Form B3
Rules 2.01; 2.03; 6.05; 6.11; 6.16
Interim application
No.	      of 20     
Federal Circuit and Family Court of Australia
Registry: [State]

In the matter of [name of debtor or bankrupt estate]
[Name of Applicant(s)]
Applicant[s]
[Name of Respondent(s)]
Respondent[s]
To [each party who may be affected by the application]
of [address]
Application and Court hearing
The [role of party eg Applicant] applies for the interim relief set out in this application.
The Court will hear this application, or make orders for the conduct of the proceeding, at the time, date and place shown in the Notice of Filing and Hearing attached.[Note: The Court will insert the Notice of Filing and Hearing as a coversheet when this application is accepted for filing.] If you or your lawyer do not attend, then the Court may make orders in your absence.
Interim orders sought
1.	[An interim application must state, if appropriate, each section of the Bankruptcy Act 1966, each regulation of the Bankruptcy Regulations 2021 or each rule of Court under which the application is made.]
2.	[Specify in numbered paragraphs all the interim orders sought.
3.	
Service on the [role of party eg Respondent]
[Select one of these 3 options and delete others]
[*]It is intended to serve this application on all [role of party eg Respondent]s.
[*or]It is intended to serve this application on the following [role of party eg Respondent]s:
[name of each person on whom application is to be served]
[*or]It is not intended to serve this application on any [role of party eg Respondent]s.

Date: [eg 19 June 20..]

Signed by [Name]
[Insert capacity eg Applicant / Lawyer for the Applicant]
	
[*delete if inapplicable]