Official Form 201 - Voluntary Petition For Non-Individuals Filing For Bankruptcy
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4Fill in this information to identify the case:
United States Bankruptcy Court for the:
____________________ District of _________________
(State)
Case number
_________________________ Chapter _____
Check if this is an
(If known):
amended filing
Official Form 201
Voluntary Petition for Non-Individuals Filing for Bankruptcy
04/16
If more space is needed, attach a separate sheet to this form. On the top of any additional pages, write the debtor’s name and the case
number (if known). For more information, a separate document, Instructions for Bankruptcy Forms for Non-Individuals, is available.
Debtor’s name
1.
______________________________________________________________________________________________________
All other names debtor used
______________________________________________________________________________________________________
2.
in the last 8 years
______________________________________________________________________________________________________
______________________________________________________________________________________________________
Include any assumed names,
______________________________________________________________________________________________________
trade names, and doing business
______________________________________________________________________________________________________
as names
Debtor’s federal Employer
3.
___ ___ – ___ ___ ___ ___ ___ ___ ___
Identification Number (EIN)
Debtor’s address
Principal place of business
Mailing address, if different from principal place
4.
of business
_______________________________________________
______________________________________________
Number
Street
Number
Street
_______________________________________________
______________________________________________
P.O. Box
______________________________________________
_______________________________________________
City
State
ZIP Code
City
State
ZIP Code
Location of principal assets, if different from
principal place of business
______________________________________________
_______________________________________________
County
Number
Street
_______________________________________________
_______________________________________________
City
State
ZIP Code
Debtor’s website (URL)
5.
____________________________________________________________________________________________________
Corporation (including Limited Liability Company (LLC) and Limited Liability Partnership (LLP))
Type of debtor
6.
Partnership (excluding LLP)
Other. Specify: __________________________________________________________________
Official Form 201
Voluntary Petition for Non-Individuals Filing for Bankruptcy
page 1
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