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Cover Sheet For Petition LBF 1002-1.1 - Colorado

Cover Sheet For Petition Form. This is a Colorado form and can be used in Bankruptcy Court Federal .
 Fillable pdf Last Modified 3/13/2013
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/RFDO %DQNUXSWF\ )RUP &29(5 6+((7 )25 3(7,7,21 &+(&. $33/,&$%/( %2;(6 72 6+2: $// '2&80(176 $77$&+(' Name of debtor(s): > @ Attorney (firm name, address, telephone, and registration number): > @ No attorney ("pro se")(home address, telephone): )LOLQJ IHH UHYLVHG SHU GLUHFWLYH RI WKH -XGLFLDO &RQIHUHQFH RI WKH 8QLWHG 6WDWHV > > > > > @ @ @ @ @ $ for chapter 7 $1, for chapter 11 $2 for chapter 12 $2 for chapter 13 Other fee paid: $_________. Enter amount AND attach applicable application under FED. R. BANKR. P. 1006 to pay in installments or pursuant to 28 U.S.C. § 1930(f) (if applicable). ,QGLYLGXDO DQG EXVLQHVV GHEWRUV H[FHSW DV RWKHUZLVH QRWHG >@ Exhibit D Statement of Compliance with Credit Counseling Requirement for each individual debtor (a list of all authorized Credit Counselors for Colorado is found at http://www.usdoj.gov/ust or the court has a list that may be viewed in the Records/Public Information Room 114 of the court.) Voluntary Petition ­ Official Form 1 Statement of Financial Affairs ­ Official Form 7 Summary of Schedules A­J ­ Official Form 6­Summary Schedules A, B, C, D, E, F, G, H, I, and J ­ Official Forms 6A, 6B, 6C, 6D, 6E, 6F, 6Iand 6J Declaration Concerning Debtor's Schedules ­ Official Form 6­Declaration Notice to Debtor by Non-Attorney Bankruptcy Petition Preparer ­ Official Form 19 (submitted only if debtor used the services of a bankruptcy petition preparer) For each individual debtor, copies of all payment advices, paycheck stubs, or other evidence of all salary, commissions or income received within 60 days before the bankruptcy case was filed, copied on 8 ½ by 11 paper with the debtor's first and last name printed on top of each page (and bankruptcy case number, if a number has been assigned); OR, as applicable, complete L.B. Form 1007-6.1 ("Statement Under Penalty of Perjury Concerning Payment Advices") for each debtor. A record of any interest in an education individual retirement account ("IRA") (26 U.S.C. § 530(b)(1)) or qualified state tuition program (26 U.S.C. § 529(b)(1) plans). > > > > @ @ @ @ >@ >@ >@ >@ American LegalNet, Inc. www.FormsWorkFlow.com [] [] [] $WWRUQH\ )HH 'LVFORVXUH 6WDWHPHQW ± 'LUHFWRU¶V 3URFHGXUDO )RUP % 9HULILFDWLRQ RI &UHGLWRUV¶ 0DWUL[ ± /% )RUP &UHGLWRUV¶ 0DWUL[ VHH /%5 DQG /%5 $SS IRU LQVWUXFWLRQV Additional items due from ALL individual debtors: [ ] 6WDWHPHQW RI 6RFLDO 6HFXULW\ 1XPEHUV ± 2IILFLDO )RUP &KDSWHU LQGLYLGXDO GHEWRUV DOVR PXVW ILOH [] 6WDWHPHQW RI &XUUHQW 0RQWKO\ ,QFRPH DQG 0HDQV 7HVW &DOFXODWLRQ ± 2IILFLDO )RUP $ [] 6WDWHPHQW RI ,QWHQWLRQ ± 2IILFLDO )RUP GXH WKLUW\ GD\V SRVWSHWLWLRQ WKH IDLOXUH WR FRPSO\ ZLWK WKLV VWDWHPHQW DQG ILOH UHDIILUPDWLRQ DJUHHPHQWV RU PRWLRQV WR UHGHHP SHUVRQDO SURSHUW\ WKDW WKH GHEWRU GRHV QRW LQWHQG WR VXUUHQGHU KDV UDPLILFDWLRQV GD\V DIWHU WKH ILUVW VFKHGXOHG PHHWLQJ RI FUHGLWRUV XQGHU 86& K RI WKH %DQNUXSWF\ &RGH &KDSWHU LQGLYLGXDO GHEWRUV DOVR PXVW ILOH [] 6WDWHPHQW RI &XUUHQW 0RQWKO\ ,QFRPH ± 2IILFLDO )RUP % &KDSWHU LQGLYLGXDO GHEWRUV DOVR PXVW ILOH [] 6WDWHPHQW RI &XUUHQW 0RQWKO\ ,QFRPH DQG 'LVSRVDEOH ,QFRPH &DOFXODWLRQ ± 2IILFLDO )RUP & [] 3ODQ ±/% )RUP 7KH OLQNV IRU WKH XSGDWHG ,QWHUQDO 5HYHQXH 6HUYLFH DQG &HQVXV %XUHDX ,QIRUPDWLRQ WKDW PD\ EH QHHGHG WR FRPSOHWH 6WDWHPHQW RI &XUUHQW 0RQWKO\ ,QFRPH 2IILFLDO )RUPV $ DQG % FDQ EH UHDFKHG IURP WKH ZHE VLWH KWWSZZZXVGRMJRYXVW 1RW DSSOLFDEOH LQ FKDSWHU FDVHV LI GHEWV DUH SULPDULO\ EXVLQHVV GHEWV Additional items due from chapter 11 debtors: [] /LVW RI 7ZHQW\ /DUJHVW &UHGLWRUV ± 2IILFLDO )RUP [] &RUSRUDWH 2ZQHUVKLS 6WDWHPHQW ± 5HTXLUHG E\ )(' 5 %$1.5 3 D IRU FRUSRUDWLRQV /% )RUP [] /LVW RI (TXLW\ ,QWHUHVW +ROGHUV ± 5HTXLUHG E\ )(' 5 %$1.5 3 D IRU FRUSRUDWLRQV /% )RUP [] 6PDOO EXVLQHVV GHEWRUV PXVW ILOH WKH PRVW UHFHQW EDODQFH VKHHW VWDWHPHQWV RI RSHUDWLRQV FDVKIORZ VWDWHPHQW DQG IHGHUDO LQFRPH WD[ UHWXUQ 25 D YHULILHG VWDWHPHQW WKDW WKRVH GRFXPHQWV GR QRW H[LVW DQG KDYH QRW EHHQ SUHSDUHG RU ILOHG [] 'LVFORVXUH 5HJDUGLQJ 5HFHLYHUV %DQNUXSWF\ )RUP 'DWH 3ULQWHG QDPH RI SDUW\ VLJQLQJ 6LJQDWXUH RI DWWRUQH\ RU GHEWRU ZLWKRXW FRXQVHO American LegalNet, Inc. www.FormsWorkFlow.com
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