Free B 8, Chapter 7 Individual Debtor's Statement of Intention - California

B8 (Form 8) (12/08)

Page 1

United States Bankruptcy Court Eastern District of California

In re Debtor(s).

Case No.: Chapter 7

CHAPTER 7 INDIVIDUAL DEBTOR'S STATEMENT OF INTENTION
PART A ­ Debts secured by property of the estate. (Part A must be fully completed for EACH debt which is secured by property
of the estate. Attach additional pages if necessary.)
Property No. 1

Creditor's Name:

Describe Property Securing Debt:

Property will be (check one):

G G G G G

Surrendered

G

Retained

If retaining the property, I intend to (check at least one): Redeem the property Reaffirm the debt Other. Explain
(for example, avoid lien using 11 U.S.C. § 522(f))

Property is (check one): Claimed as exempt

G

Not claimed as exempt

Property No. 2 (if necessary)

Creditor's Name:

Describe Property Securing Debt:

Property will be (check one):

G G G G G

Surrendered

G

Retained

If retaining the property, I intend to (check at least one): Redeem the property Reaffirm the debt Other. Explain
(for example, avoid lien using 11 U.S.C. § 522(f))

Property is (check one): Claimed as exempt

G

Not claimed as exempt

B8 (Form 8) (12/08)

Page 2

PART B ­ Personal property subject to unexpired leases. (All three columns of Part B must be completed for EACH unexpired
lease. Attach additional pages if necessary.)

Property No. 1

Lessor's Name:

Describe Leased Property:

Lease will be Assumed pursuant to 11 U.S.C. §365(p)(2):

G
Property No. 2 (if necessary)

YES

G

NO

Lessor's Name:

Describe Leased Property:

Lease will be Assumed pursuant to 11 U.S.C. §365(p)(2):

G
Property No. 3 (if necessary)

YES

G

NO

Lessor's Name:

Describe Leased Property:

Lease will be Assumed pursuant to 11 U.S.C. §365(p)(2):

G

YES

G

NO

continuation sheets attached (if any)

I (we) declare under penalty of perjury that the above indicates my (our) intention as to any property of my (our) estate securing a debt and/or personal property subject to an unexpired lease.

Date:___________________

________________________________________________ Signature of Debtor

Date:___________________

________________________________________________ Signature of Joint Debtor

B8 (Form 8) (12/08)

Page 3

CHAPTER 7 INDIVIDUAL DEBTOR'S STATEMENT OF INTENTION
(Continuation Sheet)

PART A - Continuation
Property No.

Creditor's Name:

Describe Property Securing Debt:

Property will be (check one):

G G G G G

Surrendered

G

Retained

If retaining the property, I intend to (check at least one): Redeem the property Reaffirm the debt Other. Explain
(for example, avoid lien using 11 U.S.C. § 522(f))

Property is (check one): Claimed as exempt

G

Not claimed as exempt

PART B - Continuation
Property No.

Lessor's Name:

Describe Leased Property:

Lease will be Assumed pursuant to 11 U.S.C. §365(p)(2):

G

YES

G

NO

Property No.

Lessor's Name:

Describe Leased Property:

Lease will be Assumed pursuant to 11 U.S.C. §365(p)(2):

G

YES

G

NO