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TABLE 3A – OFFICIAL BANKRUPTCY FORMS

FORM NO. FORM NAME

101 Voluntary Petition for Individuals Filing for Bankruptcy 

101A Initial Statement About an Eviction Judgment Against You (individuals) 

101B Statement About Payment of an Eviction Judgment Against You (individuals) 

103A Application for Individuals to Pay the Filing Fee in Installments 

103B Application to Have the Chapter 7 Filing Fee Waived 

104 For Individual Chapter 11 Cases: The List of Creditors Who Have the 20 

Largest Unsecured Claims Against You Who Are Not Insiders 

105 Involuntary Petition Against an Individual 

106 

Declaration 

Declaration About an Individual Debtor’s Schedules 

106 

Summary 

A Summary of Your Assets and Liabilities and Certain Statistical Information 

(individuals) 

106A/B Schedule A/B: Property (individuals) 

106C Schedule C: The Property You Claim as Exempt (individuals) 

106D Schedule D: Creditors Who Hold Claims Secured By Property (individuals) 

106E/F Schedule E/F: Creditors Who Have Unsecured Claims (individuals) 

106G Schedule G: Executory Contracts and Unexpired Leases (individuals) 

106H Schedule H: Your Codebtors (individuals) 
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106I Schedule I: Your Income (individuals) 

106J Schedule J: Your Expenses (individuals) 

106J-2 Schedule J-2: Expenses for Separate Household of Debtor 2 (individuals) 

107 Your Statement of Financial Affairs for Individuals Filing for Bankruptcy 

(individuals) 

108 Statement of Intention for Individuals Filing Under Chapter 7 

119 Bankruptcy Petition Preparer’s Notice, Declaration and Signature 

121 Your Statement About Your Social Security Numbers 

122A-1 Chapter 7 Statement of Your Current Monthly Income 

122A-1Supp Statement of Exemption from Presumption of Abuse Under §707(b)(2) 

122A-2 Chapter 7 Means Test Calculation 

122B Chapter 11 Statement of Your Current Monthly Income 

122C-1 Chapter 13 Statement of Your Current Monthly Income and Calculation of 

Commitment Period 

122C-2 Chapter 13 Calculation of Your Disposable Income 

201 Voluntary Petition for Non-Individuals Filing for Bankruptcy 

201A Attachment to Voluntary Petition for Non-Individuals Filing for Bankruptcy 

Under Chapter 11 

202 Declaration Under Penalty of Perjury for Non-Individual Debtors 
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204 For Chapter 11 Cases: The List of Creditors Who Have the 20 Largest 

Unsecured Claims Against You Who Are Not Insiders (non-individuals) 

205 Involuntary Petition Against a Non-Individual 

206 

Summary 

A Summary of Your Assets and Liabilities (non-individuals) 

206A/B Schedule A/B: Property (non-individuals) 

206D Schedule D: Creditors Who Hold Claims Secured By Property (non-individuals) 

206E/F Schedule E/F: Creditors Who Have Unsecured Claims (non-individuals) 

206G Schedule G: Executory Contracts and Unexpired Leases (non-individuals) 

206H Schedule H: Your Codebtors (non-individuals) 

207 Statement of Your Financial Affairs (non-individuals) 

309A Notice of Chapter 7 Bankruptcy Case – No Proof of Claim Deadline (For 

Individuals or Joint Debtors) 

309B Notice of Chapter 7 Bankruptcy Case – Proof of Claim Deadline Set (For 

Individuals or Joint Debtors) 

309C Notice of Chapter 7 Bankruptcy Case – No Proof of Claim Deadline Set (For 

Corporations or Partnerships) 

309D Notice of Chapter 7 Bankruptcy Case – Proof of Claim Deadline Set (For 

Corporations or Partnerships) 

309E Notice of Chapter 11 Bankruptcy Case (For Individuals or Joint Debtors) 

309F Notice of Chapter 11 Bankruptcy Case (For Corporations or Partnerships) 
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309G Notice of Chapter 12 Bankruptcy Case (For Individuals or Joint Debtors) 

309H Notice of Chapter 12 Bankruptcy Case (For Corporations or Partnerships) 

309I Notice of Chapter 13 Bankruptcy Case 

312 Order and Notice for Hearing on Disclosure Statement 

313 Order Approving Disclosure Statement and Fixing Time for Filing Acceptances 

or Rejections of Plan, Combined with Notice Thereof 

314 Ballot for Accepting or Rejecting Plan 

315 Order Confirming Plan 

318 Discharge of Debtor in a Chapter 7 Case 

401 Petition for Recognition of Foreign Proceeding 

410 Proof Of Claim 

410A Proof Of Claim, Attachment A 

410S-1 Proof Of Claim, Supplement 1 

410S-2 Proof Of Claim, Supplement 2 

416A Caption 

416B Caption (Short Title) 

416D Caption for Use in Adversary Proceeding other than for a Complaint Filed by a 

Debtor 

417A Notice Of Appeal And Statement Of Election 
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417B Optional Appellee Statement Of Election To Proceed In District Court 

417C Certificate of Compliance With Rule 8015(a)(7)(B) or 8016(d)(2) 

420A Notice of Motion or Objection 

420B Notice of Objection to Claim 

423 Certification About a Financial Management Course 

424 Certification to Court of Appeals 

425A Plan of Reorganization for Small Business under Chapter 11 

425B Disclosure Statement for Small Business under Chapter 11 

425C Monthly Operating Report for Small Business under Chapter 11 

426 Periodic Report Regarding Value, Operations and Profitability of Entities in 

Which the Debtor's Estate Holds a Substantial or Controlling Interest 

427 Cover Sheet for Reaffirmation Agreement 

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