Bankruptcy Questionnaire Template (Page 18 of 26) in pdf

Bankruptcy Questionnaire Template Page 18

26. Asset Listing:

(If you are married and living with your spouse, designate any items listed below that are not jointly owned.)

REAL PROPERTY (Home):

(1) Do you own real estate that you use as your home? YES _____ NO _____. Describe and give the location

of this property (house, mobile home, condominium, cooperative, land, etc.) in which you hold an interest:

(2) Co-owners:

(3) Purchase price:

Date purchased:

(4) Original mortgage amount:

Downpayment amount:

(5) Have you used any funds that you did not borrow to purchase or improve your home? YES __ NO __. If

YES, list the amounts and give details:

(6) If not purchased, state when and how you became the owner (inheritance, gift, etc.):

(7) Present value of your house:

(8) Outstanding mortgage balance:

(9) Are there any other mortgages? YES ____ NO ____. If YES, give the name and address of each company:

(10) Is any mortgage insured by the FHA, VA, or a private mortgage insurance company?

YES ____ NO ____. If YES, give details:

REAL PROPERTY (Other Real Estate):

(1) Do you own other real estate? YES _____ NO _____. Describe and give the location of all real property

(lot, house, condominium, cooperative, land, burial plot, etc.) in which you hold an interest:

(2) Co-owners:

(3) Outstanding mortgage balance:

(4) Name of mortgage company:

(5) Purchase price:

Year purchased:

(6) Present value of your house:

(7) Are there any other mortgages? YES __ NO __. If YES, give the name and address of each company:

(8) Is any mortgage insured by the FHA, VA, or a private mortgage insurance company?

YES ____ NO ____. If YES, give details:

Bankruptcy Questionnaire Template Page 18