UNCLASSIFIED:
SENSITIVE GOVERNMENT
3. SEARCH SCOPE
Nominated Historical Search Period
(Note: if you requested an historical search then please indicate the date you want us to search back to having regard to s.588FE of the Corporations Act
2001)
DD MM YYYY
being the date 6 months before the relation-back period (s.588FE(2) of the Corporations
Act)
DD MM YYYY
being the date 2 years before the relation-back period and I suspect a disposal which
was an uncommercial transaction (s.588FE(3))
DD MM YYYY
being the date 4 years before the relation-back period and I suspect a disposal was
made to a related entity of the insolvent company (s.588FE(4))
DD MM YYYY
being the date 10 years before the relation-back period and I suspect a disposal was
made to defeat the rights of creditors (s.588FE(5))
4. DECLARATIONS
WARNING: It is a criminal oence under s.307B of the Crimes Act 1901 (NSW) to provide false or misleading information to
Transport for NSW
I declare that:
(1) the contents of this Application are correct
(2) I am requesting these searches solely for the purpose of carrying out my ocial duties and functions in my capacity shown in
Section 1 above
(3) I am making this application under (tick one only):
s.477(3) and 530B of the Corporations Act 2001 as a Liquidator
s.438C of the Corporations Act 2001 as an Administrator
s.431 of the Corporations Act 2001 as a Receiver
Signature
Date
Name
5. EVIDENCE OF APPOINTMENT
You must provide evidence of your appointment as Liquidator/Administrator/Receiver with this Application. Acceptable evidence is
(a) ASIC company search or (b) copy of a court order
6. FEES
A search fee is payable. You must use Form 5623 to make payment (that Form sets out the fee)
7. LODGEMENT
Send the following in a single email to inforelease@transport.nsw.gov.au:
• this Form
• Form 5623
• evidence of your appointment
The subject line of your email should be: Vehicle Ownership Search for [#insert name of insolvent Company]
8. PRIVACY STATEMENT
Transport for NSW is collecting your personal information to use in connection with this Application. You do not have to provide this
information but we cannot process your Application without it. We may disclose the information you have provided in order to verify it. You
can contact us if you need to access or amend this information by completing an access form at transport.nsw.gov.au/about-us/transport-
privacy or by contacting us at privacy@transport.nsw.gov.au or on 132 213.
Catalogue No. 45065759 Form No. 5632 (08/2020)
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