Form B202 - Statement Of Military Service - United States Bankruptcy Court printable pdf download

B202 (Form 202) (08/07)

United States Bankruptcy Court

____________________ District of ____________________

In re _________________________

Case Number

_______________________

Chapter

_______________________

STATEMENT OF MILITARY SERVICE

The Servicemembers’ Civil Relief Act of 2003, Pub. L. No. 108-189, provides for the temporary suspension

of certain judicial proceedings or transactions that may adversely affect military servicemembers, their dependents,

and others. Each party to a bankruptcy case who might be eligible for relief under the act should complete this form

and file it with the Bankruptcy Court.

IDENTIFICATION OF SERVICEMEMBER

‘

Self (Debtor, Codebtor, Creditor, Other)

‘

Non-Filing Spouse of Debtor (name)________________________________________

‘

Other (Name of servicemember)__________________________________________

(Relationship of filer to servicemember)_______________________________

(Type of liability) ________________________________________________

TYPE OF MILITARY SERVICE

U.S. Armed Forces (Army, Navy, Air Force, Marine Corps, or Coast Guard) or commissioned officer

of the Public Health Service or the National Oceanic and Atmospheric Administration (specify type

of service) _____________________________________________________________

‘

Active Service since