Bankruptcy Questionnaire Template (Page 10 of 26) in pdf

Bankruptcy Questionnaire Template Page 10

Repossessions and Returns:

Have you had any property or merchandise repossessed during the last two years? YES ____ NO ____.

If YES, bring all papers including all letters telling you of the repossession or sale.

Description of

Month & Year

Who Repossessed Item

Value of Property

Property

of Repossession

(Name, Address)

When Repossessed

Have you voluntarily returned any property or merchandise to the seller in the past two years?

YES _____ NO _____. If YES, state:

Description of

Month & Year

Seller’s Name and

Value of Property

Property

of Return to Seller

Address

at Time of Return

10. Property of Yours Held by Someone Else:

Does any other person have any of your property? (This includes any check you may have given to a payday

lender or check cashing service.) YES _____ NO _____. If YES, list the following:

Type of

Being Held By

Why Is This Person

Property

Value

(Name and Address)

Holding the Property?

Have you given or made an assignment of any of your property for the benefit of your creditors or any settlements

with your creditors within the past two years? YES _____ NO _____. If YES, give the name and address of the

creditor and the terms and conditions under which you gave the property to the creditor or made an agreement with

the creditor:

Is any of your property in the hands of a court-appointed person (a receiver), or in the hands of a person who is

holding it for your benefit and use (a trustee)? If YES, give details:

Is any of your property in the possession of a pawnbroker, storage company or repairman?

YES_____ NO _____. If YES, describe and give its value:

11. Gifts and Transfers:

Have you made sales of property, mortgages, gifts, or transfers of any substantial property or cash within the last

four years? YES _____ NO _____. If YES, give the following:

Bankruptcy Questionnaire Template Page 10