Approved form AF2002-188

made under the
Trustee Companies Act 1947

Trustee Companies Act 1947—Form 1
(see s 31)
Quarterly financial declaration

								Limited
We,	(1)	of	(2)	,
	(1)	of	(2)	,
	(1)	of	(2)	,
	(1)	of	(2)	,
being officers of						Limited, declare in relation to that company, that—
(a)	the liability of the members is limited;
(b)	the authorised capital is $	        divided into shares of		each;
(c)	the number of shares issued is		;
(d)	(3) there has been called up on each of 	shares, $ 	; 
	(3)*  there has been called up on each of	shares, $	;
(e)	(4)   the net tangible assets, on			, being the latest practicable day before the making of this declaration, amounted to $		;
(f)	(5) the unused credit and standby facilities arranged as at		, amounted to $ 		;
(g)	(5) the statement attached to this declaration is a true and correct statement of the company’s liabilities and assets as at		;
(h)	the classification and valuation of assets adopted in that statement correctly reflect the company’s intentions, as at the day of this declaration, in regard to the use and disposal of those assets;
(j)	the following loans were obtained from financial institutions, other than banks and insurance companies, during the 3 months immediately before that day:

name of 	amount of 	term of 	interest		security 
institution	   loan		   loan		 rate	        (if applicable)

(k)	the following contingent liabilities, to the extent that those liabilities are                         quantifiable, existed on that day:

Type of contingent liability			         Estimated amount $

1	Guarantees of liabilities of related bodies corporate	
2	Guarantees of liabilities of other persons	
3	Other contingent liabilities	
										
						Total 	$			

(l)	guarantees of liabilities of related bodies corporate as set out in the statement annexed are made up as follows:

Name of corporation				Amount $

Total 	$	

(m)	the following table sets out the credit and standby facilities available on that day and the restrictions affecting those facilities:

Description of facility					Amount $

(n)	the following significant changes have happened in the nature of the principal activities of the company during the 3 months immediately before that day:
(give details)
(o)	the following items, transactions or events of a material and unusual nature affected the results of the company’s operations during the 3 months immediately before that day:
(give details)
(p)	the company has complied with the Trustee Companies Act 1947 throughout the 3 months immediately before that day; and
(q)	there are, in our opinion, reasonable grounds to believe that the company will be able to pay its debts as and when they fall due.

		
		
	Signatures
(1)	The declaration is to be completed by the manager or managing director, the chief financial officer and 2 other persons who are directors of the trustee company.
(2)	Insert usual residential address.
(3)	If the shares are of different classes, the number issued in each class must be shown separately.
(4)	Net tangible assets means net tangible assets within the meaning of the Corporations Law, section 399.
(5)	For this paragraph, the required date is that of the last day of the month immediately before the month when this declaration is made.
*     Strike out if inapplicable.

Statement to be annexed to quarterly financial declaration showing assets and liabilities as at..............19......(*)
								Limited

Assets and liabilities	$

Tangible assets
1	Recoverable or realisable within 1 year—
Cash on hand	
Cash at bank	
Bills receivable—
bank, accepted or endorsed (1)	
other (1)	
Amounts receivable from related bodies corporate—
secured (1)	
unsecured (1)	
Other loans (3) and deposits—
secured (1)	
unsecured (1)	
Government and semi-government securities (2)	
Shares, units, options and convertible notes in companies—
listed on an Australian stock exchange (1)	
not listed on an Australian stock exchange (1)	
Capital investments in partnerships, trusts and unincorporated joint ventures (1)
Lease receivables (1)	
Other amounts realisable within 1 year (1)	

Total assets recoverable or realisable within 1 year	

2	Recoverable or realisable after 1 year—
Amounts receivable from related bodies corporate—
secured (1)	
unsecured (1)	
Other loans (3) and deposits—
secured (2)	
unsecured (2)	
Government and semi-government securities (2)	
Shares, units, options and convertible units—
listed on an Australian stock exchange (2)	
not listed on an Australian stock exchange (2)	
Capital investments in partnerships, trusts and unincorporated joint ventures (2)
Bills receivable—
bank:  accepted or endorsed (2)	
other (2)	
Property, plant and equipment (2)	
Lease receivables (2)	
Other tangible assets (2)	

Total assets recoverable or realisable after 1 year	

Total tangible assets	

Assets and liabilities						$000

Liabilities
1	Due and payable within 1 year—
(a)	Borrowings—
Bank overdrafts and bank loans—
secured	
unsecured	
Loans from other financial institutions
secured	
unsecured	
Bills payable and liabilities under promissory notes	
Lease liabilities	
								Total		

(b)	Other liabilities—
Subordinated loans from related bodies corporate	
Trade creditors and accrued expenses	
Provisions	
Income tax	
Dividends	
Deferred income	
Other liabilities—
secured	
unsecured	
								
								Total		

Total liabilities due and payable within 1 year		     		

2	Due and payable after 1 year—
(a)	Borrowings—
Bank loans—
secured	
unsecured	
Loans from other financial institutions—
secured	
unsecured	
Bills payable and liabilities under promissory notes	
Lease liabilities	
								Total		

(b)	Other liabilities—
Subordinated loans from related bodies corporate	
Provisions	
Income tax	
Deferred income	
Other	
								Total		

Total liabilities payable after 1 year				     		

Total liabilities	

Summary
Total Tangible Assets		
subtract 	Total Liabilities		
Net Tangible Assets           	
add		other Assets		
	Shareholders’ Funds			
Remarks	

Dated							:

		
Signatures
(*)  This statement shall be made up to the last day of the month immediately before the month when the declaration is made.
(1)    State at the lower of cost and net realisable value.
(2)   State at cost or valuation less amounts written off or provided for depreciation or diminution in value.
(3)   Include mortgages.

Endnotes
1	This form was originally in the Trustee Companies Act 1947, schedule 2.  Under amendments made by the Legislation (Consequential Amendments) Act 2001, the form was omitted from the Act and became an form approved under the Act, section 34A (see amdt 1.4113, amdt 1.4116).
2	This republication includes amendments made under the Legislation Act 2001, part 11.3 (Editorial changes).

©  Australian Capital Territory 2002