UNITED STATES BANKRUPTCY COURT EASTERN DISTRICT OF VIRGINIA CHAPTER 12 CASE FILING CHECKLIST In new cases filed conventionally on paper on and after January 1, 2002, an original only is required to be filed with the following documents as appropriate. In addition, any petition filed by an attorney conventionally on paper must be accompanied by a completed Request for Waiver form. MINIMUM REQUIREMENTS: ___ NOTICE TO INDIVIDUAL CONSUMER DEBTOR(S) [Individuals only; signed by debtor(s) ­ New Form B201A ­ 2 pages, B201B - 1 page] ___ VOLUNTARY PETITION [Official Form 1 ] [signed by attorney/non-attorney petition preparer and debtor(s)-perjury] ___ EXHIBIT B - only if individual consumer case ___ EXHIBIT C ­ if applicable, attach Exhibit C REFERENCE 11 U.S.C. 342(b) FRBP 1002 LBR 5005-1 ___ EXHIBIT D - Individual Debtor's Statement of Compliance with Credit Counseling [Individuals only, if joint petition ­ each spouse must complete a separate Exhibit D. Must file with Exhibit either Certificate of Credit Counseling and Debt Repayment Plan, if applicable, or Certificate of Exigent Circumstances or Motion for Exemption] LBR 1007-1(I) ___ STATEMENT OF SOCIAL SECURITY NUMBER(S) [Official Form 21] [Individuals only, signed by debtor(s). Submit in paper format to Clerk if filing petition by diskette or paper.] ___ FEE: See attached fee schedule for appropriate amounts [If pro se, must be cash or money order; payable to "Clerk, U.S. Bankruptcy Court"; if individual, debtor(s) may file "Application to Pay Filing Fee In InstallmentsEastern District of Virginia"; PAYMENT DUE AT TIME OF FILING LBR 1007-1(H) 28 U.S.C. 1930 LBR 1006-1 ___ LIST OF CREDITORS [MAILING MATRIX] WITH COVER SHEET LBR 1007-1 & 5005-1 [If filing petition by diskette or paper, must be submitted on computer diskette in format specified by Clerk or by a typed hard copy in scannable format, with Request for Waiver attached. Pro se filers can create a List of Creditors to submit on diskette on a PC available in Clerk's Office for this purpose.] Cover Sheet not required if list of creditors filed by an ECF registered user via the Internet. ___ NOTICE TO DEBTOR BY NON-ATTORNEY BANKRUPTCY PETITION PREPARER [Official Form 19B] 11 U.S.C. 110 [signed by debtor(s) and bankruptcy petition preparer ­ to accompany Official Form 1] --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------DEPUTY CLERK TO GIVE COPY OF LOCAL BANKRUPTCY RULE(S) 1007-1 and/or 3015-1, AS APPLICABLE, TO ATTORNEY/DEBTOR IF FILING NOT ACCOMPANIED BY THE FOLLOWING AT TIME OF FILING. LBR 1007-1 statements/schedules; Chapter 12 Plan shall be filed within 90 days after order for relief. COMPLETION OF CASE FILING REFERENCE ___ OFFICIAL FORM 6 - SCHEDULES FRBP 1007 ___ * SUMMARY OF SCHEDULES LBR 1007-1 ___ *STATISTICAL SUMMARY OF CERTAIN LIABILITIES [Individual Debtors Only] ___ * SCHEDULE A - REAL PROPERTY ___ * SCHEDULE B - PERSONAL PROPERTY [Note: Summary and Schedules A through J should be filed ___ * SCHEDULE C - PROPERTY CLAIMED AS EXEMPT for all cases; no Official Form prescribed for Schedules I and ___ * SCHEDULE D - CREDITORS HOLDING SECURED CLAIMS J for corporations/partnerships; if a schedule is not ___ * SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS applicable, so state on said schedule] ___ * SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS ___ * SCHEDULE G - EXECUTORY CONTRACTS AND UNEXPIRED LEASES ___ * SCHEDULE H - CODEBTORS ___ * SCHEDULE I - CURRENT INCOME OF INDIVIDUAL DEBTOR(S) ___ * SCHEDULE J - CURRENT EXPENDITURES OF INDIVIDUAL DEBTOR(S) [Signed by debtor(s)-perjury] ___ STATEMENT OF FINANCIAL AFFAIRS [Official Form 7] [Signed by debtor(s)-perjury] ___ CHAPTER 12 PLAN [Signed by debtor(s); and dated.] ___ DISCLOSURE STATEMENT OF ATTORNEY or DISCLOSURE OF COMPENSATION OF BANKRUPTCY PETITION PREPARER (Form B 280) [Signed by attorney or bankruptcy petition preparer] FRBP 1007 LBR 1007-1 FRBP 3015 LBR 3015-1 11 U.S.C. 110, FRBP 2016 LBR 2016-1(B) [cscksh12 ver. 12/09] American LegalNet, Inc. www.FormsWorkFlow.com