Official Form 106H, Schedule H: Your Codebtors Completed Form Examples and Samples

Find clear, filled-out examples of Official Form 106H, Schedule H: Your Codebtors. Our samples demonstrate how to correctly list codebtors, such as non-filing spouses or co-signers, for your bankruptcy filing. Use these completed Schedule H forms to understand the process and avoid common mistakes.
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Completed Official Form 106H, Schedule H: Your Codebtors for an individual bankruptcy filer with joint spousal and family debts.

Official Form 106H Example – Individual Filer with Joint Debts

How this form was filled:

This is an example of a filled-out Official Form 106H, Schedule H for an individual Chapter 7 bankruptcy case. The filer, Jane Doe, has joint debts with her non-filing spouse, John Doe, and her father, Robert Smith. The form correctly lists each codebtor, their address, the associated creditor, and whether the debt is related to community property.

Information used to fill out the document:

  • Debtor Name: Jane M. Doe
  • Case Number: 26-12345
  • Filing Date: 04/22/2026
  • Codebtor 1 Name: John A. Doe
  • Codebtor 1 Address: 123 Maple Street, Anytown, CA 90210
  • Codebtor 2 Name: Robert T. Smith
  • Codebtor 2 Address: 456 Oak Avenue, Somecity, CA 90211
  • Creditor for Codebtor 1 (Mortgage): Anytown Bank
  • Creditor for Codebtor 1 (Credit Card): Premier Credit Card
  • Creditor for Codebtor 2 (Auto Loan): West Coast Auto Loans
  • Property Status 1: Community Property (Spouse)
  • Property Status 2: Non-Community Property (Father)

What this filled form sample shows:

  • Lists multiple codebtors, including a non-filing spouse and another family member.
  • Clearly identifies the full name and mailing address for each codebtor.
  • Specifies the creditors to whom the joint debt is owed.
  • Correctly checks the box to indicate if the debt involves community property.

Form specifications and details:

Use Case: Individual Chapter 7 filer with a non-filing spouse and other family codebtors.
Form: Official Form 106H, Schedule H: Your Codebtors
Purpose: Disclose any person or entity who is also liable for any of the debtor's debts.
Created: March 07, 2026 01:16 AM
Completed Official Form 106H, Schedule H: Your Codebtors for an individual bankruptcy filer with joint spousal and family debts.