Affairs if you have been made bankrupt by the courts.

Made bankrupt by the court(creditor’s application)

What you need before you apply

Make sure you have all of the information below before submitting your Statement of Affairs form. If any relevant information is missing it may delay your application process.

This list is also available as a PDF:

What you need before you apply [PDF, 141 KB]

When you fill out a Statement of Affairs form you will need:

  • your IRD number
  • your passport
  • recent payslips for you and your partner, if you have one.

You must also provide:

  • your full legal name, including any alias names that you may be known by
  • details of any partners and dependants, including their incomes
  • your current and all previous addresses, phone number(s) and email addresses
  • your IRD number, passport details and the names and contact details of an alternative contact, preferably your accountant or solicitor if you have one
  • payslips detailing of your income
  • details of your expenses.

You must provide:

  • the reason(s) for your insolvency and details of any previous insolvency (including the dates and estate numbers for these insolvencies)
  • details of any court cases you are involved with (including copies of court notices and the contact details of solicitors involved)
  • details of any gambling that you have been involved with
  • details of any property you have owned which may have been repossessed, seized or given away (including copies of any documents showing the nature and values of any properties)
  • information on payments over $1000 made to creditors in the last 6 months
  • details of any loans or debts you have borrowed in the last 12 months (including copies of documents showing information of these new debts or loans).

You must provide the following information about your financial status.

What you own — assets

Assets are things that you own that have value. This includes physical items such as property or vehicles, and savings or investments. This also includes money others owe you.

You will be asked to provide as much detail as possible about all of your assets, including:

  • transaction dates
  • costs and current values
  • contributions that have been made
  • the condition and location of the asset.

You must provide information on:

  • account or policy numbers for banking, insurance, superannuation and KiwiSaver accounts you have in NZ or overseas
  • personal items worth more than $5,000
  • any money owed to you, including money owed by friends and family, or any unpaid wages
  • your real estate activities, including:
    • property addresses,
    • co-owners,
    • market values,
    • mortgage/loan details,
    • property insurance details,
    • real estate agent details,
    • tenant’s details,
    • Māori land interests.
  • your interests in the estates of people who have died in the last 2 years, including the name and address of the person managing the estate
  • your motor vehicles including:
    • the type of vehicle (for example car, motorcycle, caravan, trailer or boat),
    • the registration number,
    • the year, make and model,
    • the estimated resale value,
    • the condition of the vehicle, and
    • the name of the lender and amount outstanding if any loans are on the vehicle.
  • any shares/investments held in NZ or overseas, including relevant documents and the approximate value of the shares or investments
  • your life insurance policies including:
    • the name of insured,
    • the policy number,
    • the name of the insurance company,
    • the date paid up to, and
    • whether any funds are available under a hardship clause or for any other reason.
  • your superannuation or KiwiSaver schemes including:
    • the name of the fund provider,
    • the policy number,
    • the total in the fund including employer and government contributions, and
    • any previous withdrawals including the amount, date and what the withdrawal was used for (this information can be provided by Inland Revenue).
  • any sale, transfer or gifting of assets in the last five years, including:
    • what it was,
    • who received it,
    • what date,
    • what it was worth,
    • how much was it sold for, and
    • how much you received.
  • any relationship property settlements in the last 5 years.

What you owe - liabilities

You must provide information on:

  • joint debt, including:
    • the total amount of debt owed by both parties, not half of the debt.
  • secured debts and hire purchase debts including:
    • a description of the item,
    • its value, and
    • the amount owed.
  • government debts, including:
    • the total amount owed and information on any regular payments, 
    • child support or maintenance,
    • court fines,
    • criminal reparation orders but not attachment orders, or tenancy tribunal awards,
    • student loans, and other taxes.
  • credit cards and other debts and loans including:
    • the name and email address of the lender,
    • the current amount owing,
    • the dates and reasons why you took on this debt.
  • any business debts you have as a sole trader or signed personal guarantees.

Trust, Company, Partnership or Business involvement

You need to provide details of your involvement in any business or entity, including:

  • the names of the entities,
  • your relationship with them,
  • the contact information for the entity,
  • the values of assets and liabilities of the entity,
  • any details of any financial transactions that you have had with the entity in the past 2 years,
  • any details of the entities accountants and/or solicitors, and
  • any recent business records of the entity.

If the Official Assignee has all the information they need to assess your application, you should get a reply within 10 working days. If you have not heard from the Official Assignee after 10 working days, you should email us.

applications@insolvency.govt.nz