Debt Relief Worksheet Page 7

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Debt Relief Worksheet
Page 7
SCHEDULE B – MOTOR VEHICLES
Please complete one page per vehicle
Do you own or lease any vehicles?
Yes
No
 Boat/watercraft
If Yes -
Passenger Vehicle (includes car,
Motorhome,
light truck or SUV)
camper or trailer
Commercial Vehicle
 Heavy
Motorcycle, Dirt-
Equipment
bike or ATV
Owned?
 Leased?
Can’t afford and
Continuing payments or
Want to
surrendering?
continue
will surrender
payments.
asset.
Description, including make,
model and year
VIN or serial number
Current Odometer Reading
Names of all persons
registered on title
Date Purchased
Purchase Price ($)
Current Estimated Value ($)
Name, address and account
no. of leasing/finance co.
PLEASE ATTACH A COPY OF THE TITLE REGISTRATION, PROOF OF
INSURANCE, FINANCE OR LEASE AGREEMENT

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