Form 8
(10/05)
United States Bankruptcy Court
_______________ District Of _______________
In re ____________________________,
Debtor
Case No. ___________________
Chapter 7
CHAPTER 7 INDIVIDUAL DEBTOR'S STATEMENT OF INTENTION
9 I have filed a schedule of assets and liabilities which includes debts secured by property of the estate.
9 I have filed a schedule of executory contracts and unexpired leases which includes personal property subject to an unexpired lease.
9 I intend to do the following with respect to the property of the estate which secures those debts or is subject to a lease:
Description of Secured
Property
Creditor’s
Name
Property will be
Surrendered
Property
is claimed
as exempt
Property will
be redeemed
pursuant to
11 U.S.C. § 722
Debt will be
reaffirmed
pursuant to
11 U.S.C. § 524(c)
Description of Leased
Property
Lessor’s
Name
Lease will be
assumed pursuant
to 11 U.S.C.
§ 362(h)(1)(A)
Date: ____________________
___________________________________________
Signature of Debtor
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DECLARATION OF NON-ATTORNEY BANKRUPTCY PETITION PREPARER (See 11 U.S.C. § 110)
I declare under penalty of perjury that: (1) I am a bankruptcy petition preparer as defined in 11 U.S.C. § 110; (2) I prepared this document for
compensation and have provided the debtor with a copy of this document and the notices and information required under 11 U.S.C. §§ 110(b),
110(h), and 342(b); and, (3) if rules or guidelines have been promulgated pursuant to 11 U.S.C. § 110(h) setting a maximum fee for services
chargeable by bankruptcy petition preparers, I have given the debtor notice of the maximum amount before preparing any document for filing for a
debtor or accepting any fee from the debtor, as required in that section.
___________________________________________________
________________________
Printed or Typed Name of Bankruptcy Petition Pr