Chapter 13 Trustee Questionnaire & Document Request Form

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DEBTOR NAME(S)________________________________________ CASE NUMBER ______________
CHAPTER 13 TRUSTEE QUESTIONNAIRE & DOCUMENT REQUEST
PART I: INTRODUCTION & INSTRUCTIONS
As a Chapter 13 Debtor, you have the duty to fully cooperate with and assist the Trustee in the
investigation of your financial affairs. The completion of this form and the submission of the required
documents are included in that cooperation. Further, everything you submit in regards to your bankruptcy,
including this document, the documents requested in Part II, and your testimony at the § 341 Meeting of
Creditors, must be true, complete, and accurate. If you have made any errors, you must inform your
Trustee immediately or correct your errors. It is a federal crime to provide false or misleading
information in regards to your bankruptcy. Please refer to the Bankruptcy Code, the Local Bankruptcy
Rules, and your Trustee’s Guidelines for additional details.
PART II: DOCUMENTS
The Attorney Document List, which can be found under the Forms Section at , includes a
list of required documents that must be submitted to the Trustee no later than seven days prior to the
§ 341 Meeting of Creditors. A valid government-issued picture identification and original social security
number verification must be presented to the Trustee at the § 341 Meeting of Creditors.
PART III: QUESTIONS
Your answers to the following questions must be true, complete, and accurate. Both Debtor and Co-
Debtor, if applicable, must respond to each question. It is a federal crime to present false or misleading
information to the Trustee.
Debtor
Joint Debtor
__YES __NO
__YES __NO
1. Did you personally review and sign the petition,
schedules, and other documents filed with the
Court?
__YES __NO
__YES __NO
2. Is the information contained in all these documents
true, complete, and accurate?
__YES __NO
__YES __NO
3. Have you listed everything you own in your
schedules?
__YES __NO
__YES __NO
4. Have you lived in Nevada continuously for the last
two years?
__YES __NO
__YES __NO
5. Do you have ownership interest in any property that
you did NOT list in your documents?
__YES __NO
__YES __NO
6. Have you ever filed for bankruptcy before?
__YES __NO
__YES __NO
7. Have you transferred, sold, or given away anything
to anyone in the last year?
__YES __NO
__YES __NO
8. Have you sold or transferred any real estate
property during the last four years?
__YES __NO
__YES __NO
9. Does anyone owe you any money?

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