Official Form 108 - Statement Of Intention For Individuals Filing Under Chapter 7 Page 2

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______________________________________________________
Case number
_____________________________________
Debtor 1
(If known)
First Name
Middle Name
Last Name
Part 2:
List Your Unexpired Personal Property Leases
For any unexpired personal property lease that you listed in Schedule G: Executory Contracts and Unexpired Leases (Official Form 106G),
fill in the information below. Do not list real estate leases. Unexpired leases are leases that are still in effect; the lease period has not yet
ended. You may assume an unexpired personal property lease if the trustee does not assume it. 11 U.S.C. § 365(p)(2).
Describe your unexpired personal property leases
Will the lease be assumed?
Lessor’s name:
No
Yes
Description of leased
property:
Lessor’s name:
No
Yes
Description of leased
property:
Lessor’s name:
No
Yes
Description of leased
property:
Lessor’s name:
No
Yes
Description of leased
property:
Lessor’s name:
No
Yes
Description of leased
property:
Lessor’s name:
No
Yes
Description of leased
property:
Lessor’s name:
No
Yes
Description of leased
property:
Part 3:
Sign Below
Under penalty of perjury, I declare that I have indicated my intention about any property of my estate that secures a debt and any
personal property that is subject to an unexpired lease.
___________________________________________
___________________________________________
Signature of Debtor 1
Signature of Debtor 2
_________________
_________________
Date
Date
MM /
DD
/
YYYY
MM /
DD /
YYYY
Official Form 108
Statement of Intention for Individuals Filing Under Chapter 7
page 2
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