Voluntary Deregistration of A Company: Application

ASIC registered agent number 6010 page 1/1 15 July 2001
lodging party or agent name

office, level, building name or PO Box no.
street number and name
suburb / city state/territory postcode
telephone ( )
facsimile ( )
DX number suburb / city ASS. REQ-A
CASH. REQ-P
PROC.
Australian Securities & Investments Commission
Application for
form 6010
Corporations Act 2001
voluntary deregistration of a company 601AA(1) & (2)
Company name
A.C.N.
Application
I, the applicant, apply to deregister the above company under subsection 601AA(2) of the Corporations Act 2001.
Declaration I declare that the statements below are correct.

(a) All members of the company agree to the deregistration; and
(b) the company is not carrying on business; and
(c) the company's assets are worth less than $1000; and
(d) the company has paid all fees and penalties payable under this Act ; and
(e) the company has no outstanding liabilities; and
(f ) the company is not a party to any legal proceedings.
Details of the applicant

name (family & given names)
OR company name
(At the office of ) C/-
office level building name

street number & name
suburb/city state/territory postcode
country (if not Australia)
Details of nominee
If the applicant is the company, it must nominate a person to be given notice of the deregistration.
name (family & given names)
office level building name

street number & name
suburb/city state/territory postcode
country (if not Australia)
Signature
I certify that the information in this form is true and complete.
print name capacity
sign here date

6010 GUIDE page 1/1 26 May 2015

GUIDE
This guide does not form part of the prescribed form
and is included by ASIC to assist you in completing
and lodging form 6010.
Applicant and The application for deregistration may be made by the company; a director or member of the company; or a
liquidator of the company. If the company is the applicant, then a person must be nominated to receive the
nominee notice of deregistration. The full name and address of this nominee must be provided.
Declaration The reference to 'outstanding liabilities' in the Declaration includes unpaid employee entitlements such as:
• annual leave
• long service leave
• payment in lieu of notice
• redundancy pay, and
• wages.
All statements in the Declaration must be correct. Making a false declaration to ASIC is an offence.
Signature This form must be signed by the applicant for deregistration. The applicant can be:
• the company (a director or secretary can sign if the applicant is the company), or
• a director or member of the company, or
• a liquidator of the company.
Lodging period None prescribed — as required.
Lodging fee A lodgement fee applies to this form. You must include the lodgement fee with this form or your application will
not be considered.
For information on fees refer to www.asic.gov.au/forms.
If your application is rejected we will not refund your application fee. A new application fee is required with any
subsequent application.
Conditions Read Information Sheet 25 Voluntarily deregistering a company at www.asic.gov.au/infosheets for information
on when and how you can voluntarily deregister a company.
for voluntary
deregistration A condition for approval of voluntary deregistration is payment of all the money that the company owes ASIC.
If you use one of our online lodgement systems, you can check to see if your company owes us any money;
otherwise, check with your registered agent or contact us on 1300 300 630. Payment of any money owing must
be submitted with the application.
When your Once we receive and approve the application, we will publish a notice of the proposed deregistration on
the Published notices website at insolvencynotices.asic.gov.au.
application is
approved If the company’s annual review date falls within two calendar months before or after the date on which the
notice is published on insolvencynotices.asic.gov.au, you will not have to pay the current year’s annual review
fee. Your company's annual review date is shown on your company statement.
Privacy The information provided to ASIC in this form may include personal information. Please refer to our privacy
policy (www.asic.gov.au/privacy) for information about how we handle your personal information, your rights to
seek access to and correct personal information, and to complain about breaches of your privacy.
Send to Australian Securities and Investments Commission

PO Box 4000
Gippsland Mail Centre VIC 3841
OR
lodge online at www.asic.gov.au.
This information is intended as a guide only. Please consult your accountant or solicitor for further advice.

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ASIC registered agent number 6010 page 1/1 15 July 2001

lodging party or agent name

Australian Securities & Investments Commission

Declaration I declare that the statements below are correct.

Details of the applicant

office level building name

name (family & given names)

office level building name

print name capacity

sign here date

Lodging period None prescribed — as required.

For information on fees refer to www.asic.gov.au/forms.

Send to Australian Securities and Investments Commission

lodge online at www.asic.gov.au.

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