Chapter 7 Individual Debtors Statement Of Intention - United States Bankruptcy Court

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B 8 (Official Form 8) (12/08)
U
S
B
C
NITED
TATES
ANKRUPTCY
OURT
__________ District of __________
In re ____________________________,
Case No. ___________________
Debtor
Chapter 7
CHAPTER 7 INDIVIDUAL DEBTOR'S STATEMENT OF INTENTION
PART A – Debts secured by property of the estate.
(Part A must be fully completed for EACH debt which is
secured by property of the estate. Attach additional pages if necessary.)
Property No. 1
Creditor's Name:
Describe Property Securing Debt:
Property will be
:
(check one)
’ Surrendered
’ Retained
If retaining the property, I intend to
:
(check at least one)
’ Redeem the property
’ Reaffirm the debt
’ Other. Explain ________________________________ (for example, avoid lien
using 11 U.S.C. § 522(f)).
Property is
:
(check one)
’ Claimed as exempt
’ Not claimed as exempt
Property No. 2
(if necessary)
Creditor's Name:
Describe Property Securing Debt:
Property will be
:
(check one)
’ Surrendered
’ Retained
If retaining the property, I intend to
:
(check at least one)
’ Redeem the property
’ Reaffirm the debt
’ Other. Explain ________________________________ (for example, avoid lien
using 11 U.S.C. § 522(f)).
Property is
:
(check one)
’ Claimed as exempt
’ Not claimed as exempt

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