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Debtor-In-Possession Real Property Questionnaire Owned 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 Owned 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
OWNED 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):
_________________________________________________________________________________
_________________________________________________________________________________
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4.
Define the debtor’s interest in the real property:
________ Ownership (i.e., fee ownership).
________ Land Sale.
________ Other - Explain: __________________________________________________________
5.
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.
Income and Management of the Property
1.
Is any income being generated from rental or use of the property by third parties?
________ Yes. Present gross monthly income: $______________
________ No.
2.
If the property is being used or occupied by a third party, provide the name of that party, explain the
relationship, if any, to the debtor-in-possession and explain the terms of any agreement with that
party.
_________________________________________________________________________________
_________________________________________________________________________________
3.
Is there any person or entity managing the property?
________ No.
________ Yes. Provide the name, address, and telephone number of the managing person/entity and
attach a copy of the management agreement.
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
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4.
Is the manager (or principals of the management company) in any way related to or affiliated with
the debtor?
________ No.
________ Yes. Provide complete information regarding the relationship or affiliation.
_________________________________________________________________________________
_________________________________________________________________________________
5.
Has a real estate broker or agent been employed by the debtor for this property?
________ No.
________ Yes. Provide the name and address of the broker or agent and the date on which the
broker or agent was employed.
_________________________________________________________________________________
_________________________________________________________________________________
C.
Ownership Items
1.
Is the debtor the titleholder to the property?
________Yes.
________ No. Explain. _____________________________________________________________
_________________________________________________________________________________
2.
Provide the percentage interest and type of ownership (i.e., fee simple, tenants in common, joint
tenancy, etc.) held in the property by the debtor.
________________________________
Type of Ownership
3.
________%
Date of acquisition of the property: _______________________________________
Total purchase price of the property: ______________________________________
4.
Present fair market value: $___________
Source and basis of the fair market value: _______________________________________________
_________________________________________________________________________________
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_________________________________________________________________________________
5.
Voluntary encumbrances recorded against the property (e.g., mortgages/trust deeds, stipulated
judgments):
Name of Lender
1st
2nd
3rd
4th
5th
6.
Outstanding
Principal Amount
Installment
Payments/ Frequency
$
$
$
$
$
Number of
Delinquent Payments
$
$
$
$
$
If any pre-petition debt service payments remained unpaid as a result of a dispute, were such
payments escrowed into a separate trust account: Yes ________/No ________
If yes, please provide the name of the depository, branch, account number, and amount of funds on
hand.
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
7.
Involuntary encumbrances recorded against the property (i.e., tax, mechanics, judgment, lis pendens,
and other liens). State the type of lien, amount, and date recorded:
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
8.
Itemize all the monthly expenses related to the property, excluding debt service (attach a separate
listing, if necessary):
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
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I, __________________________________ (Name and title), declare under penalty of perjury that I
have fully read and understood the foregoing debtor-in-possession Real Property Questionnaire and that the
information contained herein is true and correct to the best of my knowledge.
Date:
______________________________________
Principal for Debtor-In-Possession
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