Form 106sum - Summary Of Your Assets And Liabilities And Certain Statistical Information - 2015

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Fill in this information to identify your case:

Debtor 1

__________________________________________________________________

First Name

Middle Name

Last Name

Debtor 2

________________________________________________________________

(Spouse, if filing)

First Name

Middle Name

Last Name

__________ District of __________

__________

United States Bankruptcy Court for the:

District of



Check if this is an

Case number

___________________________________________

(If known)

amended filing

Official Form 106Sum

Summary of Your Assets and Liabilities and Certain Statistical Information

12/15

Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct

information. Fill out all of your schedules first; then complete the information on this form. If you are filing amended schedules after you file

your original forms, you must fill out a new Summary and check the box at the top of this page.

Part 1:

Summarize Your Assets

Your assets

Value of what you own

Schedule A/B: Property (Official Form 106A/B)

$ ________________

Copy line 55, Total real estate, from Schedule A/B ..........................................................................................................

1a.

Copy line 62, Total personal property, from Schedule A/B ...............................................................................................

1b.

$ ________________

Copy line 63, Total of all property on Schedule A/B .........................................................................................................

1c.

$ ________________

Part 2:

Summarize Your Liabilities

Your liabilities

Amount you owe

Schedule D: Creditors Who Have Claims Secured by Property (Official Form 106D)

$ ________________

Copy the total you listed in Column A, Amount of claim, at the bottom of the last page of Part 1 of Schedule D ............

2a.

Schedule E/F: Creditors Who Have Unsecured Claims (Official Form 106E/F)

$ ________________

Copy the total claims from Part 1 (priority unsecured claims) from line 6e of Schedule E/F ............................................

3a.

Copy the total claims from Part 2 (nonpriority unsecured claims) from line 6j of Schedule E/F .......................................

3b.

$ ________________

Your total liabilities

$ ________________

Part 3:

Summarize Your Income and Expenses

Schedule I: Your Income (Official Form 106I)

$ ________________

Copy your combined monthly income from line 12 of Schedule I ..........................................................................................

Schedule J: Your Expenses (Official Form 106J)

$ ________________

Copy your monthly expenses from line 22c of Schedule J ....................................................................................................

Official Form 106Sum

Summary of Your Assets and Liabilities and Certain Statistical Information

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