IN THE FEDERAL CIRCUIT AND
FAMILY COURT OF AUSTRALIA
(insert location of Registry) REGISTRY
No:  		of 2	
in the matter of 	
	
(Name of debtor)

		
	Applicant Creditor

		
	Respondent Debtor

AFFIDAVIT OF SEARCH
Subrules 4.06(3) and (5)
Federal Circuit and Family Court of Australia (Division 2) (Bankruptcy) Rules 2021

On 	(date),   I, 	
(insert name, address and occupation)
of	

say on oath/declare and affirm (delete whichever is inapplicable) - 
1. On (insert date) I caused a search to be conducted of the National Personal Insolvency Index. A copy of an extract of the Index is attached and marked with the letter “A”.
2. There were no references in the Index to the debtor./The references in the Index to the debtor are set out in the attached extract (delete whichever is inapplicable).
3. There were no details of a debt agreement, about the debt on which the applicant relies, in the Index on the day when the petition was presented, and on the day when the search was made.
(Note: The following signature block bounded by two horizontal lines must appear at the foot of the first page of the document. After completion of the document, please cut and paste the signature block as required so that it is correctly located.)

Filed by the Applicant
Name:							DX:
Address for service:					Telephone:
Facsimile:						Ref:
_________________________________________________________________________

(Complete paragraph 4 if the debt stated in the petition is an amount payable to the petitioner under a judgment that ordered the amount to be paid into the court that gave the judgment). 
4. On (insert date) I spoke to (insert name) in the office of the (insert name of the court in which the judgment debt was obtained) and was informed that no amount, or part of the amount of the judgment debt, has been paid into the court in accordance with the judgment in action no. (insert action number).

SWORN/AFFIRMED (delete whichever is inapplicable) at (insert name of place):
……………………………………			……………………………………………..
Before me: (witness signs here)				(deponent signs here)
	        (Justice of the Peace)