3)c.ALL DEBTORS: List all payments made within one year immediately preceding the filing of this case to or for the benefit of creditors who were or are insiders (CLICK HERE to see definition of insider). (Married debtors filing chapter 12 or 13 must state income for each spouse whether or not a joint petition is filed, unless spouses are separated and a joint petition is not filed).
Name and Address of CreditorDate of Amount Amount
and Relationship to DebtorPaymentPaidStill Owing
4)Lawsuits, Administrative Proceeding, Executions, Garnishments and Attachments
a.List all lawsuits and administrative proceedings to which the debtor is or was a party within one year immediately preceding the filing of this bankruptcy case. (Married debtors filing chapter 12 or 13 must state income for each spouse whether or not a joint petition is filed, unless spouses are separated and a joint petition is not filed).
Caption of SuitCourt or AgencyStatus or
and Case #Type of Proceedingand LocationDisposition
b.Describe all property that has been attached, garnished or seized under any legal process within one year immediately preceding the filing of this case. (Married debtors filing under Chapter 12 or 13 must state income for each spouse whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed).
Name and AddressDescription
of Person for whose Date ofand Value of
Benefit Property was SeizedSeizureProperty
5)Repossessions, Foreclosures and Returns
List all property that has been repossessed by a creditor, sold at a foreclosure sale, transferred through a deed in lieu of foreclosure or returned to the seller, within one year immediately preceding the filing of this case. (Married debtors filing under Chapter 12 or 13 must state income for each spouse whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed).
Date of Repossession,
Name and AddressForeclosure Sale,Description and
of Creditor or SellerTransfer or ReturnValue of Property
6)Assignments and Receiverships
a.Describe any assignment of property for the benefit of creditors made within 120 days immediately preceding the filing of this case. (Married debtors filing under Chapter 12 or 13 must state income for each spouse whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed).
Name and Address Date ofTerms of Assignment
of AssigneeAssignmentor Settlement
b.List all property which has been in the hands of a custodian, receiver, or court-appointed official within one year immediately preceding the filing of this case. (Married debtors filing under Chapter 12 or 13 must state income for each spouse whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed).
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