SCHEDULE B - PERSONAL PROPERTY - AMENDED

Size: px
Start display at page:

Download "SCHEDULE B - PERSONAL PROPERTY - AMENDED"

Transcription

1 }bk1{scheduleb-personalproperty}bk{ B6B (fficial Form 6B) (12/07) Bender Shipbuilding Case o. & Repair Co. Inc. xcept as directed below list all personal property of the debtor of whatever kind. If the debtor has no property in one or more of the categories place an "x" in the appropriate position in the column labeled "one." If additional space is needed in any category attach a separate sheet properly identified with the case name case number and the number of the category. If the debtor is married state whether husband wife both or the marital community own the property by placing an "H" "W" "J" or "C" in the column labeled "." If the debtor is an individual or a joint petition is filed state the amount of any exemptions claimed only in Schedule C - Property Claimed as xempt. Do not list interests in executory contracts and unexpired leases on this schedule. List them in Schedule G - xecutory Contracts and Unexpired Leases. If the property is being held for the debtor by someone else state that person's name and address under "." If the property is being held for a minor child simply state the child's initials and the name and address of the child's parent or guardian such as "A.B. a minor child by John Doe guardian." Do not disclose the child's name. See 11 U.S.C. 112 and Fed. R. Bankr. P. 1007(m). SCHDUL B - PRSAL PRPRTY - AMDD 's Interest in Property Secured Claim or xemption 1. Cash on hand Petty cash Checking savings or other financial accounts certificates of deposit or shares in banks savings and loan thrift building and loan and homestead associations or credit unions brokerage houses or cooperatives. Regions Bank perating Account Regions Bank Salaried Payroll Account Regions Bank Hourly Payroll Account Coastal Bank & Trust perating Account Coastal Bank & Trust (Bender/Gulfmark) Account Coastal Bank & Trust (Bender / ATI) Account Woodland Bank Money Market Account BankTrust CD# Security deposits with public utilities telephone companies landlords and others. Alabama Power security deposit paid on May Alabama Power security deposit paid on June Mobile Area Water security deposit paid on July Household goods and furnishings including audio video and computer equipment. 5. Books pictures and other art objects antiques stamp coin record tape compact disc and other collections or collectibles. 6. Wearing apparel. 7. Furs and jewelry continuation sheets attached Case Doc 762 Filed 02/03/10 ntered 02/03/10 13:59:51 Desc Main Document Page 1 of 8 Copyright (c) Best Case Solutions - vanston IL - (800)

2 B6B (fficial Form 6B) (12/07) - Cont. Bender Shipbuilding Case o. & Repair Co. Inc. SCHDUL B - PRSAL PRPRTY - AMDD 's Interest in Property Secured Claim or xemption 8. Firearms and sports photographic and other hobby equipment. 9. Interests in insurance policies. ame insurance company of each policy and itemize surrender or refund value of each. Primary Property Insurance policy with $ limit with Lexington Insurance Company (Policy # ) xcess Property insurance with Arch Specialty (Policy #SP ) xcess property insurance with Landmark Am (Policy #LHD362282) Contractors equipment with avigators (Policy #C09ILM ) Marine liabilities insurance with St. Paul (Policy #L ) Bumbershoot insurance policy with ational Union Fire Insurance (Policy #1031) xcess bumbershoot policy with L Specialty Insurance Company (Policy #UM L09A) xcess bumbershoot policy with ational Liability and Fire (Policy #LAT ) xcess bumbershoot with L Specialty Insurance Company (Policy #UM L09A) xcess bumbershoot policy with IMU (Policy #3H ) Hull & Machinery policy with Axis Insurance Company (Policy #UMS ) Increased Value Hull Insurance on "Pete B" drydock with Axis Insurance Company (Policy #MP016101) Hull / P&I War Risks insurance with Axis Insurance Company (Policy #UMS ) P&I insurance with Axis Insurance Company (Policy #UMS ) WQIS insurance (Policy # ) 0.00 Sheet 1 of 7 continuation sheets attached Case Doc 762 Filed 02/03/10 ntered 02/03/10 13:59:51 Desc Main Document Page 2 of 8 Copyright (c) Best Case Solutions - vanston IL - (800)

3 B6B (fficial Form 6B) (12/07) - Cont. Bender Shipbuilding Case o. & Repair Co. Inc. SCHDUL B - PRSAL PRPRTY - AMDD 's Interest in Property Secured Claim or xemption Cargo insurance for $ for any one vessel or conveyance with St. Paul (Policy #C ) State Act Worker Compensation with $ limit with Hartford AU (Policy #21WB4034) USL&H with ALMA (Policy #CS ) uter Continental Shelf Act insurance with ALMA (Policy #ICDS ) $ RISA Bond with Travelers (Policy # ) Flood insurance on Yard 3 ($ building and $ contents) with AIG ational (Policy # ) Flood insurance on South Water and Canal Streets properties ($ building and $ contents) with AIG ational (Policy # ) Flood insurance on plate and fabrication shop at 265 Water Street ($ building and $ contents) with AIG ational (Policy # ) Flood insurance on 265 South Water Street ($ building and $ contents) with AIG ational (Policy # ) Flood insurance on maintenance building at 261 South Water Street ($30300 building and $ contents) with AIG ational (Policy # ) Flood insurance on Building B at 304 South Water Street ($ building and $ contents) with AIG ational (Policy # ) Flood insurance on laser plate cutting facility at 363 Royal Street ($ building and $ contents) with AIG ational (Policy # ) Flood insurance on 110 Canal Street ($ building and $ contents) with AIG ational (Policy # ) 0.00 Sheet 2 of 7 continuation sheets attached Case Doc 762 Filed 02/03/10 ntered 02/03/10 13:59:51 Desc Main Document Page 3 of 8 Copyright (c) Best Case Solutions - vanston IL - (800)

4 B6B (fficial Form 6B) (12/07) - Cont. Bender Shipbuilding Case o. & Repair Co. Inc. SCHDUL B - PRSAL PRPRTY - AMDD 's Interest in Property Secured Claim or xemption Flood insurance on warehouse 9 at 909 Conchran Bridge Causeway ($ building and $ contents) with AIG ational (Policy # ) Flood insurance on warehouse at 857 S. Conception Street ($ building and $ contents) with AIG ational (Policy # ) Thomas B. Bender Jr. $ Life Insurance with Security Life of Denver (Cash Surrender Value) Upon death of Thomas B. Bender Jr. to be reimbursed approximately $ in premiums paid under this policy. Thomas B. Bender Jr. $ Life Insurance with Transamerica ccidental (Cash Surrender Value) Automobile Insurance with MC Insurance Companies Annuities. Itemize and name each issuer. 11. Interests in an education IRA as defined in 26 U.S.C. 530(b)(1) or under a qualified State tuition plan as defined in 26 U.S.C. 529(b)(1). Give particulars. (File separately the record(s) of any such interest(s). 11 U.S.C. 521(c).) 12. Interests in IRA RISA Keogh or other pension or profit sharing plans. Give particulars. 13. Stock and interests in incorporated and unincorporated businesses. Itemize. Bender International Inc. Astilleros Bender S. de R.L. de C.V. (95% by / 5% by Thomas B. Bender) Inmobiliaria Dos aciones S. de R.L. de C.V. (95% by / 5% by Thomas B. Bender) Servicios Administratives Panuco S. de R.L. de C.V. (95% by / 5% by Thomas B. Bender) Sorporte perativo Dos aciones S. de R.L. de C.V. (95% by / 5% by Thomas B. Bender) Sheet 3 of 7 continuation sheets attached Case Doc 762 Filed 02/03/10 ntered 02/03/10 13:59:51 Desc Main Document Page 4 of 8 Copyright (c) Best Case Solutions - vanston IL - (800)

5 B6B (fficial Form 6B) (12/07) - Cont. Bender Shipbuilding Case o. & Repair Co. Inc. SCHDUL B - PRSAL PRPRTY - AMDD 's Interest in Property Secured Claim or xemption 14. Interests in partnerships or joint ventures. Itemize. 15. Government and corporate bonds and other negotiable and nonnegotiable instruments. 16. Accounts receivable. Accounts Receivable described in xhibit B-16 attached Alimony maintenance support and property settlements to which the debtor is or may be entitled. Give particulars. 18. ther liquidated debts owed to debtor including tax refunds. Give particulars. 19. quitable or future interests life estates and rights or powers exercisable for the benefit of the debtor other than those listed in Schedule A - Real Property. 20. Contingent and noncontingent interests in estate of a decedent death benefit plan life insurance policy or trust. 21. ther contingent and unliquidated claims of every nature including tax refunds counterclaims of the debtor and rights to setoff claims. Give estimated value of each. Anticipated tax refund for 2002 tax year upon amendment of 2002 tax return Anticipated tax refund upon filing of amended tax returns for and 2006 Claim against Henry Marine Inc. subject to litigation in Circuit Court of Mobile County Alabama Case o (Claim amount is approximate and does not include fees costs and expenses which are also due) Claim Against Pan-Agri International Inc. as asserted in Case o. 09-cv-0076 (USDC SDAL) (Claim Amount is approximate and does not include fees costs expenses and custodia legis expenses which are also due) Sheet 4 of 7 continuation sheets attached Case Doc 762 Filed 02/03/10 ntered 02/03/10 13:59:51 Desc Main Document Page 5 of 8 Copyright (c) Best Case Solutions - vanston IL - (800)

6 B6B (fficial Form 6B) (12/07) - Cont. Bender Shipbuilding Case o. & Repair Co. Inc. SCHDUL B - PRSAL PRPRTY - AMDD 's Interest in Property Secured Claim or xemption Claim against Caterpillar Inc. as detailed in Bender Shipbuilding & Repair Co. Inc. v. Caterpillar Inc. Civil Action o. CV Circuit Court of Mobile County Alabama 22. Patents copyrights and other intellectual property. Give particulars. 23. Licenses franchises and other general intangibles. Give particulars. ngineering records and vessel construction data. "Windship" computer construction program ngineering Design License Agreement ngineering Design License Agreement 24. Customer lists or other compilations containing personally identifiable information (as defined in 11 U.S.C. 101(41A)) provided to the debtor by individuals in connection with obtaining a product or service from the debtor primarily for personal family or household purposes. 25. Automobiles trucks trailers and other vehicles and accessories. See xhibit B-25 attached Boats motors and accessories. Drydock 9 (fficial o ) measuring 552' by 124' by 16.8' with 9659 gross tons which sunk and has not been recovered. 10' x 30' Breasting Barge acquired in ovember ' x 40' x 250' Breasting Barge (ex-rail Barge) acquired January ' x 50' x 5' former crane barge with crane permanently removed acquired in December ' x 30' x 7' Deck Barge acquired in ctober ' x 35' x 7.5' Deck Barge (#1537) ' x 35' x 7.5' Deck Barge (#1531) ' x 35' x 7.5' Deck Barge (#1530) x-quarters barge ' x 8' x 2' Work Float Sheet 5 of 7 continuation sheets attached Case Doc 762 Filed 02/03/10 ntered 02/03/10 13:59:51 Desc Main Document Page 6 of 8 Copyright (c) Best Case Solutions - vanston IL - (800)

7 B6B (fficial Form 6B) (12/07) - Cont. Bender Shipbuilding Case o. & Repair Co. Inc. SCHDUL B - PRSAL PRPRTY - AMDD 's Interest in Property Secured Claim or xemption 19'8" x 19'8" x 8' Weight Test Barge acquired May ' x 60' x 10' Derrick Barge with 60 ton crane acquired in 1969 ARD-16 Drydock (fficial o ) constructed in 1994 WW Drydock (fficial umber ) constructed in 2007 ABDF-2 Drydock ("Astillero Bender Dique Flotante 2") (fficial umber ) constructed in 2007 "Pete B" Drydock (fficial umber ) constructed in Aircraft and accessories. 28. ffice equipment furnishings and supplies. Computer Systems and Related quipment identified in xhibit B-28 attached General ffice Furniture and Supplies Machinery fixtures equipment and supplies used in business. See xhibit B-29-1 (Inventory Valuation and Aging Summary Report) attached. See xhibit B-29-2 (Tool Inventory as of 7/8/09) attached. See xhibit B-29-3 (quipment Inventory as of July 2009) Two (2) Caterpillar 3516B 480V 1825KW Prime Rated Generator Sets (Serial o. 7R00716 and 7R00719) including Motor Generator Set 450 KW at 50 Cycle utput 480V at 60 Cycle Input including 6000 feet of locomotive type 313 shore power cable and six (6) 25KVA Transformer and Secondary Switchgear nine (9) 167 KVA Transformer and Secondary Switchgear 300 feet of 480V Secondary Wiring and 350 feet of 23KV Primary Wiring See xhibit B-29-4 (G Collateral) See xhibit B-29-5 (Regions Collateral) Sheet 6 of 7 continuation sheets attached Case Doc 762 Filed 02/03/10 ntered 02/03/10 13:59:51 Desc Main Document Page 7 of 8 Copyright (c) Best Case Solutions - vanston IL - (800)

8 B6B (fficial Form 6B) (12/07) - Cont. Bender Shipbuilding Case o. & Repair Co. Inc. SCHDUL B - PRSAL PRPRTY - AMDD 's Interest in Property Secured Claim or xemption 30. Inventory. Incomplete Gulfmark Hulls and related parts and supplies Animals. 32. Crops - growing or harvested. Give particulars. 33. Farming equipment and implements. 34. Farm supplies chemicals and feed. 35. ther personal property of any kind not already listed. Itemize. Sheet 7 of 7 continuation sheets attached Copyright (c) Best Case Solutions - vanston IL - (800) Total > (Report also on Summary of Schedules) Case Doc 762 Filed 02/03/10 ntered 02/03/10 13:59:51 Desc Main Document Page 8 of 8

11-15059-mg Doc 729 Filed 06/15/12 Entered 06/15/12 19:40:05 Main Document Pg 1 of 7 AMENDED SUMMARY OF SCHEDULES

11-15059-mg Doc 729 Filed 06/15/12 Entered 06/15/12 19:40:05 Main Document Pg 1 of 7 AMENDED SUMMARY OF SCHEDULES Pg 1 of 7 B6 Summary (Form 6 - Summary) (12/07) United States Bankruptcy Court Southern District of ew York Case o. (s) Chapter 11 AMDD SUMMARY F SCHDULS Indicate as to each schedule whether that schedule

More information

Case 13-30891-hdh11 Doc 179 Filed 11/04/13 Entered 11/04/13 15:44:41 Page 1 of 7

Case 13-30891-hdh11 Doc 179 Filed 11/04/13 Entered 11/04/13 15:44:41 Page 1 of 7 Case -hdh11 Doc 179 Filed 11/04/13 Entered 11/04/13 15:44:41 Page 1 of 7 B6B (Official Form 6B) (12/07) Case. ne 1. Cash on hand. X 2. Checking, savings or other finan- JP Morgan Chase, N.A. $0.00 cial

More information

Legal Name: All other names you have used in the last 6 years: Address, City, State, Zip: Mailing Address if different:

Legal Name: All other names you have used in the last 6 years: Address, City, State, Zip: Mailing Address if different: BANKRUPTCY INTERVIEW INSTRUCTIONS: The interview sheet contains basic information needed for your bankruptcy. Do the best to complete the information. If you do not know the answer, then write "I do not

More information

MARK S. ZUCKERBERG, P.C. ATTORNEY AT LAW

MARK S. ZUCKERBERG, P.C. ATTORNEY AT LAW LAW OFFICE OF MARK S. ZUCKERBERG, P.C. ATTORNEY AT LAW Full Legal Name: (Last, First, Middle) Spouse's Full Legal Name: (Last, First Middle) All other names used in the past 6 years: All other names used

More information

Honolulu, Hawaii 96813-5010 (808) 593-2199

Honolulu, Hawaii 96813-5010 (808) 593-2199 Honolulu, Hawaii 96813-5010 (808) 593-2199 BUSINESS BANKRUPTCY -- CLIENT INFORMATION WORKSHEETS DEBTOR JOINT DEBTOR FULL NAME: STREET ADDRESS: MAILING ADDRESS: COUNTY: HOME PHONE: WORK PHONE: FAX (if available)

More information

BANKRUPTCY QUESTIONNAIRE. Name of Debtor: first middle last Name of Co-Debtor: first middle last

BANKRUPTCY QUESTIONNAIRE. Name of Debtor: first middle last Name of Co-Debtor: first middle last BANKRUPTCY QUESTIONNAIRE Name of Debtor: first middle last Name of Co-Debtor: first middle last I. By completing this document and returning it to Broc E. Whitehead, I/we certify that it is my/our duty

More information

ALL WASHINGTON LEGAL CLINIC OF SEATTLE/EVERETT A LEGAL SERVICE PROVIDED BY:

ALL WASHINGTON LEGAL CLINIC OF SEATTLE/EVERETT A LEGAL SERVICE PROVIDED BY: ALL WASHINGTON LEGAL CLINIC OF SEATTLE/EVERETT SEATTLE OFFICE: TACOMA OFFICE EVERETT OFFICE: 212 Pioneer Building Suite 1204 Suite 602 600 First Avenue 1119 Pacific Ave. 2722 Colby Ave. Seattle, WA 98104

More information

Greg Gouner, Attorney at Law 11750 Bricksome Avenue, Suite C Baton Rouge, LA 70816 (225) 293-6200

Greg Gouner, Attorney at Law 11750 Bricksome Avenue, Suite C Baton Rouge, LA 70816 (225) 293-6200 Bankruptcy Forms: Chapters 7/Chapter 13 Instructions: Please fill out this form completely. You are providing this office with the information required to prepare the filing of a Chapter 7 or Chapter 13

More information

Bankruptcy Petition Preparation Checklist

Bankruptcy Petition Preparation Checklist Chapter 7 / 13 Bankruptcy Worksheet IMPORTANT! This page must be read and signed before your case will be filed. If this set of worksheets is not filled out completely, WE CANNOT PREPARE THE PETITION AND

More information

INVENTORY AND APPRAISEMENT., files this inventory and appraisement of all assets and COMMUNITY PROPERTY

INVENTORY AND APPRAISEMENT., files this inventory and appraisement of all assets and COMMUNITY PROPERTY INVENTORY AND APPRAISEMENT OF, files this inventory and appraisement of all assets and liabilities, community and separate estates, as follows: COMMUNITY PROPERTY 1. REAL PROPERTY (including any property

More information

M. Caroline Cantrell & Associates, PC Attorney at Law

M. Caroline Cantrell & Associates, PC Attorney at Law M. Caroline Cantrell & Associates, PC Attorney at Law 8800 SE Sunnyside Road, Suite 207N, Clackamas, OR 97015 (503) 236-9211 549 NW 2nd Avenue, Canby Oregon 97013 (503) 266-0382 Date: PENDING FORECLOSURE,

More information

Chapter 7/13 Bankruptcy Worksheet NOTICE!! IMPORTANT!! This page must be read and signed before your case will be filed.

Chapter 7/13 Bankruptcy Worksheet NOTICE!! IMPORTANT!! This page must be read and signed before your case will be filed. Chapter 7/13 Bankruptcy Worksheet NOTICE!! IMPORTANT!! This page must be read and signed before your case will be filed. If this set of worksheets is not filled out completely, we cannot properly prepare

More information

CLIENT QUESTIONNAIRE - Inventory and Appraisement. Community Estate of the Parties

CLIENT QUESTIONNAIRE - Inventory and Appraisement. Community Estate of the Parties CLIENT NAME: [name] CLIENT QUESTIONNAIRE - Inventory and Appraisement. Community Estate of the Parties 1. Real Property (include any property purchased by contract for deed, such as Texas Veterans Land

More information

CAUSE NO. IN THE MATTER OF IN THE DISTRICT COURT THE MARRIAGE OF AND JUDICIAL DISTRICT INVENTORY AND APPRAISEMENT OF

CAUSE NO. IN THE MATTER OF IN THE DISTRICT COURT THE MARRIAGE OF AND JUDICIAL DISTRICT INVENTORY AND APPRAISEMENT OF CAUSE NO. IN THE MATTER OF IN THE DISTRICT COURT THE MARRIAGE OF _ AND JUDICIAL DISTRICT _ AND IN THE INTEREST OF, MINOR CHILDREN COUNTY, TEXAS INVENTORY AND APPRAISEMENT OF, Petitioner/Respondent, submits

More information

INVENTORY AND APPRAISEMENT OF COMMUNITY ESTATE OF THE PARTIES

INVENTORY AND APPRAISEMENT OF COMMUNITY ESTATE OF THE PARTIES INVENTORY AND APPRAISEMENT OF COMMUNITY ESTATE OF THE PARTIES 1. Real Property (include any property purchased by contract for deed, such as Texas Veterans Land Board property, property purchased in recreational

More information

CLIENT NAME: CLIENT QUESTIONNAIRE - Inventory and Appraisement. Community Estate of the Parties. Current fair market value (as of ): $

CLIENT NAME: CLIENT QUESTIONNAIRE - Inventory and Appraisement. Community Estate of the Parties. Current fair market value (as of ): $ CLIENT NAME: CLIENT QUESTIONNAIRE - Inventory and Appraisement. Community Estate of the Parties 1. Real Property (include any property purchased by contract for deed, such as Texas Veterans Land Board

More information

CLIENT QUESTIONNAIRE - Inventory and Appraisement. Community Estate of the Parties

CLIENT QUESTIONNAIRE - Inventory and Appraisement. Community Estate of the Parties CLIENT NAME: CLIENT QUESTIONNAIRE - Inventory and Appraisement. Community Estate of the Parties 1. Real Property (include any property purchased by contract for deed, such as Texas Veterans Land Board

More information

United States Bankruptcy Court District of Connecticut SUMMARY OF SCHEDULES

United States Bankruptcy Court District of Connecticut SUMMARY OF SCHEDULES }bk1{form 6. Sumary of Schedules}bk{ Case 14-51790 Doc 13 Filed 12/31/14 Entered 12/31/14 16:04:37 Desc Main Document Page 1 of 90 B 6 Summary (Official Form 6 - Summary) (12/13) United States Bankruptcy

More information

Inventory and Appraisement of [Name of Party] Community Estate of the Parties

Inventory and Appraisement of [Name of Party] Community Estate of the Parties Inventory and Appraisement of [Name of Party] [Name], [Petitioner/Respondent], submits this inventory and appraisement of all assets and liabilities, community and separate estates, as follows: Community

More information

Client Questionnaire For Business Debtor

Client Questionnaire For Business Debtor Part A. Name and Address Name of business: Contact Person s name: Client Questionnaire For Business Debtor Section 1 Basic Information Telephone Number: ext.: Alternative Number: Has the business gone

More information

Banning Law Firm. 10801 Lomas NE Ste. 104 Albuquerque, NM 87112 Office 883-9577 Fax 866-677-0508

Banning Law Firm. 10801 Lomas NE Ste. 104 Albuquerque, NM 87112 Office 883-9577 Fax 866-677-0508 Banning Law Firm 10801 Lomas NE Ste. 104 Albuquerque, NM 87112 Office 883-9577 Fax 866-677-0508 Questionnaire Taxes Credit Report Paper Work Needed To File Counseling Certificate Pay Check Stubs Payment

More information

Civil Criminal Incarcerated On Supervised Release Neither

Civil Criminal Incarcerated On Supervised Release Neither Civil Criminal Incarcerated On Supervised Release Neither United States Department of Justice Office of the United States Attorney District of Idaho (Submitted for Government Action on Claims Due the United

More information

Client Questionnaire For Business Debtor

Client Questionnaire For Business Debtor Client Questionnaire For Business Debtor Section 1 Basic Information Part A. Name and Address Name of business: Contact Person s name: Telephone Number: ext.: Alternative Number: Has the business gone

More information

CLIENT QUESTIONNAIRE - Inventory and Appraisement. INSTRUCTIONS: We prefer that you type up your answers separately, and just refer to the

CLIENT QUESTIONNAIRE - Inventory and Appraisement. INSTRUCTIONS: We prefer that you type up your answers separately, and just refer to the CLIENT NAME: CLIENT QUESTIONNAIRE - Inventory and Appraisement. INSTRUCTIONS: We prefer that you type up your answers separately, and just refer to the Question #. You do not have to re-type the question.

More information

Form M-433-OIS Statement of Financial Condition and Other Information

Form M-433-OIS Statement of Financial Condition and Other Information Form M-433-OIS Statement of Financial Condition and Other Information Rev. 6/09 Massachusetts Department of Revenue Complete all entries with the most current information available. For entries that do

More information

PREPARING THE PETITION, SCHEDULES, STATEMENT OF FINANCIAL AFFAIRS, MEANS TEST (FORM 22C) AND CHAPTER 13 PLAN

PREPARING THE PETITION, SCHEDULES, STATEMENT OF FINANCIAL AFFAIRS, MEANS TEST (FORM 22C) AND CHAPTER 13 PLAN PREPARING THE PETITION, SCHEDULES, STATEMENT OF FINANCIAL AFFAIRS, MEANS TEST (FORM 22C) AND CHAPTER 13 PLAN THE PETITION Provide complete information for each debtor. Full name Any aka, dba or fdba Complete

More information

THE RICE LAW FIRM, PLLC Fax: (281) 601-4870 Email: [email protected] Email: [email protected]

THE RICE LAW FIRM, PLLC Fax: (281) 601-4870 Email: ricelawhouston@gmail.com Email: ricelawthewoodlands@gmail.com THE RICE LAW FIRM, PLLC Fax: (281) 601-4870 Email: [email protected] Email: [email protected] ESTATE PLANNING QUESTIONNAIRE FOR MARRIED COUPLE If you are interested in preparation of

More information

UNITED STATES BANKRUPTCY COURT EASTERN DISTRICT OF MISSOURI EASTERN DIVISION

UNITED STATES BANKRUPTCY COURT EASTERN DISTRICT OF MISSOURI EASTERN DIVISION UNITED STATES BANKRUPTCY COURT EASTERN DISTRICT OF MISSOURI EASTERN DIVISION In re: ) Chapter 11 ) BURTON DOUGLAS MORRISS, ) Case No.: 12-40164 ) Debtor. ) Judge Kathy A. Surratt-States ) STATEMENT CONCERNING

More information

Form CT-706 NT Instructions Connecticut Estate Tax Return (for Nontaxable Estates)

Form CT-706 NT Instructions Connecticut Estate Tax Return (for Nontaxable Estates) (Rev. 06/11) Form CT-706 NT Instructions Connecticut Estate Tax Return (for Nontaxable Estates) General Information For decedents dying on or after January 1, 2011, the Connecticut estate tax exemption

More information

LEIDEN AND LEIDEN A Professional Corporation

LEIDEN AND LEIDEN A Professional Corporation LEIDEN AND LEIDEN A Professional Corporation Terrance Patrick Leiden (also Ohio) 330 Telfair Street C. Christopher CoCroft, Jr. Zane P. Leiden (also SC) Augusta, Georgia 30901-2450 (1941-1974) (706) 724-8548

More information

INSTRUCTIONS FOR COMPLETING OFFICIAL FORM 7. STATEMENT OF FINANCIAL AFFAIRS (Revised 2/01) I. INTRODUCTION

INSTRUCTIONS FOR COMPLETING OFFICIAL FORM 7. STATEMENT OF FINANCIAL AFFAIRS (Revised 2/01) I. INTRODUCTION INSTRUCTIONS FOR COMPLETING OFFICIAL FORM 7 STATEMENT OF FINANCIAL AFFAIRS (Revised 2/01) I. INTRODUCTION The Statement of Financial Affairs provides a summary of the debtor's financial history, transactions,

More information

Estate Planning Questionnaire

Estate Planning Questionnaire How did you hear about us? GRISSOM LAW, LLC 10475 Medlock Bridge Road Suite 215 Johns Creek, GA 30097 678.781.9230 Estate Planning Questionnaire I. GENERAL INFORMATION Full name Other names known by Date

More information

[Name], [Petitioner/Respondent], submits this inventory and appraisement of all assets and liabilities, community and separate estates, as follows:

[Name], [Petitioner/Respondent], submits this inventory and appraisement of all assets and liabilities, community and separate estates, as follows: [Paste Caption Here] Inventory and Appraisement of [name of party] [Name], [Petitioner/Respondent], submits this inventory and appraisement of all assets and liabilities, community and separate estates,

More information

Thomas K. Atwood BANKRUPTCY WORKSHEET

Thomas K. Atwood BANKRUPTCY WORKSHEET Thomas K. Atwood Attorney at Law 19427 SE 14th St, Sammamish, WA 98075 18820 Aurora Avenue North, Suite #202, Shoreline, WA 98133 Voice (425) 996-4145 or (206) 569-4685 - Fax (815) 550-1378 Email: [email protected]

More information

COMMONLY USED CALIFORNIA EXEMPTIONS (Updated January 2013)

COMMONLY USED CALIFORNIA EXEMPTIONS (Updated January 2013) COMMONLY USED CALIFORNIA EXEMPTIONS (Updated January 2013) NOTE: Nothing in this document should be construed to be legal advice, or advice specific to any one person s particular situation. This listing

More information

PO Box 393 Irmo, SC 29063 (803) 798-9890 PH URL: www.pbeasleylaw.com (803) 750-9696 FAX Email: [email protected]

PO Box 393 Irmo, SC 29063 (803) 798-9890 PH URL: www.pbeasleylaw.com (803) 750-9696 FAX Email: beasleylaw@sc.rr.com PO Box 393 Irmo, SC 29063 (803) 798-9890 PH URL: www.pbeasleylaw.com (803) 750-9696 FAX Email: [email protected] Dear Potential Client: The following worksheet will help Attorney Beasley to assess your

More information

United States Bankruptcy Court Eastern District of Michigan. Voluntary Petition

United States Bankruptcy Court Eastern District of Michigan. Voluntary Petition }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(04/13) ame of Debtor (if individual, enter Last, First, Middle): Harris, Charlene B United States Bankruptcy Court Eastern District of Michigan

More information

BANKRUPTCY CHECKLIST ITEMS NEEDED TO COMPLETE YOUR BANKRUPTCY HELPFUL TO HAVE SOME INFO BELOW FOR INITIAL CONSULT

BANKRUPTCY CHECKLIST ITEMS NEEDED TO COMPLETE YOUR BANKRUPTCY HELPFUL TO HAVE SOME INFO BELOW FOR INITIAL CONSULT NAME: DATE: Complete and return the attached List of Property Descriptions; Income Information and Monthly Expenses Provide any actual bills showing creditor s name, address, account number, balance due

More information

Business Loan Checklist Non Real Estate

Business Loan Checklist Non Real Estate Pacific NW Federal Credit Union is a local, not-for-profit financial cooperative. Our job is to turn your possibilities into realities. We offer financing for your business vehicles, computers, machinery,

More information

MAXWELL LAW FIRM,PLLC

MAXWELL LAW FIRM,PLLC MAXWELL LAW FIRM,PLLC Please fill in the answers to the questions below, so we can properly evaluate your unique financial situation. Please note that Debt, Bankruptcy, and Tax Laws are often the same

More information

INITIAL CLIENT QUESTIONNAIRE Financial. Name: SSN: DOB: Spouse: SSN: DOB: Address: City: State: Zip: Length of Residence:

INITIAL CLIENT QUESTIONNAIRE Financial. Name: SSN: DOB: Spouse: SSN: DOB: Address: City: State: Zip: Length of Residence: FOR OFFICE USE ONLY Chapter 7 13 Individual Joint Attorney s Fee: Filing Fee: INITIAL CLIENT QUESTIONNAIRE Financial Date: Name: SSN: DOB: Spouse: SSN: DOB: Address: City: State: Zip: County: Length of

More information

Collection Information Statement for Wage Earners and Self-Employed Individuals

Collection Information Statement for Wage Earners and Self-Employed Individuals Form 433-A (Rev. December 2012) Department of the Treasury Internal Revenue Service Collection Information Statement for Wage Earners and Self-Employed Individuals Wage Earners Complete Sections 1, 2,

More information

Personal Financial Planning Questionnaire

Personal Financial Planning Questionnaire MULHOLLAND FINANCIAL SERVICES Personal Financial Planning Questionnaire Conservative Financial Advice This comprehensive, personal financial planning summary is designed to help you take inventory and

More information

pages is accurate to the best of my knowledge and belief and sets out the financial situation as of (give date for which information is accurate)

pages is accurate to the best of my knowledge and belief and sets out the financial situation as of (give date for which information is accurate) ONTARIO Court File Number at (Name of Court) Court office address Form 13: Financial Statement (Support Claims) sworn/affirmed Applicant(s) Full legal name & address for service street & number, municipality,

More information

INTERNAL SERVICES DEPARTMENT SMALL BUSINESS DEVELOPMENT SMALL BUSINESS CERTIFICATION APPLICATION

INTERNAL SERVICES DEPARTMENT SMALL BUSINESS DEVELOPMENT SMALL BUSINESS CERTIFICATION APPLICATION INTERNAL SERVICES DEPARTMENT SMALL BUSINESS DEVELOPMENT SMALL BUSINESS CERTIFICATION APPLICATION BUSINESS OWNER S DETAILED PERSONAL FINANCIAL STATEMENT (Attachment A) PERSONAL FINANCIAL STATEMENT AFFIDAVIT

More information

STANDARD FAMILY LAW INTERROGATORIES. I,, being sworn, certify that the following information is true:

STANDARD FAMILY LAW INTERROGATORIES. I,, being sworn, certify that the following information is true: STANDARD FAMILY LAW INTERROGATORIES TO BE COMPLETED BY THE PARTY SERVING THESE INTERROGATORIES I am requesting that the following standard questions be answered: [! all that apply]! 1! 2! 3! 4! 5! 6! 7

More information

Debtor s Full Legal Name: Spouse s Full Legal Name: Other Names Ever Used: Email: Tel#: Cell#: Emergency Contact (name & number):

Debtor s Full Legal Name: Spouse s Full Legal Name: Other Names Ever Used: Email: Tel#: Cell#: Emergency Contact (name & number): Law Office of Jeffrey B. Kelly, P.C. Chapter 7 Chapter 13 Bankruptcy Questionnaire DEBTOR INFO: How did you first hear about my office? Office Location Debtor s Full Legal Name: SS# DOB: Spouse s Full

More information

Personal Financial Planning Questionnaire

Personal Financial Planning Questionnaire Part I: Personal and Family Information 1. Your General Information Your Full Name Your Date of Birth Your Place of Birth Your State of Residency s Full Name s Date of Birth s Place of Birth s State of

More information

Article Estates and Trusts MARYLAND STATUTORY FORM PERSONAL FINANCIAL POWER OF ATTORNEY IMPORTANT INFORMATION AND WARNING

Article Estates and Trusts MARYLAND STATUTORY FORM PERSONAL FINANCIAL POWER OF ATTORNEY IMPORTANT INFORMATION AND WARNING [Previous][Next][Another Article] 17 202. Article Estates and Trusts MARYLAND STATUTORY FORM PERSONAL FINANCIAL POWER OF ATTORNEY IMPORTANT INFORMATION AND WARNING You should be very careful in deciding

More information

COMPLETING A PERSONAL NET WORTH STATEMENT (Personal Net Worth Statements and Related Financial Information Are Not Subject To Public Disclosure Laws)

COMPLETING A PERSONAL NET WORTH STATEMENT (Personal Net Worth Statements and Related Financial Information Are Not Subject To Public Disclosure Laws) COMPLETING A PERSONAL NET WORTH STATEMENT (Personal Net Worth Statements and Related Financial Information Are Not Subject To Public Disclosure Laws) For New Applicants: All Owners Claiming Disadvantaged

More information

UNITED STATES BANKRUPTCY COURT District of Arizona

UNITED STATES BANKRUPTCY COURT District of Arizona UNITED STATES BANKRUPTCY COURT District of Arizona Consumer Debtor Instructions for Completing the Petition, Schedules, Means Test, Statement of Current Monthly Income, and Statement of Affairs May 2010

More information

Preparing Family Net Worth and Income Statements

Preparing Family Net Worth and Income Statements Family and Consumer Sciences FSFCS49 Preparing Family Net Worth and Income Statements Laura Connerly Instructor - Family Resource Management Arkansas Is Our Campus Visit our web site at: http://www.uaex.edu

More information

INSTRUCTIONS TO ASSIST IN COMPLETING ATTACHMENT B: PERSONAL FINANCIAL STATEMENT WORKSHEET

INSTRUCTIONS TO ASSIST IN COMPLETING ATTACHMENT B: PERSONAL FINANCIAL STATEMENT WORKSHEET INSTRUCTIONS TO ASSIST IN COMPLETING ATTACHMENT B: PERSONAL FINANCIAL STATEMENT WORKSHEET This instruction sheet is intended to provide guidance on how to complete the Attachment B: Personal Financial

More information

Bankruptcy Questionnaire

Bankruptcy Questionnaire MARTIN J. PECK ATTORNEY LICENSED IN KANSAS AND MISSOURI SECURITY STATE BANK BUILDING, SECOND FLOOR 107 EAST HARVEY AVENUE - P.O. BOX 236 WELLINGTON, KANSAS 67152 PHONE (620) 326-5997 FAX (620) 326-6887

More information

INSTRUCTIONS FOR BANKRUPTCY FORMS - PLEASE READ CAREFULLY!

INSTRUCTIONS FOR BANKRUPTCY FORMS - PLEASE READ CAREFULLY! NAME: BANKRUPTCY PROFESSIONAL CENTER, James O. Wyre II, Attorney at Law CHAPTER: RUSH: Y N WHY? INSTRUCTIONS FOR BANKRUPTCY FORMS - PLEASE READ CAREFULLY! YOUR CASE CANNOT BE FILED UNTIL THESE FORMS ARE

More information

U.S. Department of Transportation

U.S. Department of Transportation U.S. Department of Transportation Personal Net Worth Statement For DBE/ACDBE Program Eligibility As of OMB APPROVAL NO: EXPIRATION DATE: This form is used by all participants in the U.S. Department of

More information

UNITED STATES BANKRUPTCY COURT SOUTHERN DISTRICT OF NEW YORK

UNITED STATES BANKRUPTCY COURT SOUTHERN DISTRICT OF NEW YORK UITD STATS BAKRUPTCY COURT SOUTHR DISTRICT OF W YORK ) Chapter 11 : ) ) Case o. 09-10244 (RDD) STAR TRIBU HOLDIGS CORPORATIO et al. s. ) Jointly Administered ) ) ) ) GLOBAL OTS AD STATMT OF LIMITATIOS

More information

Your Full Name Age Social Security #

Your Full Name Age Social Security # Walter A. Metzen Attorney at Law 3156 Penobscot Building 645 Griswold Street Detroit, MI 48226 (313) 962-4656 www.bankruptcydetroit.com Fax (313) 962-4241 REQUEST FOR BANKRUPTCY PROTECTION-START-UP PACKET

More information

In addition to filling out the attached schedules, you will need to provide me with the following documents:

In addition to filling out the attached schedules, you will need to provide me with the following documents: Buckley & Jensen 1257 Gun Club Road White Bear Lake, MN 55110 (651) 486-7475 phone (651) 486-7468 facsimile email: [email protected] In addition to filling out the attached schedules, you will need

More information

MACHI & ASSOCIATES, P.C. 1521 N. Cooper, Suite 550 990 N. Walnut Creek, Suite 2016 Arlington, Texas 76011 Mansfield, Texas 76063

MACHI & ASSOCIATES, P.C. 1521 N. Cooper, Suite 550 990 N. Walnut Creek, Suite 2016 Arlington, Texas 76011 Mansfield, Texas 76063 DATE: MACHI & ASSOCIATES, P.C. 1521 N. Cooper, Suite 550 990 N. Walnut Creek, Suite 2016 Arlington, Texas 76011 Mansfield, Texas 76063 Local 817-335-8880 Metro 972-445-5387 Toll Free 866-DEBTDRS (866-332-8377)

More information

Collection Information Statement for Wage Earners and Self-Employed Individuals

Collection Information Statement for Wage Earners and Self-Employed Individuals Georgia Department of Revenue Collection Information Statement for Wage Earners and SelfEmployed Individuals Form CD14C (June 2012) Use this form if you are An individual who owes income tax on a Form

More information

A form that will help you identify, locate, and organize the important documents your will need as a primary caregiver.

A form that will help you identify, locate, and organize the important documents your will need as a primary caregiver. Caregiver s Document Organizer A form that will help you identify, locate, and organize the important documents your will need as a primary caregiver. Check yes or no to indicate whether or not you can

More information

ONTARIO Court File Number. Form 13.1: Financial Statement (Property and Support Claims) sworn/affirmed. Applicant(s) Respondent(s)

ONTARIO Court File Number. Form 13.1: Financial Statement (Property and Support Claims) sworn/affirmed. Applicant(s) Respondent(s) ONTARIO Court File Number at (Name of court) Court office address Form 13.1: Financial Statement (Property and sworn/affirmed Applicant(s) Full legal name & address for service street & number, municipality,

More information

WHAT YOU NEED TO KNOW ABOUT SETTLING AN ESTATE. A handy guide to the steps necessary to settle an estate in Maryland.

WHAT YOU NEED TO KNOW ABOUT SETTLING AN ESTATE. A handy guide to the steps necessary to settle an estate in Maryland. WHAT YOU NEED TO KNOW ABOUT SETTLING AN ESTATE A handy guide to the steps necessary to settle an estate in Maryland. WHAT YOU NEED TO KNOW ABOUT SETTLING AN ESTATE This publication provides general information

More information

Case 14-14360-abl Doc 33 Entered 07/18/14 18:04:56 Page 1 of 34. Case No.: 14-14360-ABL Chapter 11

Case 14-14360-abl Doc 33 Entered 07/18/14 18:04:56 Page 1 of 34. Case No.: 14-14360-ABL Chapter 11 Case 14-14360-abl Doc 33 Entered 07/18/14 18:04:56 Page 1 of 34 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 GORDON SILVER GERALD M. GORDON, ESQ. Nevada Bar No. 229 E-mail: [email protected]

More information

Confidential Estate Planning Questionnaire

Confidential Estate Planning Questionnaire Confidential Estate Planning Questionnaire Single Person This questionnaire is designed to help me evaluate your unique situation and create an estate plan that addresses your specific needs. Effective

More information

Standard Checklist Voluntary Individual Chapter 7

Standard Checklist Voluntary Individual Chapter 7 Pre-Filing Client intake Standard Checklist Voluntary Individual Chapter 7 Contact information, including full legal name, home and mailing address, phone number, email address, and any other names used

More information

Divorce Information and Worksheet

Divorce Information and Worksheet Divorce Information and Worksheet Instructions: This worksheet is designed to be used by persons contemplating a divorce. It may also be used by your attorney. Completing this form before your initial

More information

PROBATE ADMINISTRATION FORM

PROBATE ADMINISTRATION FORM 4045 SMITHTOWN ROAD, SUITE K SUWANEE, GEORGIA 30024 RICHARD S. BRYSON, ESQ. Attorney at Law Member, National Academy of Elder Law Attorneys TEL: (404) 909-8842 FAX: (404) 591-7921 [email protected]

More information

ESTATE PLANNING OR NO ESTATE PLANNING?

ESTATE PLANNING OR NO ESTATE PLANNING? ESTATE PLANNING OR NO ESTATE PLANNING? Thomas F. Kennedy KENNEDY & ASSOCIATES Attorneys-at-Law Board Certified Estate Planning and Probate Law - Texas Board of Legal Specialization 5851 San Felipe, Suite

More information

PERSONAL FINANCIAL STATEMENT

PERSONAL FINANCIAL STATEMENT PERSONAL FINANCIAL STATEMENT As of, 20 BUSINESS PLAN GUIDELINES Name: Residence Phone: Residence Address: City, State, Zip Code: Social Security Number: PERSONAL ASSETS PERSONAL LIABILITIES Cash in Bank

More information

Post Judgment Exemptions & Protections. Post Judgment Exemptions & Protections: Review & Update. When Do Post Judgment Protections Apply?

Post Judgment Exemptions & Protections. Post Judgment Exemptions & Protections: Review & Update. When Do Post Judgment Protections Apply? Post Judgment Exemptions & Protections Wisconsin exemptions currently found under Wis. Stat. section 815.18-815.20, are intended to advance the humane purpose of preserving to debtors and their dependents

More information

Form 70 I. (general heading) FINANCIAL STATEMENT OF

Form 70 I. (general heading) FINANCIAL STATEMENT OF Form 70 I (general heading) FINANCIAL STATEMENT OF INCOME AND MONEY RECEIVED (Include income and other money received from all sources, whether taxable or not, for the twelve month period ending on the

More information

BOARD OF REVIEW DECLARATION OF POVERTY & REQUEST FOR TAX RELIEF APPLICATION

BOARD OF REVIEW DECLARATION OF POVERTY & REQUEST FOR TAX RELIEF APPLICATION BOARD OF REVIEW DECLARATION OF POVERTY & REQUEST FOR TAX RELIEF APPLICATION Property ID Number: Current SEV: Current Taxable Value: Property Address: APPLICANT INFORMATION: IMPORTANT: It is necessary that

More information

INFORMATION FOR MY EXECUTOR. The information in this booklet will be helpful in settling my estate.

INFORMATION FOR MY EXECUTOR. The information in this booklet will be helpful in settling my estate. INFORMATION FOR MY EXECUTOR The information in this booklet will be helpful in settling my estate. Cowan & Kelly 402 Middletown Blvd. Suite 202 Langhorne, PA 19047 215-741-1100 FAX 215-741-4029 My Full

More information

1. Nonresident Alien or Resident Alien?

1. Nonresident Alien or Resident Alien? U..S.. Tax Guiide for Non-Resiidents Table of Contents A. U.S. INCOME TAXES ON NON-RESIDENTS 1. Nonresident Alien or Resident Alien? o Nonresident Aliens o Resident Aliens Green Card Test Substantial Presence

More information

Tax Return Questionnaire - 2013 Tax Year

Tax Return Questionnaire - 2013 Tax Year Print this form out, take some time to fill it out, and bring it with you when you come to the office. This will save you time and money, and help us help you more effectively. Tax Return Questionnaire

More information

3. If you received any interest from a "Seller Financed" mortgage, provide: Name and Address of Payer Social Security Number Amount

3. If you received any interest from a Seller Financed mortgage, provide: Name and Address of Payer Social Security Number Amount Print this form out, take some time to fill it out, and bring it with you when you come to the office. This will save you time and money, and help us help you more effectively. Tax Return Questionnaire

More information