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Debtor-In-Possession Real Property Questionnaire Leased Property Form. This is a California form and can be use in USBC Southern Federal.
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Tags: Debtor-In-Possession Real Property Questionnaire Leased Property, California Federal, USBC Southern
UNITED STATES DEPARTMENT OF JUSTICE
OFFICE OF THE UNITED STATES TRUSTEE
SOUTHERN DISTRICT OF CALIFORNIA
In Re:
CHAPTER 11
CASE NO. ________________________
Debtor(s).
DEBTOR-IN-POSSESSION
REAL PROPERTY QUESTIONNAIRE
LEASED PROPERTY
SUBMIT THIS QUESTIONNAIRE TO THE OFFICE OF THE UNITED STATES TRUSTEE ONLY. DO
NOT FILE WITH THE BANKRUPTCY COURT.
The debtor-in-possession is required to complete a Real Property Questionnaire for each parcel of
real property in which the debtor held a legal or equitable interest at the time of the filing of the petition.
This includes, but is not limited to, property held under ownership, leasehold, land sale, or open escrow. A
continuation sheet should be attached for each question where additional space is needed.
A.
General Property Information
1.
Address of property including county and state in which it is located:
_________________________________________________________________________________
_________________________________________________________________________________
2.
Type of real property (i.e., single family residence, condominium, apartment building, office
building, commercial, industrial, unimproved):
_________________________________________________________________________________
3.
Description of property (i.e., number of units or offices, square footage, amenities, and present
condition):
_________________________________________________________________________________
_________________________________________________________________________________
Debtor-in-Possession Real Property Questionnaire Leased Property - Page 1 of 3
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4.
Does the property presently conform to all local, state, and federal requirements, such as health,
building, safety, earthquake, fire or other regulations?
________ Yes
________ No. Explain: ___________________________________________________________
_________________________________________________________________________________
B.
Property Leased by the Debtor-in-Possession
1.
What is the name, address and telephone number of the lessor?
_________________________________________________________________________________
_________________________________________________________________________________
2.
Does the lessor own the property?
________ Yes.
________ No. Provide the name, address, and telephone number of the owner.
_________________________________________________________________________________
_________________________________________________________________________________
3.
Does a written lease exist between the Debtor-in-Possession and the lessor?
________ Yes. Please attach a copy of the lease.
________ No. Please explain the terms of the lease.
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
4.
Lease payment amount: $___________
Per: ________ Month/ ________ Quarter/ ________ Year/ ________ Other: ________
5.
Number and amount of unpaid pre-petition lease payments:
Number: ________/ Amount: $________
Debtor-in-Possession Real Property Questionnaire Leased Property - Page 2 of 3
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6.
If any pre-petition lease payments remained unpaid as a result of a dispute, were such payments
escrowed into a separate trust account?
________ No.
________ Yes. Please provide the name of the escrow holder, account number, and amount of funds
on hand:
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
I, __________________________________ (Name and title), declare under penalty of perjury that I
have fully read and understood the foregoing Real Property Questionnaire and that the information provided
herein is true and correct to the best of my knowledge.
Date:
______________________________________
Principal for Debtor-In-Possession
Debtor-in-Possession Real Property Questionnaire Leased Property - Page 3 of 3
(rev. 03/01/08)
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