This form contains 313 fields organized into 105 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Accounts Receivable (90 days or less)
90 Days or Less Face Amount Number
Enter the face amount for accounts receivable that are 90 days old or less. Fill only if 'Yes, Fill in the information below' is 'Yes'.
Depends on: Yes, Fill in the information below
90 Days or Less Doubtful or Uncollectible Accounts Number
Enter the amount of doubtful or uncollectible accounts for accounts receivable that are 90 days old or less. Fill only if 'Yes, Fill in the information below' is 'Yes'.
Depends on: Yes, Fill in the information below
90 Days or Less Current Value Number
Enter the current value of the debtor's interest for accounts receivable that are 90 days old or less. Fill only if 'Yes, Fill in the information below' is 'Yes'.
Depends on: Yes, Fill in the information below
Accounts Receivable (Over 90 days)
Over 90 Days Accounts Receivable Face Amount Number
Enter the face amount for accounts receivable that are over 90 days old. Fill only if 'Yes, Fill in the information below' is 'Yes'.
Depends on: Yes, Fill in the information below
Over 90 Days Doubtful or Uncollectible Accounts Number
Enter the amount of doubtful or uncollectible accounts receivable that are over 90 days old. Fill only if 'Yes, Fill in the information below' is 'Yes'.
Depends on: Yes, Fill in the information below
Over 90 Days Accounts Receivable Debtor's Interest Number
Enter the current value of the debtor's interest for accounts receivable that are over 90 days old. Fill only if 'Yes, Fill in the information below' is 'Yes'.
Depends on: Yes, Fill in the information below
Accounts Receivable Status
No, Go to Part 4 Checkbox
Check this box if the debtor does not have any accounts receivable and you should proceed to Part 4 of the form.
Yes, Fill in the information below Checkbox
Check this box if the debtor has accounts receivable and you need to complete the information provided below this section.
Agricultural Cooperative Membership Status
No Checkbox
Check this box if the debtor is not a member of an agricultural cooperative. Fill only if 'Does the debtor own or lease any farming and fishing-related assets (other than titled motor vehicles and land)?' is 'Yes'.
Depends on: Yes, Fill in the information below
Yes, property stored at cooperative? Checkbox
Check this box if the debtor is a member of an agricultural cooperative and there is a question about property stored at the cooperative. Fill only if 'Does the debtor own or lease any farming and fishing-related assets (other than titled motor vehicles and land)?' is 'Yes'.
Depends on: Yes, Fill in the information below
Amended Filing
Amended Filing Checkbox
Check this box if this document is an amended filing.
Amortization Schedule Inquiry
Amortization Schedule No Checkbox
Check this box if there is no amortization or similar schedule available for any property listed in Part 10. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Amortization Schedule Yes Checkbox
Check this box if there is an amortization or similar schedule available for any property listed in Part 10. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Case Information
Debtor Name Text
Enter the full name of the debtor for this case.
Bankruptcy Court Division Text
Provide the specific division or region of the United States Bankruptcy Court.
Bankruptcy Court State District Text
Enter the state for the District of the United States Bankruptcy Court.
Case Number Text
Provide the case number, if known, for this filing.
Cash on Hand
Cash on Hand Value Number
Enter the current value of all cash the debtor has on hand. Fill only if 'Cash or Cash Equivalents Yes' is 'Yes'.
Depends on: Cash or Cash Equivalents Yes
Cash or Cash Equivalents Presence
Cash or Cash Equivalents No Checkbox
Check this box if the debtor does not have any cash or cash equivalents and should proceed to Part 2.
Cash or Cash Equivalents Yes Checkbox
Check this box if the debtor has cash or cash equivalents and needs to fill in the information below.
Causes of Action Against Third Parties
Cause of Action Description Text
Provide a detailed description of the cause of action against the third party. Fill only if 'Yes, Fill in Information Below' is 'Yes'.
Depends on: Yes, Fill in Information Below
Current Debtor's Interest Value Number
Provide the current monetary value of the debtor's interest in this cause of action. Fill only if 'Yes, Fill in Information Below' is 'Yes'.
Depends on: Yes, Fill in Information Below
Nature of Claim Text
Specify the nature of the claim being made against the third party. Fill only if 'Yes, Fill in Information Below' is 'Yes'.
Depends on: Yes, Fill in Information Below
Amount Requested Number
Enter the monetary amount requested for this claim. Fill only if 'Yes, Fill in Information Below' is 'Yes'.
Depends on: Yes, Fill in Information Below
Crops Details
Crops General Description Text
Provide a general description of the crops that are either planted or harvested. Fill only if 'Yes, Fill in the information below' is 'Yes'.
Depends on: Yes, Fill in the information below
Crops Net Book Value Number
Enter the net book value of the debtor's interest in the crops, if available. Fill only if 'Yes, Fill in the information below' is 'Yes'.
Depends on: Yes, Fill in the information below
Crops Valuation Method Text
Specify the method used to determine the current value of the crops. Fill only if 'Yes, Fill in the information below' is 'Yes'.
Depends on: Yes, Fill in the information below
Crops Current Value Number
Enter the current value of the debtor's interest in the crops. Fill only if 'Yes, Fill in the information below' is 'Yes'.
Depends on: Yes, Fill in the information below
Debtor Inventory Ownership
Debtor Inventory Ownership: No Checkbox
Check this box if the debtor does not own any inventory (excluding agriculture assets) and proceed to Part 6. Fill only if 'Does the debtor own any investments?' is 'No'.
Depends on: Investment Ownership Status: No
Debtor Inventory Ownership: Yes Checkbox
Check this box if the debtor owns inventory (excluding agriculture assets) and fill in the requested information below. Fill only if 'Does the debtor own any investments?' is 'No'.
Depends on: Investment Ownership Status: No
Debtor Other Assets Ownership Confirmation
No, Go to Part 12 Checkbox
Check this box if the debtor does not own any other assets that have not yet been reported on this form, and proceed to Part 12. Fill only if 'Does the debtor have any interests in intangibles or intellectual property?' is 'No'.
Depends on: No
Yes, Fill in Information Below Checkbox
Check this box if the debtor owns other assets that have not yet been reported on this form, and then provide the required information below. Fill only if 'Does the debtor have any interests in intangibles or intellectual property?' is 'No'.
Depends on: No
Debtor Ownership Question
No Checkbox
Check this box if the debtor does not own or lease any machinery, equipment, or vehicles, and proceed to Part 9.
Yes Checkbox
Check this box if the debtor owns or leases machinery, equipment, or vehicles, and then fill in the requested information below.
Debtor's Interests in Intangibles or Intellectual Property
No Checkbox
Check this box if the debtor does not have any interests in intangibles or intellectual property, and proceed to Part 11. Fill only if 'Does the debtor own or lease any real property?' is 'No'.
Depends on: No
Yes Checkbox
Check this box if the debtor has any interests in intangibles or intellectual property, and fill in the information below. Fill only if 'Does the debtor own or lease any real property?' is 'No'.
Depends on: No
Debtor's Ownership of Farming and Fishing Assets
No, Go to Part 7 Checkbox
Check this box if the debtor does not own or lease any farming and fishing-related assets, and then proceed to Part 7.
Yes, Fill in the information below Checkbox
Check this box if the debtor owns or leases any farming and fishing-related assets, and then provide the required information in the sections below.
Deposits or Prepayments Presence
No Deposits or Prepayments Checkbox
Check this box if the debtor does not have any deposits or prepayments and you should proceed to Part 3.
Yes, Deposits or Prepayments Checkbox
Check this box if the debtor has deposits or prepayments and you should fill in the information below.
Depreciation Schedule Availability
Depreciation Schedule Available - No Checkbox
Check this box if no depreciation schedule is available for any of the property listed in Part 8. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Depreciation Schedule Available - Yes Checkbox
Check this box if a depreciation schedule is available for any of the property listed in Part 8. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Depreciation Schedule Availability - No Checkbox
Check this box if a depreciation schedule is not available for any of the property listed in Part 9. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Depreciation Schedule Availability - Yes Checkbox
Check this box if a depreciation schedule is available for any of the property listed in Part 9. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Farm and Fishing Supplies Details
Farm and Fishing Supplies Description Text
Enter a general description of the farm and fishing supplies, chemicals, and feed. Fill only if 'Yes, Fill in the information below' is 'Yes'.
Depends on: Yes, Fill in the information below
Farm and Fishing Supplies Net Book Value Number
Provide the net book value of the debtor's interest in the farm and fishing supplies, chemicals, and feed. Fill only if 'Yes, Fill in the information below' is 'Yes'.
Depends on: Yes, Fill in the information below
Farm and Fishing Supplies Valuation Method Text
Describe the valuation method used to determine the current value of the farm and fishing supplies, chemicals, and feed. Fill only if 'Yes, Fill in the information below' is 'Yes'.
Depends on: Yes, Fill in the information below
Farm and Fishing Supplies Current Value Number
State the current value of the debtor's interest in the farm and fishing supplies, chemicals, and feed. Fill only if 'Yes, Fill in the information below' is 'Yes'.
Depends on: Yes, Fill in the information below
Farm Animals Details
Farm Animals General Description Text
Enter a general description of the farm animals, including examples such as livestock, poultry, or farm-raised fish. Fill only if 'Yes, Fill in the information below' is 'Yes'.
Depends on: Yes, Fill in the information below
Farm Animals Net Book Value Number
Provide the net book value of the debtor's interest in the farm animals, if available. Fill only if 'Yes, Fill in the information below' is 'Yes'.
Depends on: Yes, Fill in the information below
Farm Animals Valuation Method Text
Specify the valuation method used to determine the current value of the farm animals. Fill only if 'Yes, Fill in the information below' is 'Yes'.
Depends on: Yes, Fill in the information below
Farm Animals Current Value Number
State the current value of the debtor's interest in the farm animals. Fill only if 'Yes, Fill in the information below' is 'Yes'.
Depends on: Yes, Fill in the information below
Farm Machinery and Equipment Details
Farm Machinery and Equipment Description Text
Enter a general description of the farm machinery and equipment. Fill only if 'Yes, Fill in the information below' is 'Yes'.
Depends on: Yes, Fill in the information below
Farm Machinery and Equipment Net Book Value Number
Provide the net book value of the debtor's interest in the farm machinery and equipment. Fill only if 'Yes, Fill in the information below' is 'Yes'.
Depends on: Yes, Fill in the information below
Farm Machinery and Equipment Valuation Method Text
Specify the method used to determine the current value of the farm machinery and equipment. Fill only if 'Yes, Fill in the information below' is 'Yes'.
Depends on: Yes, Fill in the information below
Farm Machinery and Equipment Current Value Number
Indicate the current value of the debtor's interest in the farm machinery and equipment. Fill only if 'Yes, Fill in the information below' is 'Yes'.
Depends on: Yes, Fill in the information below
Fifth Intangible Asset Row
Fifth Intangible Asset Description Text
Provide a general description of the other intangibles or intellectual property for this row. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Fifth Intangible Asset Net Book Value Number
Enter the net book value of the debtor's interest for the other intangibles or intellectual property listed in this row, if available. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Fifth Intangible Asset Valuation Method Text
Enter the valuation method used to determine the current value of the other intangibles or intellectual property listed in this row. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Fifth Intangible Asset Current Value Number
Enter the current value of the debtor's interest for the other intangibles or intellectual property listed in this row. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Fifth Real Property Details
Fifth Property Description and Location Text
Enter the street address or other description, such as Assessor Parcel Number (APN) and type of property, for the fifth real property. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Fifth Property Nature and Extent of Interest Text
Describe the nature and extent of the debtor's interest in the fifth real property. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Fifth Property Net Book Value Number
Enter the net book value of the debtor's interest in the fifth real property, if available. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Fifth Property Valuation Method Text
Enter the valuation method used to determine the current value of the fifth real property. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Fifth Property Current Value Number
Enter the current value of the debtor's interest in the fifth real property. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
First Aircraft Details
First Aircraft Description Text
Provide the year, make, model, and identification numbers (e.g., VIN, HIN, or N-number) for the first aircraft. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
First Aircraft Net Book Value Number
Enter the net book value of the debtor's interest for the first aircraft, if available. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
First Aircraft Valuation Method Text
Specify the valuation method used to determine the current value for the first aircraft. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
First Aircraft Current Value Number
Enter the current value of the debtor's interest for the first aircraft. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
First Automobile Details
First Automobile General Description Text
Enter the year, make, model, and identification numbers (e.g., VIN, HIN, or N-number) for the first automobile. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
First Automobile Net Book Value Number
Provide the net book value of the debtor's interest for the first automobile, if available. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
First Automobile Valuation Method Text
State the valuation method used to determine the current value of the first automobile. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
First Automobile Current Value Number
Enter the current value of the debtor's interest in the first automobile. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
First Collectible Details
First Collectible General Description Text
Provide a general description for the first collectible item. Fill only if 'Part 7 Yes. Fill in the information below' is 'Yes'.
Depends on: Part 7 Yes. Fill in the information below
First Collectible Net Book Value Number
Enter the net book value of the debtor's interest for the first collectible item. Fill only if 'Part 7 Yes. Fill in the information below' is 'Yes'.
Depends on: Part 7 Yes. Fill in the information below
First Collectible Valuation Method Text
Describe the valuation method used to determine the current value of the first collectible item. Fill only if 'Part 7 Yes. Fill in the information below' is 'Yes'.
Depends on: Part 7 Yes. Fill in the information below
First Collectible Current Value Number
Enter the current value of the debtor's interest for the first collectible item. Fill only if 'Part 7 Yes. Fill in the information below' is 'Yes'.
Depends on: Part 7 Yes. Fill in the information below
First Deposit
First Deposit Description Text
Provide a description of the first deposit, including the name of the holder of the deposit. Fill only if 'Yes, Deposits or Prepayments' is 'Yes'.
Depends on: Yes, Deposits or Prepayments
First Deposit Current Value Number
Enter the current value of the debtor's interest for the first deposit. Fill only if 'Yes, Deposits or Prepayments' is 'Yes'.
Depends on: Yes, Deposits or Prepayments
First Financial Account
First Financial Account Current Value Number
Provide the current value of the debtor's interest in the first financial account. Fill only if 'Cash or Cash Equivalents Yes' is 'Yes'.
Depends on: Cash or Cash Equivalents Yes
First Financial Account Type Text
Specify the type of the first financial account, such as checking, savings, money market, or brokerage. Fill only if 'Cash or Cash Equivalents Yes' is 'Yes'.
Depends on: Cash or Cash Equivalents Yes
First Financial Account Last 4 Digits Text
Enter the last four digits of the account number for the first financial account. Fill only if 'Cash or Cash Equivalents Yes' is 'Yes'.
Depends on: Cash or Cash Equivalents Yes
First Financial Account Institution Name Text
Provide the name of the bank or brokerage firm for the first financial account. Fill only if 'Cash or Cash Equivalents Yes' is 'Yes'.
Depends on: Cash or Cash Equivalents Yes
First Government or Corporate Bond
First Government or Corporate Bond Description Text
Enter a description of the first government bond, corporate bond, or other negotiable and non-negotiable instrument. Fill only if 'Investment Ownership Status: Yes' is 'Yes'.
Depends on: Investment Ownership Status: Yes
First Government or Corporate Bond Valuation Method Text
Enter the valuation method used for the current value of the first government bond, corporate bond, or other negotiable and non-negotiable instrument. Fill only if 'Investment Ownership Status: Yes' is 'Yes'.
Depends on: Investment Ownership Status: Yes
First Government or Corporate Bond Current Value Number
Enter the current value of the debtor's interest in the first government bond, corporate bond, or other negotiable and non-negotiable instrument. Fill only if 'Investment Ownership Status: Yes' is 'Yes'.
Depends on: Investment Ownership Status: Yes
First Intangible Asset Row
First Intangible Asset General Description Text
Enter a general description of the patents, copyrights, trademarks, and trade secrets. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
First Intangible Asset Net Book Value Number
Enter the net book value of the debtor's interest in the patents, copyrights, trademarks, and trade secrets. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
First Intangible Asset Valuation Method Text
Enter the valuation method used to determine the current value of the patents, copyrights, trademarks, and trade secrets. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
First Intangible Asset Current Value Number
Enter the current value of the debtor's interest in the patents, copyrights, trademarks, and trade secrets. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
First Inventory Item
First Inventory Item General Description Text
Enter a general description of the first inventory item, which consists of raw materials. Fill only if 'Debtor Inventory Ownership: Yes' is 'Yes'.
Depends on: Debtor Inventory Ownership: Yes
First Inventory Item Last Physical Inventory Date Date
Enter the date of the last physical inventory for this first inventory item. Fill only if 'Debtor Inventory Ownership: Yes' is 'Yes'.
Depends on: Debtor Inventory Ownership: Yes
First Inventory Item Net Book Value Number
Enter the net book value of the debtor's interest in this first inventory item. Fill only if 'Debtor Inventory Ownership: Yes' is 'Yes'.
Depends on: Debtor Inventory Ownership: Yes
First Inventory Item Valuation Method Text
Enter the valuation method used for the current value of this first inventory item. Fill only if 'Debtor Inventory Ownership: Yes' is 'Yes'.
Depends on: Debtor Inventory Ownership: Yes
First Inventory Item Current Value Number
Enter the current value of the debtor's interest in this first inventory item. Fill only if 'Debtor Inventory Ownership: Yes' is 'Yes'.
Depends on: Debtor Inventory Ownership: Yes
First Mutual Fund or Publicly Traded Stock
First Mutual Fund or Stock Name Text
Enter the name of the first mutual fund or publicly traded stock. Fill only if 'Investment Ownership Status: Yes' is 'Yes'.
Depends on: Investment Ownership Status: Yes
First Mutual Fund or Stock Valuation Method Text
Enter the valuation method used for the current value of the first mutual fund or publicly traded stock. Fill only if 'Investment Ownership Status: Yes' is 'Yes'.
Depends on: Investment Ownership Status: Yes
First Mutual Fund or Stock Current Value Number
Enter the current value of the debtor's interest in the first mutual fund or publicly traded stock. Fill only if 'Investment Ownership Status: Yes' is 'Yes'.
Depends on: Investment Ownership Status: Yes
First Non-publicly Traded Stock or Interest
First Non-Publicly Traded Entity Name Text
Provide the name of the first non-publicly traded entity, LLC, partnership, or joint venture. Fill only if 'Investment Ownership Status: Yes' is 'Yes'.
Depends on: Investment Ownership Status: Yes
First Non-Publicly Traded Percentage of Ownership Number
Enter the debtor's percentage of ownership in this first non-publicly traded entity. Fill only if 'Investment Ownership Status: Yes' is 'Yes'.
Depends on: Investment Ownership Status: Yes
First Non-Publicly Traded Valuation Method Text
Describe the valuation method used for the current value of the debtor's interest in this first non-publicly traded entity. Fill only if 'Investment Ownership Status: Yes' is 'Yes'.
Depends on: Investment Ownership Status: Yes
First Non-Publicly Traded Current Value of Interest Number
Enter the current monetary value of the debtor's interest in this first non-publicly traded entity. Fill only if 'Investment Ownership Status: Yes' is 'Yes'.
Depends on: Investment Ownership Status: Yes
First Other Cash Equivalent
First Other Cash Equivalent Value Number
Enter the current value of the debtor's interest in the first other cash equivalent. Fill only if 'Cash or Cash Equivalents Yes' is 'Yes'.
Depends on: Cash or Cash Equivalents Yes
First Other Cash Equivalent Description Text
Provide a description for the first other cash equivalent. Fill only if 'Cash or Cash Equivalents Yes' is 'Yes'.
Depends on: Cash or Cash Equivalents Yes
First Other Property Not Listed
First Other Property Not Listed Description Text
Enter a description of the first other property not already listed, such as season tickets or country club membership. Fill only if 'Yes, Fill in Information Below' is 'Yes'.
Depends on: Yes, Fill in Information Below
First Other Property Not Listed Value Number
Enter the current value of the debtor's interest in the first other property not already listed. Fill only if 'Yes, Fill in Information Below' is 'Yes'.
Depends on: Yes, Fill in Information Below
First Prepayment
First Prepayment Description Text
Provide a description of the first prepayment, including the name of the holder of the prepayment. Fill only if 'Does the debtor have any deposits or prepayments?' is 'Yes'.
Depends on: Yes, Deposits or Prepayments
First Prepayment Amount Number
Enter the monetary amount of the first prepayment. Fill only if 'Does the debtor have any deposits or prepayments?' is 'Yes'.
Depends on: Yes, Deposits or Prepayments
First Real Property Details
First Real Property Description and Location Text
Provide the street address, other description, Assessor Parcel Number (APN), and type of property for the first real property. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
First Real Property Interest Nature and Extent Text
Describe the nature and extent of the debtor's interest in the first real property. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
First Real Property Net Book Value Number
Enter the net book value of the debtor's interest in the first real property, if available. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
First Real Property Valuation Method Text
Specify the valuation method used to determine the current value of the first real property. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
First Real Property Current Value Number
Enter the current value of the debtor's interest in the first real property. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
First Tax Refund/NOL
First Tax Refund/NOL Description Text
Enter a description for the first tax refund or unused net operating loss, such as federal, state, or local. Fill only if 'Yes, Fill in Information Below' is 'Yes'.
Depends on: Yes, Fill in Information Below
First Tax Refund/NOL Tax Year Text
Enter the tax year for the first tax refund or unused net operating loss. Fill only if 'Yes, Fill in Information Below' is 'Yes'.
Depends on: Yes, Fill in Information Below
First Tax Refund/NOL Amount Number
Enter the amount for the first tax refund or unused net operating loss. Fill only if 'Yes, Fill in Information Below' is 'Yes'.
Depends on: Yes, Fill in Information Below
First Watercraft Details
First Watercraft General Description Text
Enter the year, make, model, and identification number (VIN, HIN, or N-number) for the first watercraft. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
First Watercraft Net Book Value Number
Provide the net book value of the debtor's interest for the first watercraft, if available. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
First Watercraft Valuation Method Text
Describe the valuation method used to determine the current value of the first watercraft. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
First Watercraft Current Value Number
Enter the current value of the debtor's interest for the first watercraft. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Fourth Automobile Details
Fourth Automobile General Description Text
Enter the year, make, model, and identification numbers (e.g., VIN, HIN, or N-number) for the fourth automobile. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Fourth Automobile Net Book Value Number
Enter the net book value of the debtor's interest for the fourth automobile, if available. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Fourth Automobile Valuation Method Text
Provide the valuation method used to determine the current value for the fourth automobile. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Fourth Automobile Current Value Number
Enter the current value of the debtor's interest for the fourth automobile. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Fourth Intangible Asset Row
Intangible Asset Row 4 Description Text
Provide a general description of the customer lists, mailing lists, or other compilations. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Intangible Asset Row 4 Net Book Value Number
Enter the net book value of the debtor's interest in the customer lists, mailing lists, or other compilations, if available. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Intangible Asset Row 4 Valuation Method Text
Specify the valuation method used to determine the current value of the debtor's interest in the customer lists, mailing lists, or other compilations. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Intangible Asset Row 4 Current Value Number
Enter the current value of the debtor's interest in the customer lists, mailing lists, or other compilations. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Fourth Inventory Item
Fourth Inventory Item General Description Text
Enter a general description for the fourth inventory item. Fill only if 'Debtor Inventory Ownership: Yes' is 'Yes'.
Depends on: Debtor Inventory Ownership: Yes
Fourth Inventory Item Last Physical Inventory Date Date
Provide the date of the last physical inventory for the fourth inventory item. Fill only if 'Debtor Inventory Ownership: Yes' is 'Yes'.
Depends on: Debtor Inventory Ownership: Yes
Fourth Inventory Item Net Book Value Number
Enter the net book value of the debtor's interest for the fourth inventory item, if available. Fill only if 'Debtor Inventory Ownership: Yes' is 'Yes'.
Depends on: Debtor Inventory Ownership: Yes
Fourth Inventory Item Valuation Method Text
Specify the valuation method used for the current value of the fourth inventory item. Fill only if 'Debtor Inventory Ownership: Yes' is 'Yes'.
Depends on: Debtor Inventory Ownership: Yes
Fourth Inventory Item Current Value Number
Enter the current value of the debtor's interest for the fourth inventory item. Fill only if 'Debtor Inventory Ownership: Yes' is 'Yes'.
Depends on: Debtor Inventory Ownership: Yes
Fourth Real Property Details
Fourth Property Description and Location Text
Enter the street address, Assessor Parcel Number (APN), and type of property (e.g., acreage, factory, warehouse, apartment, or office building) for the fourth real property. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Fourth Property Debtor's Interest Text
Provide a description of the nature and extent of the debtor's interest in the fourth real property. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Fourth Property Net Book Value Number
Enter the net book value of the debtor's interest in the fourth real property, if available. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Fourth Property Valuation Method Text
Describe the method used to determine the current value of the fourth real property. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Fourth Property Current Value Number
Enter the current value of the debtor's interest in the fourth real property. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Interests in Insurance Policies or Annuities
Policy or Annuity Description Text
Provide a description of the insurance policy or annuity. Fill only if 'Yes, Fill in Information Below' is 'Yes'.
Depends on: Yes, Fill in Information Below
Current Value of Interest Number
Enter the current value of the debtor's interest in the insurance policy or annuity. Fill only if 'Yes, Fill in Information Below' is 'Yes'.
Depends on: Yes, Fill in Information Below
Investment Ownership Status
Investment Ownership Status: No Checkbox
Check this box if the debtor does not own any investments and you will proceed to Part 5.
Investment Ownership Status: Yes Checkbox
Check this box if the debtor owns investments and you will fill in the investment details in the sections below.
Notes Receivable
Description of Notes Receivable Text
Provide a detailed description of the notes receivable, including the name of the obligor. Fill only if 'Yes, Fill in Information Below' is 'Yes'.
Depends on: Yes, Fill in Information Below
Total Face Amount Number
Enter the total face amount of the notes receivable. Fill only if 'Yes, Fill in Information Below' is 'Yes'.
Depends on: Yes, Fill in Information Below
Doubtful or Uncollectible Amount Number
Enter the amount of the notes receivable that is considered doubtful or uncollectible. Fill only if 'Yes, Fill in Information Below' is 'Yes'.
Depends on: Yes, Fill in Information Below
Current Value of Debtor's Interest Number
Enter the current value of the debtor's interest in the notes receivable. Fill only if 'Yes, Fill in Information Below' is 'Yes'.
Depends on: Yes, Fill in Information Below
Office Equipment Details
Office Equipment Description Text
Provide a general description of the office equipment, including computer equipment and communication systems equipment and software. Fill only if 'Part 7 Yes. Fill in the information below' is 'Yes'.
Depends on: Part 7 Yes. Fill in the information below
Office Equipment Net Book Value Number
Enter the net book value of the debtor's interest in the office equipment. Fill only if 'Part 7 Yes. Fill in the information below' is 'Yes'.
Depends on: Part 7 Yes. Fill in the information below
Office Equipment Valuation Method Text
Specify the valuation method used to determine the current value of the office equipment. Fill only if 'Part 7 Yes. Fill in the information below' is 'Yes'.
Depends on: Part 7 Yes. Fill in the information below
Office Equipment Current Value Number
Enter the current value of the debtor's interest in the office equipment. Fill only if 'Part 7 Yes. Fill in the information below' is 'Yes'.
Depends on: Part 7 Yes. Fill in the information below
Office Fixtures Details
Office Fixtures Description Text
Provide a general description of the office fixtures. Fill only if 'Part 7 Yes. Fill in the information below' is 'Yes'.
Depends on: Part 7 Yes. Fill in the information below
Office Fixtures Net Book Value Number
Enter the net book value of the debtor's interest in the office fixtures. Fill only if 'Part 7 Yes. Fill in the information below' is 'Yes'.
Depends on: Part 7 Yes. Fill in the information below
Office Fixtures Valuation Method Text
Specify the valuation method used for the current value of the office fixtures. Fill only if 'Part 7 Yes. Fill in the information below' is 'Yes'.
Depends on: Part 7 Yes. Fill in the information below
Office Fixtures Current Value Number
Enter the current value of the debtor's interest in the office fixtures. Fill only if 'Part 7 Yes. Fill in the information below' is 'Yes'.
Depends on: Part 7 Yes. Fill in the information below
Office Furniture Details
Office Furniture General Description Text
Provide a general description of the office furniture. Fill only if 'Part 7 Yes. Fill in the information below' is 'Yes'.
Depends on: Part 7 Yes. Fill in the information below
Office Furniture Net Book Value Number
Enter the net book value of the debtor's interest in the office furniture. Fill only if 'Part 7 Yes. Fill in the information below' is 'Yes'.
Depends on: Part 7 Yes. Fill in the information below
Office Furniture Valuation Method Text
State the valuation method used to determine the current value of the office furniture. Fill only if 'Part 7 Yes. Fill in the information below' is 'Yes'.
Depends on: Part 7 Yes. Fill in the information below
Office Furniture Current Value Number
Enter the current value of the debtor's interest in the office furniture. Fill only if 'Part 7 Yes. Fill in the information below' is 'Yes'.
Depends on: Part 7 Yes. Fill in the information below
Other Contingent and Unliquidated Claims
Contingent Claim 1 - Nature of Claim Text
Provide the nature of the first contingent or unliquidated claim. Fill only if 'Yes, Fill in Information Below' is 'Yes'.
Depends on: Yes, Fill in Information Below
Contingent Claim 1 - Current Value of Debtor's Interest Number
Enter the current value of the debtor's interest for the first contingent or unliquidated claim. Fill only if 'Yes, Fill in Information Below' is 'Yes'.
Depends on: Yes, Fill in Information Below
Contingent Claim 2 - Nature of Claim Text
Provide the nature of the second contingent or unliquidated claim. Fill only if 'Yes, Fill in Information Below' is 'Yes'.
Depends on: Yes, Fill in Information Below
Contingent Claim 2 - Amount Requested Number
Enter the amount requested for the second contingent or unliquidated claim. Fill only if 'Yes, Fill in Information Below' is 'Yes'.
Depends on: Yes, Fill in Information Below
Other Farming and Fishing Property Details
Other Property Description Text
Provide a general description of other farming and fishing-related property not already listed in Part 6. Fill only if 'Yes, Fill in the information below' is 'Yes'.
Depends on: Yes, Fill in the information below
Other Property Net Book Value Number
Enter the net book value of the debtor's interest for other farming and fishing-related property. Fill only if 'Yes, Fill in the information below' is 'Yes'.
Depends on: Yes, Fill in the information below
Other Property Valuation Method Text
Describe the valuation method used to determine the current value for other farming and fishing-related property. Fill only if 'Yes, Fill in the information below' is 'Yes'.
Depends on: Yes, Fill in the information below
Other Property Current Value Number
Enter the current value of the debtor's interest for other farming and fishing-related property. Fill only if 'Yes, Fill in the information below' is 'Yes'.
Depends on: Yes, Fill in the information below
Other Machinery Details
Other Machinery Description Text
Provide a general description of the other machinery, fixtures, and equipment, including year, make, model, and identification numbers. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Other Machinery Net Book Value Number
Enter the net book value of the debtor's interest for this other machinery. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Other Machinery Valuation Method Text
Describe the valuation method used to determine the current value of this other machinery. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Other Machinery Current Value Number
Enter the current value of the debtor's interest for this other machinery. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Page 8
Total Personal Property (Line 91a) Number
Enter the sum of current values for personal property from lines 80 through 90.
Total Real Property (Line 91b) Number
Enter the sum of current values for real property from lines 80 through 90. Fill only if 'Does the debtor own or lease any real property?' is 'Yes'.
Depends on: Yes
Total All Property (Line 92) Number
Enter the total value of all property on Schedule A/B by adding the amounts from line 91a and line 91b. Fill only if 'Total Personal Property (Line 91a)', 'Total Real Property (Line 91b)' is the sum of 'Total' (91a) and 'Total' (91b).
Depends on: Total Personal Property (Line 91a), Total Real Property (Line 91b)
Part 11 Property Appraisal Confirmation
Part 11 Property Appraisal Confirmation - No Checkbox
Check this box if none of the property listed in Part 11 has been appraised by a professional within the last year. Fill only if 'Yes, Fill in Information Below' is 'Yes'.
Depends on: Yes, Fill in Information Below
Part 11 Property Appraisal Confirmation - Yes Checkbox
Check this box if any of the property listed in Part 11 has been appraised by a professional within the last year. Fill only if 'Yes, Fill in Information Below' is 'Yes'.
Depends on: Yes, Fill in Information Below
Part 6 Property Appraisal Status
Part 6 Property Appraisal Status No Checkbox
Check this box if none of the property listed in Part 6 has been appraised by a professional within the last year. Fill only if 'Does the debtor own or lease any farming and fishing-related assets (other than titled motor vehicles and land)?' is 'Yes'.
Depends on: Yes, Fill in the information below
Part 6 Property Appraisal Status Yes Checkbox
Check this box if any of the property listed in Part 6 has been appraised by a professional within the last year. Fill only if 'Does the debtor own or lease any farming and fishing-related assets (other than titled motor vehicles and land)?' is 'Yes'.
Depends on: Yes, Fill in the information below
Part 6 Property Depreciation Schedule Availability
Part 6 Depreciation Schedule No Checkbox
Check this box if a depreciation schedule is not available for any of the property listed in Part 6. Fill only if 'Does the debtor own or lease any farming and fishing-related assets (other than titled motor vehicles and land)?' is 'Yes'.
Depends on: Yes, Fill in the information below
Part 6 Depreciation Schedule Yes Checkbox
Check this box if a depreciation schedule is available for any of the property listed in Part 6. Fill only if 'Does the debtor own or lease any farming and fishing-related assets (other than titled motor vehicles and land)?' is 'Yes'.
Depends on: Yes, Fill in the information below
Part 6 Property Details
Part 6 Property Book Value Number
Enter the book value of the property listed in Part 6 that was purchased within 20 days before the bankruptcy was filed. Fill only if 'Part 6 Property Purchased within 20 Days: Yes' is 'Yes'.
Depends on: Part 6 Property Purchased within 20 Days: Yes
Part 6 Property Valuation Method Text
Describe the valuation method used for the property listed in Part 6 that was purchased within 20 days before the bankruptcy was filed. Fill only if 'Part 6 Property Purchased within 20 Days: Yes' is 'Yes'.
Depends on: Part 6 Property Purchased within 20 Days: Yes
Part 6 Property Current Value Number
Enter the current value of the property listed in Part 6 that was purchased within 20 days before the bankruptcy was filed. Fill only if 'Part 6 Property Purchased within 20 Days: Yes' is 'Yes'.
Depends on: Part 6 Property Purchased within 20 Days: Yes
Part 6 Property Purchase Status
Part 6 Property Purchased within 20 Days: No Checkbox
Check this box if no property listed in Part 6 was purchased within 20 days before the bankruptcy was filed. Fill only if 'Does the debtor own or lease any farming and fishing-related assets (other than titled motor vehicles and land)?' is 'Yes'.
Depends on: Yes, Fill in the information below
Part 6 Property Purchased within 20 Days: Yes Checkbox
Check this box if any property listed in Part 6 was purchased within 20 days before the bankruptcy was filed. Fill only if 'Does the debtor own or lease any farming and fishing-related assets (other than titled motor vehicles and land)?' is 'Yes'.
Depends on: Yes, Fill in the information below
Part 7 Property Appraisal Status
Part 7 No Professional Appraisal Last Year Checkbox
Check this box if no property listed in Part 7 has been appraised by a professional within the last year. Fill only if 'Part 7 Yes. Fill in the information below' is 'Yes'.
Depends on: Part 7 Yes. Fill in the information below
Part 7 Yes Professional Appraisal Last Year Checkbox
Check this box if any property listed in Part 7 has been appraised by a professional within the last year. Fill only if 'Part 7 Yes. Fill in the information below' is 'Yes'.
Depends on: Part 7 Yes. Fill in the information below
Part 7 Property Depreciation Schedule Availability
Part 7 Depreciation Schedule No Checkbox
Check this box if a depreciation schedule is not available for any property listed in Part 7. Fill only if 'Part 7 Yes. Fill in the information below' is 'Yes'.
Depends on: Part 7 Yes. Fill in the information below
Part 7 Depreciation Schedule Yes Checkbox
Check this box if a depreciation schedule is available for any property listed in Part 7. Fill only if 'Part 7 Yes. Fill in the information below' is 'Yes'.
Depends on: Part 7 Yes. Fill in the information below
Part 7 Property Ownership Status
Part 7 No. Go to Part 8 Checkbox
Check this box if the debtor does not own or lease any office furniture, fixtures, equipment, or collectibles.
Part 7 Yes. Fill in the information below Checkbox
Check this box if the debtor owns or leases any office furniture, fixtures, equipment, or collectibles.
Perishable Property Status
Perishable Property Status - No Checkbox
Check this box if none of the property listed in Part 5 is perishable. Fill only if 'Debtor Inventory Ownership: Yes' is 'Yes'.
Depends on: Debtor Inventory Ownership: Yes
Perishable Property Status - Yes Checkbox
Check this box if any of the property listed in Part 5 is perishable. Fill only if 'Debtor Inventory Ownership: Yes' is 'Yes'.
Depends on: Debtor Inventory Ownership: Yes
Personally Identifiable Information Inquiry
Personally Identifiable Information No Checkbox
Check this box if your lists or records do not include personally identifiable information of customers. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Personally Identifiable Information Yes Checkbox
Check this box if your lists or records include personally identifiable information of customers. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Professional Appraisal Inquiry
No Checkbox
Check this box if no property listed in Part 10 has been appraised by a professional within the last year. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Yes Checkbox
Check this box if any property listed in Part 10 has been appraised by a professional within the last year. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Professional Appraisal Status
No Checkbox
Check this box if none of the property listed in Part 5 has been appraised by a professional within the last year. Fill only if 'Debtor Inventory Ownership: Yes' is 'Yes'.
Depends on: Debtor Inventory Ownership: Yes
Yes Checkbox
Check this box if any of the property listed in Part 5 has been appraised by a professional within the last year. Fill only if 'Debtor Inventory Ownership: Yes' is 'Yes'.
Depends on: Debtor Inventory Ownership: Yes
No Checkbox
Check this box if none of the property listed in Part 9 has been appraised by a professional within the last year. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Yes Checkbox
Check this box if any of the property listed in Part 9 has been appraised by a professional within the last year. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Property Appraisal Status
Property Appraisal Status No Checkbox
Check this box if none of the property listed in Part 8 has been appraised by a professional within the last year. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Property Appraisal Status Yes Checkbox
Check this box if any of the property listed in Part 8 has been appraised by a professional within the last year. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Property Storage at Cooperative Status
Property Storage at Cooperative Status No Checkbox
Check this box if no property of the debtor is stored at the cooperative. Fill only if 'Yes, property stored at cooperative?' is 'Yes'.
Depends on: Yes, property stored at cooperative?
Property Storage at Cooperative Status Yes Checkbox
Check this box if some property of the debtor is stored at the cooperative. Fill only if 'Yes, property stored at cooperative?' is 'Yes'.
Depends on: Yes, property stored at cooperative?
Real Property Ownership Status
No Checkbox
Check this box if the debtor does not own or lease any real property and you should proceed to Part 10.
Yes Checkbox
Check this box if the debtor owns or leases any real property and you need to fill in the information below.
Recently Purchased Property Details
Recently Purchased No Checkbox
Check this box if no property listed in Part 5 was purchased within 20 days before the bankruptcy filing. Fill only if 'Debtor Inventory Ownership: Yes' is 'Yes'.
Depends on: Debtor Inventory Ownership: Yes
Recently Purchased Yes Checkbox
Check this box if any property listed in Part 5 was purchased within 20 days before the bankruptcy filing, then provide the book value. Fill only if 'Debtor Inventory Ownership: Yes' is 'Yes'.
Depends on: Debtor Inventory Ownership: Yes
Recently Purchased Property Book Value Number
Enter the book value of the recently purchased property. Fill only if 'Recently Purchased Yes' is 'Yes'.
Depends on: Recently Purchased Yes
Recently Purchased Property Valuation Method Text
Enter the valuation method used for the recently purchased property. Fill only if 'Recently Purchased Yes' is 'Yes'.
Depends on: Recently Purchased Yes
Recently Purchased Property Current Value Number
Enter the current value of the recently purchased property. Fill only if 'Recently Purchased Yes' is 'Yes'.
Depends on: Recently Purchased Yes
Second Aircraft Details
Second Aircraft Description Text
Provide a general description of the second aircraft, including its year, make, model, and identification numbers (i.e., VIN, HIN, or N-number). Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Second Aircraft Net Book Value Number
Enter the net book value of the debtor's interest for the second aircraft, if available. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Second Aircraft Valuation Method Text
Specify the valuation method used to determine the current value of the second aircraft. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Second Aircraft Current Value Number
Provide the current value of the debtor's interest for the second aircraft. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Second Automobile Details
Second Automobile Description Text
Provide the year, make, model, and identification numbers (e.g., VIN, HIN, or N-number) for the second automobile. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Second Automobile Net Book Value Number
Enter the net book value of the debtor's interest in the second automobile, if available. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Second Automobile Valuation Method Text
Describe the valuation method used to determine the current value of the second automobile. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Second Automobile Current Value Number
Enter the current value of the debtor's interest in the second automobile. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Second Collectible Details
206AB42a2 Text
Depends on: Part 7 Yes. Fill in the information below
206AB42b2 Text
Depends on: Part 7 Yes. Fill in the information below
206AB42c2 Text
Depends on: Part 7 Yes. Fill in the information below
206AB42d2 Text
Depends on: Part 7 Yes. Fill in the information below
Second Deposit
Second Deposit Description Text
Enter the description of the second deposit, including the name of the holder. Fill only if 'Yes, Deposits or Prepayments' is 'Yes'.
Depends on: Yes, Deposits or Prepayments
Second Deposit Value Number
Enter the current value of the debtor's interest for the second deposit. Fill only if 'Yes, Deposits or Prepayments' is 'Yes'.
Depends on: Yes, Deposits or Prepayments
Second Financial Account
Second Account Current Value Number
Enter the current value of the debtor's interest in this second financial account. Fill only if 'Cash or Cash Equivalents Yes' is 'Yes'.
Depends on: Cash or Cash Equivalents Yes
Second Account Institution Name Text
Provide the name of the bank or brokerage firm for this second financial account. Fill only if 'Cash or Cash Equivalents Yes' is 'Yes'.
Depends on: Cash or Cash Equivalents Yes
Second Account Type Text
Indicate the type of this second financial account. Fill only if 'Cash or Cash Equivalents Yes' is 'Yes'.
Depends on: Cash or Cash Equivalents Yes
Second Account Last 4 Digits Text
Enter the last four digits of the account number for this second financial account. Fill only if 'Cash or Cash Equivalents Yes' is 'Yes'.
Depends on: Cash or Cash Equivalents Yes
Second Government or Corporate Bond
Second Bond Description Text
Enter a description for the second government, corporate, or other negotiable or non-negotiable instrument. Fill only if 'Investment Ownership Status: Yes' is 'Yes'.
Depends on: Investment Ownership Status: Yes
Second Bond Valuation Method Text
Specify the valuation method used for the second government, corporate, or other negotiable or non-negotiable instrument. Fill only if 'Investment Ownership Status: Yes' is 'Yes'.
Depends on: Investment Ownership Status: Yes
Second Bond Current Value Number
Provide the current value of the debtor's interest in the second government, corporate, or other negotiable or non-negotiable instrument. Fill only if 'Investment Ownership Status: Yes' is 'Yes'.
Depends on: Investment Ownership Status: Yes
Second Intangible Asset Row
Second Intangible Asset Row - General Description Text
Enter a general description of the internet domain names and websites. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Second Intangible Asset Row - Net Book Value Number
Enter the net book value of the debtor's interest in the internet domain names and websites, if available. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Second Intangible Asset Row - Valuation Method Text
Enter the valuation method used to determine the current value of the internet domain names and websites. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Second Intangible Asset Row - Current Value Number
Enter the current value of the debtor's interest in the internet domain names and websites. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Second Inventory Item
Second Work in Progress General Description Text
Enter a general description for the second inventory item, specifically for work in progress. Fill only if 'Debtor Inventory Ownership: Yes' is 'Yes'.
Depends on: Debtor Inventory Ownership: Yes
Second Work in Progress Last Inventory Date Date
Provide the date of the last physical inventory for the second inventory item, specifically for work in progress. Fill only if 'Debtor Inventory Ownership: Yes' is 'Yes'.
Depends on: Debtor Inventory Ownership: Yes
Second Work in Progress Net Book Value Number
Enter the net book value of the debtor's interest for the second inventory item, specifically for work in progress. Fill only if 'Debtor Inventory Ownership: Yes' is 'Yes'.
Depends on: Debtor Inventory Ownership: Yes
Second Work in Progress Valuation Method Text
Describe the valuation method used to determine the current value for the second inventory item, specifically for work in progress. Fill only if 'Debtor Inventory Ownership: Yes' is 'Yes'.
Depends on: Debtor Inventory Ownership: Yes
Second Work in Progress Current Value Number
Enter the current value of the debtor's interest for the second inventory item, specifically for work in progress. Fill only if 'Debtor Inventory Ownership: Yes' is 'Yes'.
Depends on: Debtor Inventory Ownership: Yes
Second Mutual Fund or Publicly Traded Stock
Second Mutual Fund or Stock Name Text
Enter the name of the second mutual fund or publicly traded stock. Fill only if 'Investment Ownership Status: Yes' is 'Yes'.
Depends on: Investment Ownership Status: Yes
Second Valuation Method Text
Enter the valuation method used for the current value of the second mutual fund or publicly traded stock. Fill only if 'Investment Ownership Status: Yes' is 'Yes'.
Depends on: Investment Ownership Status: Yes
Second Current Value of Interest Number
Enter the current value of the debtor's interest in the second mutual fund or publicly traded stock. Fill only if 'Investment Ownership Status: Yes' is 'Yes'.
Depends on: Investment Ownership Status: Yes
Second Non-publicly Traded Stock or Interest
Second Non-publicly Traded Entity Name Text
Enter the name of the second non-publicly traded entity, LLC, partnership, or joint venture. Fill only if 'Investment Ownership Status: Yes' is 'Yes'.
Depends on: Investment Ownership Status: Yes
Second Non-publicly Traded Ownership Percentage Number
Enter the percentage of ownership the debtor holds in the second non-publicly traded entity. Fill only if 'Investment Ownership Status: Yes' is 'Yes'.
Depends on: Investment Ownership Status: Yes
Second Non-publicly Traded Valuation Method Text
Enter the valuation method used to determine the current value of the second non-publicly traded stock or interest. Fill only if 'Investment Ownership Status: Yes' is 'Yes'.
Depends on: Investment Ownership Status: Yes
Second Non-publicly Traded Current Value Number
Enter the current value of the debtor's interest in the second non-publicly traded stock or interest. Fill only if 'Investment Ownership Status: Yes' is 'Yes'.
Depends on: Investment Ownership Status: Yes
Second Other Cash Equivalent
Second Other Cash Equivalent Value Number
Enter the current value of the debtor's interest in the second other cash equivalent. Fill only if 'Cash or Cash Equivalents Yes' is 'Yes'.
Depends on: Cash or Cash Equivalents Yes
Second Other Cash Equivalent Description Text
Provide a detailed description of the second other cash equivalent. Fill only if 'Cash or Cash Equivalents Yes' is 'Yes'.
Depends on: Cash or Cash Equivalents Yes
Second Other Property Not Listed
Second Other Property Description Text
Enter a detailed description for the second other property not already listed, such as season tickets or country club membership. Fill only if 'Yes, Fill in Information Below' is 'Yes'.
Depends on: Yes, Fill in Information Below
Second Other Property Current Value Number
Enter the current monetary value of the debtor's interest in the second other property. Fill only if 'Yes, Fill in Information Below' is 'Yes'.
Depends on: Yes, Fill in Information Below
Second Prepayment
Second Prepayment Description Text
Provide a description for the second prepayment, including the name of the holder of the prepayment. Fill only if 'Does the debtor have any deposits or prepayments?' is 'Yes'.
Depends on: Yes, Deposits or Prepayments
Second Prepayment Amount Number
Enter the total amount for the second prepayment. Fill only if 'Does the debtor have any deposits or prepayments?' is 'Yes'.
Depends on: Yes, Deposits or Prepayments
Second Real Property Details
Second Real Property Description Text
Enter the street address, Assessor Parcel Number (APN), and type of the second real property, such as acreage, factory, warehouse, apartment, or office building. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Second Real Property Debtor's Interest Text
Provide a description of the nature and extent of the debtor's interest in the second real property. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Second Real Property Net Book Value Number
Enter the net book value of the debtor's interest in the second real property, if available. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Second Real Property Valuation Method Text
Enter the valuation method used to determine the current value of the second real property. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Second Real Property Current Value Number
Enter the current value of the debtor's interest in the second real property. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Second Tax Refund/NOL
Second Tax Refund/NOL Description Text
Provide a detailed description of the second tax refund or unused net operating loss, including its type (e.g., federal, state, local). Fill only if 'Yes, Fill in Information Below' is 'Yes'.
Depends on: Yes, Fill in Information Below
Second Tax Refund/NOL Tax Year Text
Enter the tax year for the second tax refund or unused net operating loss. Fill only if 'Yes, Fill in Information Below' is 'Yes'.
Depends on: Yes, Fill in Information Below
Second Tax Refund/NOL Amount Number
Enter the amount of the second tax refund or unused net operating loss. Fill only if 'Yes, Fill in Information Below' is 'Yes'.
Depends on: Yes, Fill in Information Below
Second Watercraft Details
Second Watercraft General Description Text
Enter the general description of the second watercraft, including its year, make, model, and identification numbers (i.e., VIN, HIN, or N-number). Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Second Watercraft Net Book Value Number
Enter the net book value of the debtor's interest in the second watercraft, if available. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Second Watercraft Valuation Method Text
Enter the method used to determine the current value of the second watercraft. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Second Watercraft Current Value Number
Enter the current value of the debtor's interest in the second watercraft. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Sixth Intangible Asset Row
6th Goodwill Description Text
Provide a general description of the debtor's goodwill. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
6th Goodwill Net Book Value Number
Enter the net book value of the debtor's interest in the goodwill. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
6th Goodwill Valuation Method Text
Describe the valuation method used to determine the current value of the goodwill. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
6th Goodwill Current Value Number
Enter the current value of the debtor's interest in the goodwill. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Sixth Real Property Details
Sixth Real Property Description Text
Provide the street address or other description, such as an Assessor Parcel Number (APN) and type of property (e.g., acreage, factory, warehouse, apartment, or office building), for the sixth real property. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Sixth Real Property Interest Nature Text
Describe the nature and extent of the debtor's interest in the sixth real property. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Sixth Real Property Net Book Value Number
Enter the net book value of the debtor's interest in the sixth real property, if available. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Sixth Real Property Valuation Method Text
Specify the method used to determine the current value of the sixth real property. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Sixth Real Property Current Value Number
Enter the current value of the debtor's interest in the sixth real property. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Third Automobile Details
Third Automobile General Description Text
Enter the year, make, model, and identification number (e.g., VIN, HIN, or N-number) for the third automobile. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Third Automobile Net Book Value Number
Enter the net book value of the debtor's interest for the third automobile, if available. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Third Automobile Valuation Method Text
Enter the valuation method used to determine the current value for the third automobile. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Third Automobile Current Value Number
Enter the current value of the debtor's interest for the third automobile. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Third Collectible Details
Third Collectible General Description Text
Provide a general description of the third collectible item. Fill only if 'Part 7 Yes. Fill in the information below' is 'Yes'.
Depends on: Part 7 Yes. Fill in the information below
Third Collectible Net Book Value Number
Enter the net book value of the debtor's interest for the third collectible item. Fill only if 'Part 7 Yes. Fill in the information below' is 'Yes'.
Depends on: Part 7 Yes. Fill in the information below
Third Collectible Valuation Method Text
Specify the valuation method used to determine the current value of the third collectible item. Fill only if 'Part 7 Yes. Fill in the information below' is 'Yes'.
Depends on: Part 7 Yes. Fill in the information below
Third Collectible Current Value Number
Enter the current value of the debtor's interest for the third collectible item. Fill only if 'Part 7 Yes. Fill in the information below' is 'Yes'.
Depends on: Part 7 Yes. Fill in the information below
Third Intangible Asset Row
Third Intangible Asset Row General Description Text
Provide a general description of the debtor's interest in licenses, franchises, and royalties. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Third Intangible Asset Row Net Book Value Number
Enter the net book value of the debtor's interest in licenses, franchises, and royalties. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Third Intangible Asset Row Valuation Method Text
Describe the valuation method used to determine the current value of the debtor's interest in licenses, franchises, and royalties. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Third Intangible Asset Row Current Value Number
Enter the current value of the debtor's interest in licenses, franchises, and royalties. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Third Inventory Item
Third Inventory Item Finished Goods Description Text
Provide a general description for the third inventory item, which includes finished goods and goods held for resale. Fill only if 'Debtor Inventory Ownership: Yes' is 'Yes'.
Depends on: Debtor Inventory Ownership: Yes
Third Inventory Item Last Physical Inventory Date Date
Enter the date of the last physical inventory for the third inventory item. Fill only if 'Debtor Inventory Ownership: Yes' is 'Yes'.
Depends on: Debtor Inventory Ownership: Yes
Third Inventory Item Net Book Value Number
Enter the net book value of the debtor's interest for the third inventory item, if available. Fill only if 'Debtor Inventory Ownership: Yes' is 'Yes'.
Depends on: Debtor Inventory Ownership: Yes
Third Inventory Item Valuation Method Text
Specify the valuation method used to determine the current value for the third inventory item. Fill only if 'Debtor Inventory Ownership: Yes' is 'Yes'.
Depends on: Debtor Inventory Ownership: Yes
Third Inventory Item Current Value Number
Enter the current value of the debtor's interest for the third inventory item. Fill only if 'Debtor Inventory Ownership: Yes' is 'Yes'.
Depends on: Debtor Inventory Ownership: Yes
Third Real Property Details
Third Property Description and Location Text
Enter the street address, other description such as Assessor Parcel Number (APN), and type of the third property (e.g., acreage, factory, warehouse, apartment, or office building). Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Third Property Debtor's Interest Nature and Extent Text
Provide details about the nature and extent of the debtor's interest in the third real property. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Third Property Net Book Value Number
Enter the net book value of the debtor's interest in the third real property, if available. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Third Property Valuation Method Text
Specify the valuation method used to determine the current value of the third real property. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Third Property Current Value Number
Enter the current value of the debtor's interest in the third real property. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Third Tax Refund/NOL
Third Tax Refund/NOL Description Text
Provide a description of the third tax refund or unused net operating losses, including its type (e.g., federal, state, local). Fill only if 'Yes, Fill in Information Below' is 'Yes'.
Depends on: Yes, Fill in Information Below
Third Tax Refund/NOL Tax Year Number
Enter the tax year for the third tax refund or unused net operating losses. Fill only if 'Yes, Fill in Information Below' is 'Yes'.
Depends on: Yes, Fill in Information Below
Third Tax Refund/NOL Amount Number
Enter the monetary amount for the third tax refund or unused net operating losses. Fill only if 'Yes, Fill in Information Below' is 'Yes'.
Depends on: Yes, Fill in Information Below
Total Current Value of Real Property
Total Current Value of Real Property Number
Enter the total current value of all real property listed in Part 9, calculated by adding the current values from lines 55.1 through 55.6 and any additional sheets, then copy this total to line 88. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Total of Part 1
Total of Part 1 Number
Enter the sum of amounts from lines 2 through 4, including amounts from any additional sheets, to represent the total for Part 1. Fill only if 'Cash or Cash Equivalents Yes' is 'Yes'.
Depends on: Cash or Cash Equivalents Yes
Total of Part 10
Total of Part 10 Number
Enter the total current value of all intangibles and intellectual property listed in Part 10. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Total of Part 11
Total of Part 11 Number
Enter the total sum of amounts from lines 71 through 77, which will be copied to line 90. Fill only if 'Yes, Fill in Information Below' is 'Yes'.
Depends on: Yes, Fill in Information Below
Total of Part 2
Part 2 Total Number
Enter the total amount for Part 2.
Total of Part 3
Total of Part 3 Number
Provide the calculated total value for Part 3 by summing the values from lines 11a and 11b.
Total of Part 4
Total of Part 4 Number
Enter the total amount calculated by adding lines 14 through 16, then copy this total to line 83.
Total of Part 5
Total of Part 5 Number
Enter the total monetary value for Part 5, calculated by adding lines 19 through 22. Fill only if 'Debtor Inventory Ownership: Yes' is 'Yes'.
Depends on: Debtor Inventory Ownership: Yes
Total of Part 6
Total of Part 6 Number
Enter the total monetary amount from Part 6. Fill only if 'Does the debtor own or lease any farming and fishing-related assets (other than titled motor vehicles and land)?' is 'Yes'.
Depends on: Yes, Fill in the information below
Total of Part 7
Total of Part 7 Number
Enter the total amount calculated for Part 7. Fill only if 'Part 7 Yes. Fill in the information below' is 'Yes'.
Depends on: Part 7 Yes. Fill in the information below
Total of Part 8
Total of Part 8 Value Number
Provide the calculated total value from lines 47 through 50 for Part 8. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Trusts, Equitable or Future Interests in Property
Trust/Interest Description Text
Enter a description of the trust, equitable, or future interest in property. Fill only if 'Yes, Fill in Information Below' is 'Yes'.
Depends on: Yes, Fill in Information Below
Current Value of Debtor's Interest Number
Provide the current value of the debtor's interest in the trust, equitable, or future interest in property. Fill only if 'Yes, Fill in Information Below' is 'Yes'.
Depends on: Yes, Fill in Information Below