Initial Financial Report (Chapter 11 Cover Sheet) Form. This is a Utah form and can be use in Bankruptcy Court Federal.
Tags: Initial Financial Report (Chapter 11 Cover Sheet), 1, Utah Federal, Bankruptcy Court
COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Calendar No. INITIAL FINANCIAL REPORT CHAPTER 11 : JUDICIAL SUBPOENA Plaintiff(s) COVERSHEET CASE NO: ____________________ -against: __________ Date of Report : ______________________________________________________________________ THIS REPORT IS DUE 20 DAYS AFTER THE PETITION FILING DATE : DEBTOR: ______________________________ Mark One Box For Each Required Document ................................ Debtor must attach each of the following documents or a satisfactory Defendant(s) : explanation for failure to attach a document. File original with the .Clerk.of .Court. . Transmit .a. duplicate to the U.S. Trustee. ... . .... ...... .. ______________________________________________________________________ REQUIRED DOCUMENTS Document Previously Explanation Attached Submitted Attached THE PEOPLE OF[ THE STATE OF NEW YORK 1. Latest Fiscal Year Financial Statements or Tax Returns. [ ] ] [ ] TO[ ] [ ] [ ] 2. Balance Sheet as of Month End Immediately Preceding Filing or Appropriate Tax Return. [ [ ] [ ] 3. Profit and Loss Statement For Month immediately Preceding Filing or Appropriate Tax Return. ] GREETINGS: 4. Proof of Insurance Coverage WE COMMAND YOU, [that all business and excuses being laid aside, you and each of you attend before [ ] [ ] ] A. General Liability Coverage ] [ ] [ ] , the[ Honorable at B. Property (Fire, Theft, etc.) Insurance the Court [ ] [ ] [ ] C. Workers' Compensation Insurance located at County of [ ] [ ] [ ] D. Vehicle Insurance in room , on the day of , 20 Other:______________________________ and at any recessed , at o'clock in the noon, [ ] [ ] [ ] E. or adjourned date, to testify and give evidence as a witness in this action on the part of the [ ] [ ] [ ] 5. Projected Revenue, Expenses, and Cash Flow for First 120 Days (or longer) of Post Petition Operations 6. Name and Address of Financial Institution, Account Your failure to comply with this subpoena isNumber and Sample Voided Check For and will make you liable to punishable as a contempt of court Each Debtor in the party on whose behalf this subpoena was issued for a maximum Account of $50 and all damages sustained as a Possession Bank penalty result of your failure to comply. [ [ [ ] ] ] [ [ Witness, [ ] ] Honorable ] [ [ [ ] ] ] A. General Account B. Payroll Account C. Tax Account , one of the Justices of the ______________________________________________________________________ Court in County, day of , 20 I declare under penalty of perjury that the following Initial Financial Report, and any attachments thereto, is true and correct to the best of my knowledge and belief. (Attorney must sign above and type name below) Executed on: _______________________ Debtor(s): ________________________________ By ________________________________ Position: Attorney(s) for ________________________________ Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: Form 1 Revised 10/96 American LegalNet, Inc. www.USCourtForms.com