CREDITOR LIST Law Offices of Peter Francis Geraci READ ...Page 1 of 2 Last Name _____ First_____...
2
Page 1 of 2 Last Name ______________________________________________ First__________________________ Middle __________________ Spouse name if joint ___________________________________________________ Date: _____/_____/______ Record # _______-_________ CREDITOR LIST 07 1009 This form is the property of and copyright 2007 by Peter Francis Geraci It is totally confidential until bankruptcy is filed in Court. 1 Creditor Address City State Zip A D E F H Date opened / Date last used / What for Account # BAL$ Husb-indiv wife Joint Community Describe collateral (house, vehicle, cr union Personal property account pension) or NONE Collection agency Co-signer Collector or attorney name, address, acct # 2 Creditor Address City State Zip A D E F H Date opened / Date last used / What for Account # BAL$ Husb-indiv wife Joint Community Describe collateral (house, vehicle, cr union Personal property account pension) or NONE Collection agency Co-signer Collector or attorney name, address, acct # 3 Creditor Address City State Zip A D E F H Date opened / Date last used / What for Account # BAL$ Husb-indiv wife Joint Community Describe collateral (house, vehicle, cr union Personal property account pension) or NONE Collection agency Co-signer Collector or attorney name, address, acct # 4 Creditor Address City State Zip A D E F H Date opened / Date last used / What for Account # BAL$ Husb-indiv wife Joint Community Describe collateral (house, vehicle, cr union Personal property account pension) or NONE Collection agency Co-signer Collector or attorney name, address, acct # 5 Creditor Address City State Zip A D E F H Date opened / Date last used / What for Account # BAL$ Husb-indiv wife Joint Community Describe collateral (house, vehicle, cr union Personal property account pension) or NONE Collection agency Co-signer Collector or attorney name, address, acct # 6 Creditor Address City State Zip A D E F H Date opened / Date last used / What for Account # BAL$ Husb-indiv wife Joint Community Describe collateral (house, vehicle, cr union Personal property account pension) or NONE Collection agency Co-signer Collector or attorney name, address, acct # 7 Creditor Address City State Zip A D E F H Date opened / Date last used / What for Account # BAL$ Husb-indiv wife Joint Community Describe collateral (house, vehicle, cr union Personal property account pension) or NONE Collection agency Co-signer Collector or attorney name, address, acct # CREDITOR LIST Law Offices of Peter Francis Geraci READ THESE INSTRUCTIONS AND INITIAL EACH ONE __1. List ALL debts whether you want to keep them or not!!! Put a star next to number if “keeping” You must be current unless a 13. __2. You can’t keep credit cards unless with credit union secured w/other debts. List debts you dispute, debts you owe friends, etc. __3. First list debts with collateral like mortgages, vehicles, credit unions, finance companies; ALL SECURED DEBTS FIRST! __4. List any child support agency you owe, and tax debts. List credit cards, medical, payday loans, unsecured debts etc. last. __5. Get the name of the creditor right! List the co-signer, collector or attorney in the space for Collection Agency __6. If you don’t know the CREDITOR ADDRESS, go on Google (free at library) and FIND IT. __7. FILL IN ALL BLANKS & list the date originally opened & the date last used. Joint filers must specify Husb,wife, joint, community. __8. Failure to list any debt is fraudulent!! If you have more than 15 creditors, make a copy of page 2 and re-number it.
Transcript of CREDITOR LIST Law Offices of Peter Francis Geraci READ ...Page 1 of 2 Last Name _____ First_____...
-
Page 1 of 2 Last Name ______________________________________________ First__________________________ Middle __________________ Spouse name if joint ___________________________________________________ Date: _____/_____/______ Record # _______-_________
CREDITOR LIST 07 1009 This form is the property of and copyright 2007 by Peter Francis Geraci It is totally confidential until bankruptcy is filed in Court.
1 Creditor
Address City State Zip
A D E F H Date opened / Date last used /
What for Account # BAL$
Husb-indiv wife Joint Community
Describe collateral (house, vehicle, cr union Personal property account pension) or NONE
Collection agency Co-signer Collector or attorney name, address, acct #
2 Creditor
Address City State Zip
A D E F H Date opened / Date last used /
What for Account # BAL$
Husb-indiv wife Joint Community
Describe collateral (house, vehicle, cr union Personal property account pension) or NONE
Collection agency Co-signer Collector or attorney name, address, acct #
3 Creditor
Address City State Zip
A D E F H Date opened / Date last used /
What for Account # BAL$
Husb-indiv wife Joint Community
Describe collateral (house, vehicle, cr union Personal property account pension) or NONE
Collection agency Co-signer Collector or attorney name, address, acct #
4 Creditor
Address City State Zip
A D E F H Date opened / Date last used /
What for Account # BAL$
Husb-indiv wife Joint Community
Describe collateral (house, vehicle, cr union Personal property account pension) or NONE
Collection agency Co-signer Collector or attorney name, address, acct #
5 Creditor
Address City State Zip
A D E F H Date opened / Date last used /
What for Account # BAL$
Husb-indiv wife Joint Community
Describe collateral (house, vehicle, cr union Personal property account pension) or NONE
Collection agency Co-signer Collector or attorney name, address, acct #
6 Creditor
Address City State Zip
A D E F H Date opened / Date last used /
What for Account # BAL$
Husb-indiv wife Joint Community
Describe collateral (house, vehicle, cr union Personal property account pension) or NONE
Collection agency Co-signer Collector or attorney name, address, acct #
7 Creditor
Address City State Zip
A D E F H Date opened / Date last used /
What for Account # BAL$
Husb-indiv wife Joint Community
Describe collateral (house, vehicle, cr union Personal property account pension) or NONE
Collection agency Co-signer Collector or attorney name, address, acct #
CREDITOR LIST Law Offices of Peter Francis Geraci READ THESE INSTRUCTIONS AND INITIAL EACH ONE __1. List ALL debts whether you want to keep them or not!!! Put a star next to number if “keeping” You must be current unless a 13. __2. You can’t keep credit cards unless with credit union secured w/other debts. List debts you dispute, debts you owe friends, etc. __3. First list debts with collateral like mortgages, vehicles, credit unions, finance companies; ALL SECURED DEBTS FIRST! __4. List any child support agency you owe, and tax debts. List credit cards, medical, payday loans, unsecured debts etc. last. __5. Get the name of the creditor right! List the co-signer, collector or attorney in the space for Collection Agency __6. If you don’t know the CREDITOR ADDRESS, go on Google (free at library) and FIND IT. __7. FILL IN ALL BLANKS & list the date originally opened & the date last used. Joint filers must specify Husb,wife, joint, community. __8. Failure to list any debt is fraudulent!! If you have more than 15 creditors, make a copy of page 2 and re-number it.
-
Page 2 of 2 Last Name ______________________________________________ First__________________________ Middle __________________ Spouse name if joint ___________________________________________________ Date: _____/_____/______ Record # _______-_________
CREDITOR LIST 07 1009 This form is the property of and copyright 2007 by Peter Francis Geraci It is totally confidential until bankruptcy is filed in Court.
8 Creditor
Address City State Zip
A D E F H Date opened / Date last used /
What for Account # BAL$
Husb-indiv wife Joint Community
Describe collateral or NONE
Collection agency Co-signer Collector or attorney name, address, acct #
9 Creditor
Address City State Zip
A D E F H Date opened / Date last used /
What for Account # BAL$
Husb-indiv wife Joint Community
Describe collateral or NONE
Collection agency Co-signer Collector or attorney name, address, acct #
10 Creditor
Address City State Zip
A D E F H Date opened / Date last used /
What for Account # BAL$
Husb-indiv wife Joint Community
Describe collateral or NONE
Collection agency Co-signer Collector or attorney name, address, acct #
11 Creditor
Address City State Zip
A D E F H Date opened / Date last used /
What for Account # BAL$
Husb-indiv wife
Joint Community
Describe collateral or NONE
Collection agency Co-signer Collector or attorney name, address, acct #
12 Creditor
Address City State Zip
A D E F H Date opened / Date last used /
What for Account # BAL$
Husb-indiv wife Joint Community
Describe collateral or NONE
Collection agency Co-signer Collector or attorney name, address, acct #
13 Creditor
Address City State Zip
A D E F H Date opened / Date last used /
What for Account # BAL$
Husb-indiv wife Joint Community
Describe collateral or NONE
Collection agency Co-signer Collector or attorney name, address, acct #
14 Creditor
Address City State Zip
A D E F H Date opened / Date last used /
What for Account # BAL$
Husb-indiv wife Joint Community
Describe collateral or NONE
Collection agency Co-signer Collector or attorney name, address, acct #
15 Creditor
Address City State Zip
A D E F H Date opened / Date last used /
What for Account # BAL$
Husb-indiv wife Joint Community
Describe collateral or NONE
Collection agency Co-signer Collector or attorney name, address, acct #
I/We have 15 debts or less __ more debts, see next page x_____________________________ x_____________________________ Date: ____/____/___
Text17: 0: 1: 2: 3: 4:
Text18: 0: 1: 2: 3: 4: 5: 6:
Text19: 0: 0: 1: 2: 3:
1: 0: 1: 2: 3:
2: 0: 1: 2: 3:
3: 0: 1: 2: 3:
4: 0: 1: 2: 3:
5: 0: 1: 2: 3:
6: 0: 1: 2: 3:
Text28: 0: 1: 2: 3: 4: 5: 6:
Text27: 0: 1: 2: 3: 4: 5: 6:
Text26: 0: 1: 2: 3: 4: 5: 6:
Text22: 3: 2: 1: 0:
Text31: 0: 1: 2: 3: 4: 5: 6:
Text32: 0: 1: 2: 3: 4: 5: 6:
Text25: Text24: Text23: Text30: 0: 3: 2: 1: 0:
1: 3: 2: 1: 0:
2: 3: 2: 1: 0:
3: 3: 2: 0: 1:
4: 3: 2: 1: 0:
5: 3: 2: 1: 0:
113: 101: 115: 127: 129: 141: 143: 155: 156: 152: 144: 142: 138: 130: 128: 124: 116: 114: 110: 102: 103: Text111: 117: 125: 131: 139: 145: 153: 146: 147: 154: 140: 133: 132: 126: 119: 118: 112: 105: 104: 120: 121: 123: 122: 137: 136: 135: 134: 148: 149: 150: 151: 157: 169: 171: 183: 185: 197: 199: 211: 212: 208: 200: 198: 194: 186: 184: 180: 172: 170: 166: 158: 159: 167: 173: 181: 187: 195: 201: 209: 210: 203: 202: 188: 189: 196: 182: 175: 174: 168: 161: 160: Text13: Text16: Text14: Text15: Check Box33: 0: Off1: Off2: Off3: Off4: Off5: Off6: Off7: Off8: Off9: Off10: Off11: Off12: Off13: Off14: Off15: Off20: Off21: Off22: Off23: Off19: Off18: Off17: Off16: Off24: Off25: Off26: Off27: Off
Check Box50: OffCheck Box51: OffCheck Box52: OffCheck Box53: OffCheck Box54: OffCheck Box55: OffCheck Box56: OffCheck Box57: OffCheck Box58: OffCheck Box59: OffCheck Box60: OffCheck Box61: OffCheck Box62: OffCheck Box63: OffCheck Box64: OffCheck Box65: OffCheck Box66: OffCheck Box67: OffCheck Box68: OffCheck Box69: OffCheck Box70: OffCheck Box71: OffCheck Box72: OffCheck Box73: OffCheck Box74: OffCheck Box75: OffCheck Box76: OffCheck Box77: OffCheck Box78: OffCheck Box79: OffCheck Box81: OffCheck Box80: OffCheck Box90: 0: Off1: Off
Text3:
