Main Index

OFFICIAL AND PROCEDURAL BANKRUPTCY FORMS

Part I - Of­fi­cial Bank­rupt­cy Forms and Instructions

Part II - Di­rec­tor's Procedural Forms and Instructions

 

 

 

Bankruptcy Forms

 

1

Voluntary Petition (4/10)

Exhibit "A" (9/97) • Exhibit "C" (9/01) • Exhibit "D" (12/09) • Instructions (12/1/09) • Com­mit­tee Notes (2008)

 

 

2

Declaration un­der Penalty of Perjury on Behalf of a Cor­po­ra­tion or Part­ner­ship  (6/90)

Instructions • Com­mit­tee Notes (1991)

 

 

3A

Application and Order to Pay Filing Fee in Installments  (12/07)

Com­mit­tee Notes (2007)

 

 

3B

Application for Waiver of Chap­ter 7 Filing Fee (12/07)

Com­mit­tee Notes (2007)

 

 

4

List of Cred­i­tors Hold­ing 20 Largest Unse­cured Claims (12/07)

Instructions (5/28/09) • Com­mit­tee Notes (2007)

 

 

5

Invol­un­tary Pe­ti­tion (12/07)

Com­mit­tee Notes (2007)

 

 

6

Cover Sheet for Sched­ules(12/07)

 

 

6

Sum­ma­ry of Sched­ules (Includes Statistical Sum­ma­ry of Certain Liabilities) (12/07)

 

 

6A

Sched­ule A - Real Prop­er­ty  (12/07)

Com­mit­tee Notes (6A-J) (2007)

 

 

6B

Sched­ule B - Per­son­al Prop­er­ty  (12/07)

 

 

6C

Sched­ule C - Prop­er­ty Claimed as Exempt (4/10)

 

 

6D

Sched­ule D - Cred­i­tors Hold­ing Secured Claims (12/07)

 

 

6E

Sched­ule E - Cred­i­tors Hold­ing Unse­cured Pri­ority Claims (4/10)

 

 

6F

Sched­ule F - Cred­i­tors Hold­ing Unse­cured Nonpri­ority Claims (12/07)

 

 

6G

Sched­ule G - Executory Contracts and Unex­pired Leases (12/07)

 

 

6H

Sched­ule H - Codebt­ors  (12/07)

 

 

6I

Sched­ule I - Current In­come of Individual Debt­or(s)  (12/07)

 

 

6J

Sched­ule J - Current Expenditures of Individual Debtor(s) (12/07)

 

 

6

Declaration Concerning Debt­or's Sched­ules (12/07)

 

 

7

State­ment of Fi­nan­cial Affairs  (4/10)

Instructions (12/1/09) • Com­mit­tee Notes (2007)

 

 

8

Chap­ter 7 Individual Debt­or's State­ment of Intention   (12/08)

Com­mit­tee Notes (2005)

 

 

9

No­tice of Commencement of Case un­der the Bank­rupt­cy Code, Meeting of Cred­i­tors, and Deadlines (9/97)

Instructions (9A -9I) (12/1/09) • Com­mit­tee Notes (9A -9I) (2007)

 

 

9A

No­tice of Commencement - Chap­ter 7 - Individual or Joint Debt­or - No As­set Case  (12/10)

 

 

9B

No­tice of Commencement - Chap­ter 7 - Cor­po­ra­tion/Part­ner­ship - No As­set Case  (12/07)

 

 

9C

No­tice of Commencement - Chap­ter 7 - Individual or Joint Debt­or - As­set Case (12/10)

 

 

9D

No­tice of Commencement - Chap­ter 7 - Cor­po­ra­tion/Part­ner­ship - As­set Case (12/07)

 

 

9E

No­tice of Commencement - Chap­ter 11 - Individual or Joint Debt­or Case (12/07)

 

 

9E (Alt)

No­tice of Commencement - Chap­ter 11 - Individual or Joint Debt­or Case (12/07)

 

 

9F

No­tice of Commencement - Chap­ter 11 - Cor­po­ra­tion/Part­ner­ship Case (12/08)

 

 

9F (Alt)

 No­tice of Commencement - Chap­ter 11 - Cor­po­ra­tion/Part­ner­ship Case (12/07)

 

 

9G

No­tice of Commencement - Chap­ter 12 - Individual or Joint Debt­or Fam­i­ly Farm­er (12/07)

 

 

9H

No­tice of Commencement - Chap­ter 12 - Cor­po­ra­tion/Part­ner­ship Fam­i­ly Farm­er (12/07)

 

 

9I

No­tice of Commencement - Chap­ter 13 Case (12/10)

 

 

10

Proof Of Claim  (4/10)

Instructions • Com­mit­tee Notes (2007)

 

 

11A

Gen­er­al Power of At­tor­ney  (6/90)

Instructions • Com­mit­tee Notes (1991)

 

 

11B

Special Power of At­tor­ney  (6/90)

Instructions • Com­mit­tee Notes (1991)

 

 

12

Order and No­tice for Hear­ing on Dis­clo­sure State­ment  (12/03)

Instructions • Com­mit­tee Notes (1991)

 

 

13

Order Approving Dis­clo­sure State­ment and Fixing Time for Filing Acceptances or Rejections of Plan, Combined with No­tice There­of (12/03)

Instructions • Com­mit­tee Notes (1991)

 

 

14

Ballot for Accepting or Rejecting Plan  (12/03)

Instructions • Com­mit­tee Notes (1997)

 

 

15

Order Confirming Plan  (12/01)

Instructions • Com­mit­tee Notes (2001)

 

 

16A

Caption  (12/07)

Instructions (5/28/09) • Com­mit­tee Notes (2007)

 

 

16B

Caption (Short Title)  (12/94)

 Instructions • Com­mit­tee Notes (1995)

 

 

16C

[Abrogated] (12/03)

 

 

16D

Caption for Use in Adversary Proceeding oth­er than for a Complaint Filed by a Debt­or (12/04)

Instructions • Com­mit­tee Notes (1995)

 

 

17

No­tice of Appeal un­der 28 U.S.C. §158(a) or (b) from a Jud­gment, Order or Decree of a Bank­rupt­cy Court (12/04)

Instructions 12/1/09) • Com­mit­tee Notes (2004)

 

 

18

Discharge of Debt­or (12/07)

Instructions (5/28/09) • Com­mit­tee Notes (2007)

 

 

19

Declaration and Sig­na­ture of Non-At­tor­ney Bank­rupt­cy Pe­ti­tion Preparer (12/07)

Com­mit­tee Notes (2007)

 

 

20A

No­tice of Mo­tion or Ob­jec­tion  (12/10)

Instructions (5/28/09) • Com­mit­tee Notes (20A & B) (2011)

 

 

20B

No­tice of Ob­jec­tion to Claim (12/10)

Instructions (5/28/09)

 

 

21

Statement of So­cial Se­cu­ri­ty Number (12/07)

Com­mit­tee Notes (2007)

 

 

22A

Statement of Current Monthly In­come and Means Test Calculation (Chap­ter 7) (12/10)

Com­mit­tee Notes (22A - C) (2010)

 

 

22B

State­ment of Current Monthly In­come (Chap­ter 11) (12/10)

 

 

22C

State­ment of Current Monthly In­come and Calculation of Commitment Period and Disposable In­come (Chap­ter 13) (12/10)

 

 

23

Debt­or's Cer­ti­fi­ca­tion of Completion of Instructional Course Concerning Fi­nan­cial Management (12/10)

Com­mit­tee Notes (2007)

 

 

24

Cer­ti­fi­ca­tion to Court of Appeals (12/07)

Com­mit­tee Notes (2007)

 

 

25A

Plan of Reorganization in Small Business Case under Chapter 11 (12/08)

PDF • WORD • Instructions (12/1/08) • Com­mit­tee Notes (2008)

 

 

25B

Disclosure Statement in Small Business Case under Chapter 11 (12/08)

PDF • WORD • Instructions (12/1/08) • Com­mit­tee Notes (2008)

 

 

25C

Small Business Monthly Operating Report (12/08)

Com­mit­tee Notes

 

 

26

Periodic Report Regarding Value, Operations and Profitability of Entities in Which the Debtor's Estate Holds a Substantial or Controlling Interest (12/08)

PDF • WORD • Instructions (12/1/08) • Com­mit­tee Notes

 

 

27

Reaffirmation Agreement Cover Sheet (12/09)

Com­mit­tee Notes

 

● ● ● ● ● ● ● ● ● ● ● ● ● ●

PROCEDURAL FORMS

 

13S

Order Conditionally Approving Dis­clo­sure State­ment, Fixing Time for Filing Acceptances or Rejections of Plan, and Fixing the Time for Filing Ob­jec­tions to the Dis­clo­sure State­ment and to the Con­fir­ma­tion of the Plan, Combined with No­tice There­of and of the Hear­ing on Final Ap­prov­al of the Dis­clo­sure State­ment and the Hear­ing on Con­fir­ma­tion of the Plan (8/07)

Instructions (12/1/09)

 

 

15S

Order Finally Approving Dis­clo­sure State­ment and Confirming Plan (8/07)

Instructions (12/11/08)

 

 

18F

Discharge of Debt­or After Completion of Chap­ter 12 Plan  (10/05)

Instructions (12/11/08)

 

 

18FH

Discharge of Debt­or Be­fore Completion of Chap­ter 12 Plan  (10/05)

Instructions (12/11/08)

 

 

18J

Discharge of Joint Debt­ors (Chap­ter 7)  (10/05)

Instructions (12/11/08)

 

 

18JO

Discharge of One Joint Debt­or (Chap­ter 7)  (8/07)

Instructions (8/1/07)

 

 

18RI

Discharge of Individual Debtor in a Chapter 11 Case (12/09)

Instructions (8/1/07)

 

 

18W

Discharge of Debt­or After Completion of Chap­ter 13 Plan  (8/07)

Instructions (12/11/08)

 

 

18WH

Order Discharging Debt­or Be­fore Completion of Chap­ter 13 Plan  (8/07)

Instructions (12/11/08)

 

 

104

Adversary Proceeding Cover Sheet  (8/07)

Instructions (8/1/07)

 

 

131

Exemplification Certificate  (9/94)

Instructions (12/11/08)

 

 

132

Application for Search of Bank­rupt­cy Rec­ords (11/03)

Instructions (12/11/08)

 

 

133

Claims Reg­is­ter  (01/88)

Instructions

 

 

200

Re­quired Lists, Sched­ules, State­ments and Fees (12/09)

Instructions (12-1-09)

 

 

201A

No­tice to Individual Con­sum­er Debt­or (12/09)

Instructions (12/1/09)

 

 

201B

Certification of Notice to Individual Consumer Debtor(s) (12/09)

 

 

202

Statement of Military Service (08/07)

 

 

203

Dis­clo­sure of Compensation of At­tor­ney for Debt­or (12/94)

Instructions

 

 

204

No­tice of Need to File Proof of Claim Due to Re­cov­ery of As­sets  (8/07)

Instructions (12/11/08)

 

 

205

No­tice to Cred­i­tors and Other Par­ties in Interest (8/07)

Instructions (12/11/08)

 

 

206

Certificate of Commencement of Case (8/07)

Instructions (8/1/07)

 

 

207

Certificate of Retention of Debt­or In Possession  (8/07)

Instructions (8/1/07)

 

 

210A

Transfer of Claim Other Than for Se­cu­ri­ty (12/09)

Instructions (12/1/09)

 

 

210B

No­tice of Transfer of Claim Other Than for Se­cu­ri­ty (12/09)

 

 

230A

Order Confirming Chap­ter 12 Plan (8/07)

Instructions (12/11/08)

 

 

230B

Order Confirming Chap­ter 13 Plan (8/07)

Instructions (12/1/09)

 

 

231A

Order Fixing Time to Object to Proposed Modification of Confirmed Chap­ter 12 Plan  (12/09)

Instructions (12/1/09)

 

 

231B

Order Fixing Time to Object to Proposed Modification of Confirmed Chap­ter 13 Plan (12/09)

Instructions (12/1/09)

 

 

240A

Reaf­fir­ma­tion Agree­ment (4/10)

Instructions (4/1/10)

 

 

240B

Motion for Approval of Reaffirmation Agreement (12/09)

 

 

240C

Order on Reaffirmation Agreement (12/09)

 

 

240A/B (Alt)

Reaf­fir­ma­tion Agree­ment (4/10)

 

 

240C (Alt)

Order on Reaffirmation Agreement (12/09)

 

 

250A

Summons in an Adversary Proceeding (12/09)

PDF • WP • WORD •  Instructions (12/1/09)

 

 

250B

Summons and No­tice of Pretr­ial Con­fer­ence in an Adversary Proceeding (12/09)

PDF • WP • WORD • Instructions (12/1/09)

 

 

250C

Summons and No­tice of Trial in an Adversary Proceeding (12/09)

Instructions (12/1/09)

 

 

250D

Third-Party Summons (12/09)

Instructions (12/1/09)

 

 

250E

Summons to Debt­or in Invol­un­tary Case (12/09)

Instructions (12/1/09)

 

 

250F

Summons in a Chapter 15 Case Seeking Recognition of a Foreign Nonmain Proceeding (12/09)

 

 

253

Order for Re­lief in an Invol­un­tary Case (8/07)

Instructions (12/1/09)

 

 

254

Subpoena for Rule 2004 Ex­am­i­na­tion (12/07)

Instructions (12/11/08)

 

 

255

Subpoena in an Adversary Proceeding (12/07)

Instructions (12/11/08)

 

 

256

Subpoena in a Case Under the Bank­rupt­cy Code (12/07)

Instructions (12/11/08)

 

 

260

Entry of De­fault (1/96)

Instructions (12/11/08)

 

 

261A

Jud­gment by De­fault  (8/96)

Instructions (12/11/08)

 

 

261B

Jud­gment by De­fault  (8/96)

Instructions (12/1/09)

 

 

261C

Judgment in an Adversary Proceeding (12/09)

 

 

262

No­tice of Entry of Jud­gment  (1/88)

Instructions (12/11/08)

 

 

263

Bill of Costs  (9/94)

Instructions

 

 

264

Writ of Execution to the Unit­ed States Marshal  (1/96)

Instructions (3/11/08)

 

 

265

Cer­ti­fi­ca­tion of Jud­gment for Registration in Another Dis­trict  (8/96)

Instructions (2/22/08)

 

 

270

No­tice of Filing of Final Report of Trust­ee, of Hear­ing on Applications for Compensation [and of Hear­ing on Abandonment of Prop­er­ty by the Trust­ee]  (6/91)

Instructions (12/11/08)

 

 

271

Final Decree  (8/06)

Instructions

 

 

280

Dis­clo­sure of Compensation of Bank­rupt­cy Pe­ti­tion Preparer  (10/05)

PDF Fillable • WP • WORD • Instructions (3/17/08)

 

 

281

Appearance of Child Sup­port Cred­i­tor or Rep­res­en­ta­tive (8/06)

Instructions (3/18/08)

 

 

283

Chapter 13 Debtor's Certifications Regarding Domestic Support Obligations and Section 522(q) (4/10)

Instructions (11/10/08)

 

 

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Page Last Updated:  October 12, 2011