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Checklist For Chapter 11 Case Form. This is a Michigan form and can be use in USBC Western Federal.
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CHECK LIST FOR CHAPTER 11 CASE
Voluntary Chapter 11
Filing fee of $1,039. Please Note: The filing fee must be tendered in the form of a
money order or cashier’s check. Personal checks will not be accepted.
If the fee is to be paid in installments, the debtor must be an individual and must file a
signed application for court approval. Official Form 3A and Rule 1006(b),
Fed.R.Bankr.P.
Voluntary Petition (Official Form 1).
Names and addresses of all creditors of the debtor.
Must be filed WITH the petition. Names and addresses not required if debtor files a
schedule of liabilities with the petition. Rule 1007(a), Fed.R.Bankr.P.
Mailing Matrix and Verification of Matrix
The creditor matrix must adhere to the form required by the Clerk. Effective July 9,
2003, the Clerk’s Office will only accept creditor matrices on diskette. Please see exhibit
A for matrix guidelines.
Certification of Receipt of Notice to Individual Debtor with Primarily Consumer
Debts under 11 U.S.C. § 342(b), if applicable. Must be filed with the petition or within
15 days. 11 U.S.C. §§ 342(b); 521(a)(1)(B)(iii); 707(a)(3). (Certification on Official
Petition Form - B1)
Notice to debtor by “bankruptcy petition preparer,” if applicable.
Must be filed WITH the petition if prepared by a “bankruptcy petition preparer.” 11
U.S.C. § 110(b)(2)(B); Official Form 19B.
Statement of Social Security Number (Official Form 21).
Required if the debtor is an individual. Must be submitted WITH the petition. Rule
1007(f), Fed.R.Bankr.P.
Certificate of Credit Counseling and Debt Repayment Plan. (Or § 109(h)(3)
certification or § 109(h)(4) request) . Required if the debtor is an individual. Must be
filed WITH the petition. Rule 1007(b) & (c), Fed.R.Bankr.P.
Statement disclosing compensation paid or to be paid to a “bankruptcy petition
preparer” as defined in 11 U.S.C. § 110. Must be filed WITH the petition if the
“bankruptcy petition preparer” prepares the petition. 11 U.S.C. §110(h).
Statement of current monthly income (Official Form 22B). Required if the debtor is
an individual. Must be filed with the petition or within 15 days. Rule 1007(b) & (c),
Fed.R.Bankr.P.
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List of Creditors holding the 20 largest unsecured claims (Official Form 4).
Must be filed WITH the petition. Rule 1007(d), Fed.R.Bankr.P.
Names and addresses of equity security holders of the debtor. Must be filed the
petition or within 15 days, unless the court orders otherwise. Rule 1007(a)(3),
Fed.R.Bankr.P.
Schedules of assets and liabilities (Official Form 6).
Must be filed with the petition or within 15 days. Rule 1007(b) & (c), Fed.R.Bankr.P.
Schedule of executory contracts and unexpired leases (Schedule G of Official Form
6). Must be filed with the petition or within 15 days. Rule 1007(b) & (c), Fed.R.Bankr.P.
Schedules of current income and expenditures.
All debtors must file these schedules. If the debtor is an individual, Schedules I and J of
Official Form 6 must be used for this purpose. Must be filed with the petition or within
15 days. 11 U.S.C. § 521(1) and Rule 1007(b) & (c), Fed.R.Bankr.P.
Statement of financial affairs (Official Form 7).
Must be filed with the petition or within 15 days. Rule 1007(b) & (c), Fed.R.Bankr.P.
Copies of all payment advices or other evidence of payment received by the debtor
from any employer within 60 days before the filing of the petition.
Pursuant to Administrative Order 2005-07, payment advices shall not be filed with the
court. Instead payment advices must be provided to the case trustee no later than (10)
business days prior to the initial date scheduled for the first meeting of creditors.
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