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Prescribed Financial Statement

Every applicant for one of the new arrangements is required to complete a PFS with the help of an Authorised Intermediary (for a DRN) or Personal Insolvency Practitioner (for a DSA or PIA). The PFS will enable the AI or PIP to determine which (if any) one of the three new arrangements is most suitable in any particular case.

The PFS will be used primarily:

  • to establish the applicant’s eligibility for an arrangement
  • to form the basis for calculating a sustainable contribution which the applicant will pay to his creditors over the period of the arrangement (for a DSA/PIA) and
  • to identify those liabilities from which the applicant will be discharged at the end of an arrangement.

The PFS will fully disclose all of the debtors financial affairs (i.e. assets, liabilities, income and expenditure).

This is a written statement which shall include full details of the debtors:

  • Income
  • Expenditure
  • Creditors
  • Debts and other liabilities
  • Assets
  • Additional information which may be required by the ISI
  • Guarantees (if any) given by the debtor in respect of a debt of another person

The actual format of this written statement is available in the SI No. 259 of 2014 Personal Insolvency Act 2012 (Prescribed Financial Statement) Regulations 2014: SI. 259 of 2014

The PFS will be annexed to a Statutory Declaration which must be witnessed in the presence of a witness authorised to witness such declarations- such as a practising solicitor, Peace Commissioner, Commissioner for Oaths or Notary Public affirming that the PFS is a complete and accurate statement of your assets, liabilities and expenditure.

Debt Relief Notice
Debt Settlement Arrangement/ Personal Insolvency Arrangement
Assets & Liabilities – Summary
Assets & Liabilities – Summary
Income & Expenditure – Summary
Income & Expenditure – Summary
Assets – Detail
Assets – Detail
Principal Private Residence
Principal Private Residence
Investment Property
Investment Property
Investments (other than real property)
Investments (other than real property)
Plant, Equipment, Tools
Plant, Equipment, Tools
Vehicles
Vehicles
Stock in trade
Stock in trade
Money owed to you
Money owed to you
Bank/Building Society Accounts
Bank/Building Society Accounts
Credit Union Shares/Investment
Credit Union Shares/Investment
Cash on hand
Cash on hand
Prospective assets
Prospective assets
Contingent assets
Contingent assets
Other
Other
Liabilities – Detail
Liabilities – Detail
Principal Private Residence Lender
Principal Private Residence Lender
Financial Institutions
Financial Institutions
Credit Union
Credit Union
Excludable Debts – Revenue
Excludable Debts – Revenue
Excludable Debts – Other than Revenue
Excludable Debts – Other than Revenue
Employees
Employees
Equipment Lessors/Hire Purchase
Equipment Lessors/Hire Purchase
Trade creditors
Trade creditors
Connected creditors
Connected creditors
Other debts
Other debts
Prospective debts
Prospective debts
Contingent debts
Contingent debts
Excluded debts
Excluded debts
Monthly Income – Detail
Monthly Income – Detail
Monthly Expenditure – Detail
Monthly Expenditure – Detail

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