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Bankruptcy Law

LAW OFFICE OF ANN N. NGUYEN, ESQ.

OAKLAND BANKRUPTCY LAWYER - SAN JOSE BANKRUPTCY LAWYER

(510)834-8777 - (408)975-9321

To assist us in getting the information needed to file a bankruptcy, please provide the following documents or information. This applies to all property in the world.

A. Housing

· If you own or are buying a house, copies of the mortgage(s), deed and any appraisal of your house (if you don’t have an appraisal, your best estimate of what the house is worth)

· If you are renting, a copy of your lease. If no written lease, a copy of a recent rent receipt

B. Fill out the “Inventory of Household Goods and Furnishings”

C. Fill out abbreviated schedule B, which is a list of all property you own or are buying ( other than a house, land, or household goods listed in the inventory)

D. Your bankruptcy must list the name, address and amount owed to all of your creditors. This includes

· People who you want to repay even though you are filing bankruptcy

· People who claim that you owe them money even though you don’t owe money.

If you a recent credit report, attach a copy. If you don’t, you can get a free copy of your credit report by following the instruction form at the end of this questionnaire. Get only one report – it doesn’t matter which one. Since some creditors don’t use the credit bureau you must review the report and add any creditors who are left off. Our office will also be able to obtain a copy of your credit report. It is your responsibility to list all creditors, if the credit bureau makes a mistake and you don’t catch it, you are the one who suffers as a result.

For each creditor not listed on a credit report you should either:

· Provide a copy of a recent bill (this is the preferred way), or

· Write down the name and address of the creditor, account number, amount owed, and collateral, if any, for the debt on the attached form

E. A copy of all pay stubs you have for the last 60 day for each person in your household who is working. From now until your bankruptcy is filed you must keep all of your pay stubs.

F. If filing a chapter 7- A copy of your most recent federal tax return. If filing Chapter 13, copies of your federal tax returns for the last 4 years. If you filed a return but don’t have a copy, we will need to get a transcript of your tax return.

G. Complete the “budget”

1. Page 1 asks about your dependents and your employment history.

2. Page 2 asks for your monthly income (include food stamps but not a housing subsidy unless you actually get a check in your name) ( you don’t need to complete the shaded box if you give us a copy of a recent pay stub)

3. Part 3 asks about your monthly expenses. You should put down what you think you expenses will be if you economize. If the expenses vary, average them out. If you aren’t sure, just do the best you can.

4. You also need to tell the court if you think your income or expenses are going to change by 10% or more in the next 12 months,

H. Complete the page, Summary of Your Financial Affairs.


Abbreviated Schedule B – Personal Property

List all property of whatever kind. If you have no property in one or more of the categories, write “None.” If additional space is needed in any category, attach a separate sheet.

If someone else is holding property for you, state that person’s name and address under “Description and Location of Property.”

Some questions are shaded because these items are rarely owned by legal services clients. However, if you do own this type of property, please put down the information requested.

TYPE OF PROPERTY

Description and Location of Property

How much is property worth?

1.Cash on hand

$

2.Checking, savings, or other financial accounts, certificates of deposit, or shares in banks, savings and loan, thrift, building and loan, and homestead associations, or cooperatives.

3.Security deposits with public utilities, telephone companies, landlords, and others.

4.Household goods including audio, video, and computer equipment.

Enter total from the Inventory of Household Goods and Furnishings

5.Books, pictures and other art objects, antiques, stamps, coin, record, tape, compact disc, and other collections or collectibles.

6.Wearing apparel (clothes)

7.Furs and jewelry.

8.Firearms and sports, photographic and other hobby equipment

9.Interests in insurance policies. Name insurance company of each policy and itemize surrender or refund value of each.

10.Annuities. Itemize and name each issuer.

11.Interests in a educational IRA or a state tuition plan (529 plan)

12.Interests in IRA, ERISA, Keogh, or other pension or profit sharing plans. Itemize. Note: your retirement plan is completely exempt if listed on your bankruptcy papers

13. Stock and interest in incorporated and unincorporated businesses. Itemize.

14.Interests in partnerships or joint ventures. Itemize.

15.Government and corporate bonds and other negotiable and non-negotiable instruments. This includes savings bonds.

16.Accounts receivable.

TYPE OF PROPERTY

Description and Location of Property

How much is property worth?

17.Alimony, maintenance, support, and property settlements to which you are

or may be entitled. Give particulars.

18.Other liquidated debts owed to you (someone owes you money) including tax refunds. Give particulars.

19.Equitable or future interests, life estates, and rights or powers exercisable for your benefit other than those listed in Schedule of Real Property.

20.Contingent and non-contingent interests in estate of a decedent, death benefit plan, life insurance policy, or trust (are someone’s heir?)

21.Other contingent and unliquidated claims of every nature, including tax refunds, counterclaims and rights to setoff claims. (do you have a lawsuit against someone?) give the estimated value of each.

22.Patents, copyrights, and other intellectual property. Give particulars.

TYPE OF PROPERTY

Description and Location of Property

How much is property worth?

23.Licences, franchises, and other general intangibles. Give particulars.

24.Customer lists or other compilation containing personally identifiable information provided to debtor by individual in connection with obtaining a product or services from the debtor.

25.Automobiles, trucks, trailers, motorcycles and other vehicles (list make and year of all vehicles)

26.Boats, motors, and accessories.

27.Aircraft and accessories.

28.Office equipment, furnishings, and supplies.

29.Machinery, fixtures, equipment and supplies used in business.

30.Inventory.

31.Animals.

32.Crops – growing or harvested.

33.Farming equipment and implements.

34.Farm supplies, chemicals, and feed.

35.Other personal property of any kind not already listed. Itemize.

IMPORTANT NOTE: Property that you inherit within 180 days after you file a bankruptcy is included in the bankruptcy. This means that the property you inherit can be used to pay your creditors. Therefore, careful planning is needed so that you can keep as much of the inheritance as possible.

If you may inherit property soon circle “Yes.” Be sure to mention this to your attorney before filing the case.

I may inherit money or property in the future. Yes No


Family composition and employment

Marital status (circle one)

Married separated divorced widowed never married

Dependents of you or your spouse who live with you

Full Name

Age

Relationship to you

EMPLOYMENT

YOU

SPOUSE

Occupation

Name of employer

How long employed

Address of employer


Budget, part 1 – CURRENT INCOME

If you are married, the column labeled “Spouse” must be completed unless you are separated and you are not filing a joint petition.

Income: (Estimate of average monthly) YOU SPOUSE

Current monthly gross wages, salary, and commissions (pro rate if not paid monthly)

$

$

Estimated monthly overtime

$

$

SUBTOTAL

$

$

Less Payroll Deductions

$

$

a. Payroll taxes and social security

$

$

b. Insurance

$

$

c. Union dues

$

$

d. Other (Specify)

$

$

SUBTOTAL OF PAYROLL DEDUCTIONS

$

$

TOTAL NET MONTHLY TAKE HOME PAY

$

$

Regular income from operation of profession or farm (attach detailed statement)

Income from real property

Interest and dividends

Alimony, maintenance or support payments payable to you for your use or that of dependents listed above

Social security of SSI

Other government assistance, including food stamps (specify)

Pension or retirement income

Other monthly income (specify)

TOTAL MONTHLY INCOME

$

$


Budget, Part 2 – Current Expenditures (monthly)

Complete this schedule by estimating the average monthly expenses of the you and your family. Pro rate any payments made bi-weekly, quarterly, semi-annually, or annually to show monthly rate.

Other expenses

Housing and utility costs

Food

Rent or home mortgage payment (include lot rented for mobile home)

$

Clothing

Are real estate taxes included?

Yes____ No____

Laundry and dry cleaning

Is property insurance included?

Yes____ No____

Medical and dental expenses

Utilities:

Transportation (not including car payments)

Electricity and heating fuel

$

Recreation, club and entertainment, newspapers, magazines, etc.

Water and Sewer

$

Charitable contributions

Telephone

$

Insurance ( not deducted from wages or included in mortgage payments)

Other

$

Homeowner’s or renter’s

$

Home Maintenance (repairs and upkeep)

$

Auto

$

Total Housing Costs

$

Life

$

 

Health

$

 

Taxes (not deducted from wages or included in mortgage payments)

$

 

Installment payments

 

Auto

$

 

Other

$

 

Alimony, maintenance, or support paid by you

$

 

Payments for support of additional dependents not living at your home

$

 

Regular expenses from operation of business, profession, or farm

$

 

Other (describe)

$

 

Total other expenses

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


Summary of your Financial Affairs

Employment Income

Name of employer(s)

Amount

2009 (to date)

2008

2007

Non-employment Income

Source (social security, public aid, food stamps, etc)

Amount (per year or per month?)

2009 (to date)

2008

2007

List any lawsuits in the last year that you have not already told us about.

Have you had any property repossessed in the last year? If so, what was the property, and when was it repossessed?

Have your wages been garnished in the last year? If so, when, who was the creditor and how much was garnished?

List all previous addresses in the last three years.


Information about your debts

Complete the following information as best you can for every creditor for whom you cannot provide a copy of a recent bill. Estimates of how much you owe are alright.

Name & address of creditor

In 5 words or less, what is the debt for? (i.e. “medical bills,” “credit card”)

List any property that is collateral for this debt

Amount owed

$

Account # if any

Amount owed

$

Account # if any

Amount owed

$

Account # if any

Amount owed

$

Account # if any

Amount owed

$

Account # if any

Amount owed

$

Account # if any



Inventory of Household Goods and Furnishing

This is a guide to help you organize the list of your property

Room/description

Value (what you could get if you had to sell it)

Room total

Living Room

Carpets/Rugs

$

Sofas, Chairs

$

Tables

$

Lamps

$

Pictures/Mirrors

$

Window coverings

$

TV/Stereos

$

VCRs

$

DVD players

$

Computer

$

Other (list)

$

Total living room

$

Kitchen

Appliances

$

Small appliances

$

Tables/ chairs

$

Cookware

$

Dishes/utensils

$

Other(list)

$

Total kitchen

$

Dining Room

Carpet/rugs

$

Tables/Chairs

$

Buffet, Sideboard

$

China, Glassware

$

Silver

$

Pictures/Mirrors

$

Other (list)

$

Total Dining room

$

Bedroom #1

Carpet/Rugs

$

Beds

$

Bedding

$

Bureaus/Dressers

$

Pictures/Mirrors

$

Desk, Chairs, Tables

$

TV, Stereos

$

Desk, Chairs, tables

$

VCRs

$

DVD player

$

Computer

$

Other(list)

$

Bedroom #2

Carpet/Rugs

$

Beds

$

Bedding

$

Bureaus/Dressers

$

Pictures/Mirrors

$

Desk, Chairs, Tables

$

TV, Stereos

$

Desk, Chairs, tables

$

VCRs

$

DVD player

$

Computer

$

Other(list)

$

Bedroom #3

Carpet/Rugs

$

Beds

$

Bedding

$

Bureaus/Dressers

$

Pictures/Mirrors

$

Desk, Chairs, Tables

$

TV, Stereos

$

Desk, Chairs, tables

$

VCRs

$

DVD player

$

Computer

$

Other(list)

$

Total Bedrooms

$

Family Room /Den

Sofas/Chairs

$

Tables, Chairs

$

Picture, Mirrors

$

TVs, Stereos

$

VCRs

$

DVD Player

$

Computer

$

Other (list)

$

Total Family Room/Den

$

Basement/ Utility Room

Washer

$

Dryer

$

Desk, Tables, Chairs

$

TVs, Stereos

$

VCRs

$

DVD player

$

Tools

$

Exercise equipment

$

Other (list)

$

Basement total

$

Garage/Car Port/Shed

Tools

$

Lawn Mower

$

Grill

$

Lawn Furniture

$

Hobby/Sport equipment (bike, jet ski, etc)

$

Other (list)

$

Total Garage

$

Small personal items

Cell phones, PDAs

$

iPod, iPhone, etc.

$

Any other property

$

$

$

$

$

$

$

$

$

TOTAL HOUSEHOLD

$

Projected Expenses

Indicate how much you pay for each item each month

1. Your rent or home mortgage
Does that amount include real estate taxes? Yes No
Does it include property insurance? Yes No
Do you have a second mortgage or home equity loans?
2nd Mortgage/ home equity loan
3rd Mortgage

$

$

$

1a. Condo or coop assessments

$

2. Electricity and heating

$

3. Water and sewage; garbage removal

4. Telephone service/ long distance
local/land line
long distance if billed separately
cell phone

$

$

$

$

5. Do you have any other utility bills?If so, what and how much per month?
cable
internet
other

$

6. Home maintenance, including repairs and general upkeep
inside – cleaning supplies, paper products, etc.
outside – lawn and yard care, snow removal, repairs (roof, etc)

$

7. Food
at home
meal on wheels
kids – school lunches, snacks
adult – meals while at work
fast food and other restaurant meals
beer wine liquor cigarettes etc

$

8. Clothing

$

9. Laundry and dry cleaning

$

10. Medical and dental expenses
doctors
dentists
optician; eyeglasses or contacts
medicine – prescription
over the counter
copayments
home health care

$

11. Transportation (not including car payments)
public transportation
gasoline
vehicle maintenance
license/ registration/ city stickers
parking

$

12. Entertainment, recreation, newspaper, magazines
lottery tickets
vacations
summer camps for children
holiday gifts to children, relatives

$

13. Charitable contributions

$

14. Insurance not deducted from paycheck
a) homeowner’s or renter’s insurance
b) life insurance
c) health insurance

d) auto insurance
e) other insurance

$

15. Taxes not deducted from paycheck
property taxes if not included in mortgage payment
self employment taxes
other (specify)

$

16. Installment payments for car, furniture, etc, that you plan to keep. specify
for what? name of creditor

$

$

$

16a. lease payments for car, furniture, etc. (specify)
for what? Who are you renting from?



$

$

$

17. Alimony, maintenance, support paid to others
paid to
paid to

paid to

$

$

$

18. Payment for support of dependents not living at home

$

19. Expenses from operation of business (total)
itemize on separate sheet

$

20. Other expenses not listed above
child care
regular child care
occasional childcare (baby sitters)
personal grooming (haircuts, etc)
school trips, special fees, etc
child’s allowance, toy, etc.
activity fees (sports, band, etc)
postage; bank and currency exchange fees

$

$

$

$

$

$

$

$
$

21. Do you expect any changes in the next year? What month? How
moving expenses
mortgage payment change (adjustable rate)
rent adjustment due to change in income
child moving out or returning

much(+ or -)

$

$

$

$

 

Legal Information

Copyright ©2012-2013 Phan, Nguyen & Associates LLP

We are a debt relief agency. We help people file for bankruptcy relief under the Bankruptcy Code.

From law offices in Oakland, California, and San Jose, California attorneys from the law firm of Phan, Nguyen and Associates LLP handles cases throughout the East Bay Area, including Alameda County, Contra Costa County, San Francisco County, and San Mateo County. We serve the people of Alameda, Oakland, Piedmont, Oakland Claremont area, Oakland Lake Merritt area, Richmond, Albany, El Cerrito, Hercules, Berkeley, San Leandro, Castro Valley, Hayward, Hercules, El Cerrito, Fremont, Newark, Santa Clara, San Jose, Milpitas, Sunnyvale, San Francisco, San Mateo, Marin, Martinez, Richmond, Hercules, Concord.

NOTE: This website content is purely for informational purposes only. It is intended to give you a general idea as to these legal issues and to give you a representative example of what we can do to assist you. Any and all content is purely for informational purposes. As we are unable to continuously update our website as the law quickly changes, we do not claim that any information given is up to date, legal advice, current law and/or applicable to your case. Please contact us for a free consultation.