This Chapter 7 Personal Bankruptcy Kit is used by individuals who are contemplating filing for bankruptcy. This kit contains relevant information about bankruptcy including the documents you will need in order to file your petition and how the bankruptcy process works.
UNITED STATES BANKRUPTCY COURT
__________ District of __________
VOLUNTARY PETITION
Name of Debtor (if individual, enter Last, First, Middle): ________________________
Name of Joint Debtor (Spouse) (Last, First, Middle): ____________________________
All Other Names used by the Debtor in the last 8 years
(include married, maiden, and trade names): _____________________________________
All Other Names used by the Joint Debtor in the last 8 years
(include married, maiden, and trade names): ____________________________________
Last four digits of Soc. Sec. or Individual-Taxpayer I.D. (ITIN)/Complete EIN
(if more than one, state all): __________________________________________________
Last four digits of Soc. Sec. or Individual-Taxpayer I.D. (ITIN)/Complete EIN
(if more than one, state all): __________________________________________________
Street Address of Debtor (No. and Street, City, and State, zip): ___________________________
Street Address of Joint Debtor (No. and Street, City, and State, zip): _______________________
County of Residence or of the Principal Place of Business: County of Residence or of the Principal Place of Business: _______________________________________________________
Mailing Address of Debtor (if different from street address, zip): _________________________
Mailing Address of Joint Debtor (if different from street address, zip): _____________________
Location of Principal Assets of Business Debtor (if different from street address above):
______________________________________________________________________________
Type of Debtor: __________________________________________
Estimated Number of Creditors ___________
Estimated Assets ___________________
Estimated Liabilities __________________________
(Name of debtor) ________________________________
(All other names used by debtor) ________________________
(SSN or EIN of debtor) ________________________________
(Street address) ______________________________________
(County of residence or principal place of business) __________
(Street address) ________________________________________
(Name of joint debtor) __________________________________
(All other names used by debtor) __________________________
(SSN or EIN of debtor) _________________________________
(Street address) _______________________________________
County of residence or principal place of business) ___________
(Street address) _______________________________________
(Bankruptcy code petition is filed under: Chapter7) ___________
(Bankruptcy code petition is filed under: Chapter13) ___________
(Nature of debts: Consumer) _______________________________
(Filing Fee: Full) _______________________
(Filing Fee: Installments) _________________
(Filing Fee: Waiver) _____________________
(A plan is being filed: _________________
(Acceptances of plan were solicited?: ____________
(Will there be funds available for distribution?: ________
(Will there be funds available for distribution?: ______________
All Prior Bankruptcy Cases Filed Within Last 8 Years (If more than two, attach additional sheet.)
Location: ______________________
Where Filed: _______________________
(Location where filed) ________________
Case Number: ___________________
(Case number) ___________________
Date Filed: ______________________
(Date filed (format mm/dd/yyyy) _____
Location: _______________________
Where Filed: ____________________
(Location where filed) _____________
Case Number: ___________________
(Case number) ___________________
Date Filed: ______________________
(Date filed (format mm/dd/yyyy) ______
Pending Bankruptcy Case Filed by any Spouse, (If more than one, attach additional sheet.)
Name of Debtor: ____________________
(Name of any affiliate with pending bankruptcy case) _______________
Case Number: __________________________
(Case number of any affiliate with pending bankruptcy case) ______________
Date Filed: ______________________
(Date filed of any affiliate with pending bankruptcy case (format mm/dd/yyyy) _____________
District: ___________________
(District Information) _____________
Relationship:(Relationship of any affiliate with pending bankruptcy case) _________________
Judge: (Judge of any affiliate with pending bankruptcy case) _________________
I, the attorney for the petitioner named in the foregoing petition, declare that I have informed the petitioner that [he or she] may proceed under chapter 7, 11, 12, or 13 of title 11, United States Code, and have explained the relief available under each such chapter. I further certify that I have delivered to the debtor the notice required by 11 U.S.C. § 342(b).
_______________________________ _____________________
Signature of Attorney for Debtor(s) (Date)
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