Bankruptcy Questionnaire Template (Page 20 of 26) in pdf

Bankruptcy Questionnaire Template Page 20

Do you have any cars, trucks, mobile homes, boats, trailers, or motorcycles? YES _____ NO _____. If YES,

give the year, make, model, value, who is financing it, and amount owed:

OTHER PROPERTY:

Do you own any life insurance policies? YES _____ NO _____.

If YES, list insurance company’s name and address:

How long have you had each policy?

Cash surrender value:

Do you have any other insurance, including credit insurance? YES _____ NO _____. If YES, describe:

Do you expect to receive any money from any insurance in the near future? YES _____ NO _____. If YES, give

details:

Do you own any stocks? YES _____ NO _____. Value: $

Do you own any bonds (including U.S. Savings Bonds)? YES ____ NO ____. Value: $

Do you own any machinery, tools, or fixtures used in your business or work? YES ____ NO ____. If YES, list

and state what you could sell it for:

Do you have any animals or pets? YES _____ NO _____. If YES, describe and give value (what you could sell

them for):

Do you have any right to receive commissions or other payments from any previous job you have held?

YES _____ NO _____. Does anyone owe you any money? YES _____ NO _____. If YES to either, state

names, addresses and amounts owed:

Do you have any books, prints or pictures, stamps or coins, or sports equipment of substantial value?

YES _____ NO _____. If YES, describe and estimate their value:

Do you have any stock in trade (inventory)? YES ____ NO ____. If YES, describe and estimate the value:

Bankruptcy Questionnaire Template Page 20