Bankruptcy Questionnaire Template (Page 19 of 26) in pdf

Bankruptcy Questionnaire Template Page 19

PERSONAL PROPERTY:

(1) Cash on hand: $

(2) Do you have any deposits of money in banks, savings and loan associations, or credit unions, or is your

name listed on any other account in which someone else has deposits of money? If YES, for each account,

list the name and address of the bank, savings and loan association, or credit union, the amount in the

account, and the names of all persons listed on the account:

(3) Have you given a security deposit to any landlord, utility, or anyone else? YES ____ NO _____. If YES,

list the name and address of the person or company and the amount:

(4) List your major property items such as stove, refrigerator, TV, sewing machine, furniture, guns, etc., giving

approximate age and value (what you could get for it if you sold it). (These goods usually can be protected,

but you must list them to protect them.)

Value (What You Could

Item

Approximate Age

Get for It If You Sold It)

If any of the above items are being financed through a company, list the item and the name and address of

the company below:

(5) Give an estimate of the value (what you could get for it if you sold it) of the following:

All your furniture not already listed: $________ All your clothing: $________ All minor appliances not

already listed: $______ All your household goods not already listed (dishes, utensils, food, etc.): $_______

(6) List each item of jewelry that you own, and an estimate of its value (what you could get for it if you sold it):

CARS, MOBILE HOMES, TRAILERS AND BOATS:

Bankruptcy Questionnaire Template Page 19