Saving property in bankruptcy demands a review of the individual’s property, debts, income and expenses. Please provide information for all property below. Bring this form, bills and a recent paycheck stub, to the interview. (For real property, indicate the value as determined by the county for property tax purposes, if available.)

SCHEDULE OF ASSETS & LIABILITIES

Real Property
Description and location of all interests in real property

Nature of Interest*

Value


                                               
                                               
                                                

                                               
                                               
                                               

                                               
                                               
                                               

                                               
                                               
                                               

*Equitable and future interests, interests in estates by the entirety, community property, life estates, leaseholds, and rights and powers exercisable for the debtor's own benefit.

Personal Property

Type of Property

Location

Value

1.

Cash on hand

                   

$             

2.

Deposits of money with banking institutions, savings and loan associations, brokerage houses, credit unions, etc.                                       

3.

Security deposits with landlords, utility companies, etc.

                                      

4.

Household goods, TV, stereo, computers, supplies, and furnishings

                                      

5.

Books, pictures, and other art objects; stamp coin and other collections

                                      

6.

Clothes

                                      

7.

Furs, jewelry,

                                      

8.

Firearms, sports equipment, cameras and other personal possessions                                       

9.

Interests in insurance policies (name insurance
copany of each policy and itemize surrender or refund value of each)

                                      

10.

Annuities (itemize and name each issuer)

                                      

11.

Interests in pension or profit sharing plans

                                      

12.

Stock and interest in incorporated and unincorporated companies (itemize separately)                                       

13.

Interests in partnerships

                                      

14.

Bonds

                                      

15.

Accounts Receivable

                                      

16.

Alimony/family support to which you are entitled

                                      

17.

Other liquidated debts owing to debtor,including tax refunds

                                      

18.

Equitable and future interests, life estates, and rights or powers exercisable for the benefit of the debtor (other than those listed in real property)                                       

19.

Interests in estate of descendent or life insurance plan or trust

                                      

20.

Contingent and unliquidated claims of every nature, including counterclaims of the debtor (give estimated value of each)

                                      

21.

Patents, copyrights, and other general intangibles

                                      

22.

Licenses, franchises

                                      

23.

Automobiles, trucks, and other vehicles

                                       

24.

Boats, motors, and their accessories

                                      
25. Aircraft and accessories                                          
26. Office equipment, furnishings, and supplies                                          
27. Inventory                                          
28. Machinery, fixtures, equipment and supplies used in business                                          
29. Livestock, poultry, and other animals                                          
30. Crops                                          
31. Farming equipment and implements                                          
32. Farm supplies, etc                                          
33. Tangible personal property of any other description                                          

Property not otherwise scheduled

Description and Location

Type of Property

Market Value of Debtor's Interest

                                                              __________________ __________________
                                                              __________________ __________________

Schedule of Liabilities

Bring most recent bills, payment coupon books for loans, loan balance statements, correspondence and other documentation for the following types of debts:

  1. Home loans/mortgages (home equity lines of credit)
  2. Car loans
  3. Personal loans
  4. Student loans
  5. Credit cards
  6. Merchant credit accounts
  7. Outstanding bills for services
  8. Outstanding utility bills
  9. Outstanding rent
  10. Outstanding taxes
  11. Outstanding alimony and child support
  12. All other outstanding bills

Financial Situation

Bring a copy of your most recent paycheck stub.