Sequestration Online Assessment Form – MGSP Consultants

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Call us now: 084 085 0620 | Email: admin@mgsp.co.za

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SEQUESTRATION ONLINE ASSESSMENT FORM

You can save your progress at any time and return to complete this form later.

Step 1 of 8

12%

First Name*
Last Name*
Mobile Number*
Tel Home*
Tel Work*
Email*
Consent*
I agree to the collection of my personal data by MGSP Consultants..
Spot for a longer description or actual agreement

Save and Continue Later

Where did you hear about us?
Have you ever been...
Under debt review / counselling:
- Yes
- No
Applied for debt review / counselling:
- Yes
- No
Previously under administration:
- Yes
- No
Declared Insolvent?
- Yes
- No
Rehabilitated after sequestration?
- Yes
- No

Save and Continue Later

APPLICANT/S INFORMATION

(Applicant indicates the individual which are interested in applying for sequestration)
Applicant Full Names*
Applicant Surname*
Applicant Nick Name
Applicant ID Number*
Applicant Address*
City*
Country*
Postcode*
Applicant Tel Home
Applicant Tel Work
Applicant Cell Number*
Applicant Email Address*
Applicant Occupation*
Applicant Employer
Applicant Period of employment
Applicant Nett monthly remuneration
(After deductions)
Applicant Commission
Estimated monthly remuneration for a period of 3 x months
Marital status

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MONTHLY EXPENSES
If divorced - do you receive maintenance?
- Yes
- No
Do you pay maintenance?
- Yes
- No
School fees
Afterschool activities
Rent / Bond
Water & Electricity
Medical aid
Other medical expenses
Groceries
Vehicle payment
Fuel
Other
Any expenses which are not listed above

Save and Continue Later

ASSETS & LIABILITIES: PROPERTY INFO
Do yo own property
- Yes
- No
Do you Rent a property
- Yes
- No

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VEHICLE INFORMATION

Vehicles only registered in the applicant's names, whether paid in full or still on a purchase agreement
Make & Model
Registration number
Value
Hire Purchase / Lease
Financial Institution
Is the vehicle instalments in arrears
- Yes
- No
Is the vehicle Insured
- Yes
- No
Payments
- Monthly installment
- Paid in full

Save and Continue Later

CREDITORS INFORMATION
(Add up to 10 creditors)
CREDITORS NAME
DESCRIPTION (loan / shortfall / credit card / vehicle finance / home loan)
OUTSTANDING BALANCE

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RESONS FOR APPLICATION FOR SEQUESTRATION

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Company

About us
Contact us

Sequestration

What is Sequestration?
Types of Sequestration
The Process
Advantages & Disadvantages
FAQ

Liquidation

What is Liquidation?
Types of Liquidation
FAQ

Rehabilitation

What is Rehabilitation?
The Process
FAQ

Get in Touch!

Physical Address
1 Marion Place
Ballito
KwaZulu – Natal

Enquiries
Cell: 084 085 0620
Email: admin@mgsp.co.za

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Get in Touch!

Name*

Surname*

Email*

Cell no*

Alt no*

ID Number*

Province*

Legal Status*

I am interested in*

Total debt amount

Contact method*

Your Message

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