№

First name, middle initial, last name (in case of its availability) / the name of the creditor

Creditor's IIN/bin

The amount of the imposed requirements (tenge)

The documents confirming justification of the decision (the name, date, number) made by the financial manager

date of emergence of debt

Amount of acknowledged requirements

Amount of unrecognized requirements

Note

1

2

3

4

5

6

7

8

1.

First priority

1)

The requirement for debt collection for indemnification caused to life or health

...

Total:

2)

Requirements for collection of the alimony

...

Total:

Total on the first priority:

2.

Second priority

1)

Tax debt

...

Total:

2)

Debt on customs payments

...

Total:

3)

Debt on other obligatory payments in the budget

...

Total:

4)

Debt on the payments in the budget enforced by a court decision

….

Total:

Total on second priority:

3.

Third queue

1)

Requirements of creditors for civil and other obligations

...

Total:

2)

Requirements of the mortgage creditor, in cases:

its refusal of acceptance of pledged property in nature;

non-presentations by it of the answer to the proposal of the financial manager on acceptance of pledged property in nature within five working days from the date of receipt of such offer;

defaults it in full within one month from the date of the direction of the written notice to the financial manager of acceptance of pledged property in nature, the expenses connected with assessment and content of pledged property in case of its consent to acceptance of pledged property in nature

...

Total:

3)

The requirements which resulted from adoption by court of the decision on recognition of the transaction invalid and return of property to the estate of the debtor

...

Total:

Total in the third queue:

4.

Fourth queue

1)

Requirements of creditors for indemnification