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1993 No. 160 FAMILY LAW RULES (AMENDMENT) - RULE 22

22. Schedule 1 (Forms)
22.1 After Form 12 insert:
FORM 12A
Order 9A rule 1
APPLICATION FOR CONSENT ORDERS
    DATE OF FILING:                                      (   19 )

INSTRUCTIONS:
1. The applicant must make the affidavit at the end of Part B.
2. The respondent (or each respondent, if there is more than one)
must make the affidavit in Part C.
3. The application should be filed promptly. The consent of the
respondent lapses if the application is not filed within 60 days
after the day on which the respondent made the affidavit in Part C.
If there is more than one respondent, the consent of the
respondents lapses if the application is not filed within 60 days
after the last day on which a respondent made the affidavit in
Part C.
PART A
THE PROPOSED CONSENT ORDERS
The orders sought are as follows:
1..................................................................
...................................................................
...................................................................
...................................................................
...................................................................
2..................................................................
...................................................................
...................................................................
...................................................................
...............................................................etc.
PART B
APPLICATION AND APPLICANT'S AFFIDAVIT
APPLICANT'S ADDRESS FOR
    SERVICE:                            (              )

                                        (              )

                                        (              )

                                         postcode (    )

I, ...................................................(applicant's
full name), am the applicant.
I apply for the orders set out in Part A.

*1. The applicant and the respondent were married at ........................
on ............................. , 19.....

*1. The applicant and the respondent were never married.

*2. The parties separated on .....................................,
19.....

*2. The parties have never cohabited.

*3. The marriage was dissolved by the
..................................... Court at .....................
on ................................ , 19.....

*3. The marriage has not been dissolved.

*4. The *date/*dates of birth of the *child/*children under 18 years
of age who *is/*are *a child/*children of the parties *is/*are as
follows:
     NAME                                  DATE OF BIRTH

....................................................................
....................................................................
....................................................................
....................................................................
...........................................

*4. There is no child under 18 years of age who is a child of the
parties.

*5. The following are the details of any orders in force, in
relation to any of the parties, relating to custody, access,
maintenance or property, any child support assessments in force
in relation to a child named in paragraph, and any agreements that
are in force, in relation to any of the parties or children, that
relate to child support, custody, access, maintenance or property
and that have been registered in or approved by any court.
....................................................................
....................................................................
....................................................................
....................................................................
...........................................

*6. There are no pending family law or child welfare proceedings
concerning the applicant, the respondent or the *child/ *children
under 18.

*6. The following family law or child welfare proceedings
concerning the applicant, the respondent or the *child/*children
under 18 are pending.
INSTRUCTIONS:
Set out brief details of pending proceedings, including the names
of parties, court in which issued, orders sought and stage reached.
....................................................................
....................................................................
....................................................................
....................................................................
...........................................
INSTRUCTIONS:
1. If there is more than one respondent whose particulars are to be
set out in column 2 of item 7, the particulars may be set out
separately and attached to the application.
2. Omit item 7 if:

   (a)  the consent orders set out in Part A relate only to
non-financial matters (such as custody or access); or

   (b)  the consent orders set out in Part A relate to financial
matters and the applicant and the respondent (or the respondents,
if there is more than one) have separate legal representation and
have been advised by their legal representative of their rights
under the Act and of the effect and consequences of the making of
the orders.

*7. The particulars of the property, the present and future
financial resources and the liabilities of the applicant and the
respondent are as follows:
PROPERTY
                           Applicant                    Respondent

Real estate (specify, giving
estimated market value)
    ........................... .................     .................

    ........................... .................     .................

Total credit in savings account(s) in
     (a) bank(s)                .................     .................

     (b) building societies, etc. .................   .................

    Cheque account balance        .................   .................

Cash in hand ................. .................
Shares and debentures (annex list) ................. .................
Insurance policies (specify, giving term, maturity and surrender
value) other assets.(specify) ................. .................
............................................... .................
............................................... .................
.................
    TOTAL                          $............... .................

OTHER FINANCIAL RESOURCES
                                  Applicant          Respondent

    Gross weekly income            ................. .................

    Superannuation:                ................. .................

    Name of fund                   ................. .................

    Years of membership (total)    ................. .................

Total contributions by
     contributor                   ................. .................

Superannuation benefits payable on:
    Immediate retirement           ................. .................

Retirement at minimum permitted age of........years
................. .................
Compulsory retirement at age of........years
................. .................
    Death before retirement        ................. .................

    Retirement for incapacity      ................. .................

Interest in any deceased estate or
trust (specify name and interest)
............................................... .................
  .................    ...............................................

................. .................
LIABILITIES
                                        Applicant      Respondent

    Mortgage balance          ................. .................

    Overdraft                 ................. .................

    Credit cards              ................. .................

    Loans                     ................. .................

Hire purchase: balance and number
    of payments to be made    ................. .................

Other liabilities (specify)
......................... ................. .................
......................... ................. .................
8. In applying for the orders set out in Part A I have considered
the following factors:

*(1) (a) the direct and indirect financial and other contributions
of each party to the acquisition, conservation and improvement of
the property of each of the parties; and

   (b)  the contribution of each party to the welfare of the family;
and

   (c)  the present and future earning capacity of each party; and

   (d)  the present and future circumstances of each party.

*(2) the best interests of the *child/*children referred to in
paragraph 4 of Part B.
APPLICANT'S AFFIDAVIT
I,................................................................
(applicant's full name, address and occupation) *make oath and
say/*affirm:
1. I am the applicant for the consent orders set out in Part A.
2. The orders have been agreed upon by all parties.
3. I am aware of my right to seek independent legal advice.
4. I *have/*have not received independent legal advice on my rights
under the Family Law Act 1975 and on the effect and consequences of
the making of the orders set out in Part A.
5. I have read this application (including Part A).
6. The matters stated in this application that are within my
personal knowledge are true.
7. All other matters stated in the application are true to the best
of my knowledge, information and belief.
8. Where I give any estimate in the application, it is based on
knowledge, information and belief and is given in good faith.
INSTRUCTIONS:
Omit paragraph 9 if item 7 of Part B is not required to be filled
in.
9. I have no assets or income or any interest in a superannuation
fund or deceased estate or trust, present or future, except as set
out in the application.

*SWORN/*AFFIRMED by the applicant
at.........................................................
on ............................................., 19 ....
...................................................................
(Applicant's signature)
Before me:
....................................................................
.............
(Signature and title of person before whom the affidavit is sworn or
affirmed)
(NOTE: Under Order 9A, subrule 4(2), the Court may require
additional information about the assets and liabilities of each
party.)

*Omit if not applicable.
PART C
RESPONDENT'S AFFIDAVIT
RESPONDENT'S ADDRESS FOR
    SERVICE:                                   (                  )

                                               (                  )

                                               (                  )

                                      postcode (     )

RESPONDENT'S AFFIDAVIT
I,...................................................(respondent's
full name address and occupation) *make oath and say/*affirm:
1. I am *the respondent/*one of the respondents in this application.
2. I consent to the making of the orders set out in Part A.
3. The orders have been agreed upon by all parties.
4. I am aware of my right to seek independent legal advice.
5. I *have/*have not received independent legal advice on my
rights under the Family Law Act 1975 and on the effect and
consequences of the making of the orders set out in Part A.
6. I have read this application (including Parts A and B).
7. The matters stated in this application (including Part B) that
are within my personal knowledge are true.
8. All other matters stated in the application (including Part B)
are true to the best of my knowledge, information and belief.
9. Where I give any estimate in the application, it is based on
knowledge, information and belief and is given in good faith.
INSTRUCTIONS:
Omit paragraph 10 if item 7 of Part B is not required to be
filled in.

*10. I have no assets or income or any interest in a superannuation
fund or deceased estate or trust, present or future, except as set
out in paragraph 7 of Part B of the application.

*SWORN/*AFFIRMED by the respondent
at.........................................................
on ............................................., 19 ....
...........................................................
(Respondent's signature)
Before me:
....................................................................
......................
(Signature and title of person before whom the affidavit is sworn
or affirmed)
(NOTE: Under Order 9A, subrule 4(2), the Court may require
additional information about the assets and liabilities of each
party.)

*Omit if not applicable. 


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