Free pdf - New Mexico

UNITED STATES BANKRUPTCY COURT DISTRICT OF NEW MEXICO In re:

Debtor(s).

No.

Declarations by Debtor for Electronic Filing of Chapter 11 (Individual) Petition with All Schedules and Statements I declare under penalty of perjury that I have read the information and answers provided in the following documents and that they are true and correct to the best of my knowledge, information, and belief. I request relief in accordance with chapter 11 of title 11, United States Code, as specified in this petition. 1. 2. 3. 4 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. Petition, Official Form 1, with Exhibit D - Individual Debtor's Statement of Compliance with Credit Counseling Requirement Summary of Schedules with Statistical Summary of Certain Liabilities and Related Data (28 11 U.S.C. § 159), Official Form 6 - Summary and Statistical Summary List of Creditors Holding 20 Largest Unsecured Claims, Form 4 Schedule A - Real Property, Official Form B6A Schedule B - Personal Property, Official Form B6B Schedule C - Property Claimed as Exempt, Official Form B6C Schedule D - Creditors Holding Secured Claims, Official Form B6D Schedule E - Creditors Holding Unsecured Priority Claims, Official Form B6E Schedule F - Creditors Holding Unsecured Nonpriority Claims, Official Form B6F Schedule G - Executory Contracts and Unexpired Leases, Official Form B6G Schedule H - Codebtors, Official Form B6H Schedule I - Current Income of Individual Debtor(s), Official Form B6I , including specific
statement on Line 17 disclosing any reasonably anticipated increase in income over the 12-month period following the date of the filing of the petition. (11 U. S. C. § 521 (a)(1)(B)(vi)) Schedule J - Current Expenditures of Individual Debtor(s), Official Form B6J, including specific statement on Line 19 disclosing any reasonably anticipated increase in expenditures over the 12month period following the date of the filing of the petition. (11 U. S. C. § 521 (a)(1)(B)(vi))

Statement of Financial Affairs, Official Form 7 Statement of Current Monthly Income, Form B22B [Small business case ONLY] Most recent balance sheet, statement of operations, cashflow statement, and Federal income tax return (11 U.S.C. § 1116 (A)) -OR- statement that no balance sheet, statement of operations, or cash-flow statement has been prepared, and no Federal tax return has been filed (11 USC §1116 (1)(B)).

Signature of debtor

Date

Signature of joint debtor

Date

USE OF THIS FORM IS REQUIRED BY COURT ORDER DATED OCTOBER 14, 2005
K:\cm-ecf\Forms Oct 2006\revised signature pages\form500-11.wpd

NM Form 500-11 (10/2006)