Form 6-Summary (10/05)
United States Bankruptcy Court
_______________ District Of ______________
In re ___________________________________, Debtor Case No. ___________________ Chapter ____________
SUMMARY OF SCHEDULES
Indicate as to each schedule whether that schedule is attached and state the number of pages in each. Report the totals from Schedules A, B, D, E, F, I, and J in the boxes provided. Add the amounts from Schedules A and B to determine the total amount of the debtor’s assets. Add the amounts of all claims from Schedules D, E, and F to determine the total amount of the debtor’s liabilities. Individual debtors must also complete the “Statistical Summary of Certain Liabilities.”
AMOUNTS SCHEDULED NAME OF SCHEDULE A - Real Property ATTACHED (YES/NO) NO. OF SHEETS $ ASSETS LIABILITIES OTHER
B - Personal Property
$
C - Property Claimed as Exempt
D - Creditors Holding Secured Claims E - Creditors Holding Unsecured Priority Claims
$
$
F - Creditors Holding Unsecured Nonpriority Claims
$
G - Executory Contracts and Unexpired Leases
H - Codebtors
I - Current Income of Individual Debtor(s)
$
J - Current Expenditures of Individual Debtors(s) TOTAL $ $
$
Form 6-Summ2 (10/05)
United States Bankruptcy Court
_______________ District Of ______________
In re ___________________________________, Debtor Case No. ___________________ Chapter ____________
STATISTICAL SUMMARY OF CERTAIN LIABILITIES (28 U.S.C. § 159) [Individual Debtors Only]
Summarize the following types of liabilities, as reported in the Schedules, and total them.
Type of Liability Domestic Support Obligations (from Schedule E) Taxes and Certain Other Debts Owed to Governmental Units (from Schedule E) Claims for Death or Personal Injury While Debtor Was Intoxicated (from Schedule E) Student Loan Obligations (from Schedule F) Domestic Support, Separation Agreement, and Divorce Decree Obligations Not Reported on Schedule E Obligations to Pension or Profit-Sharing, and Other Similar Obligations (from Schedule F) TOTAL
Amount $ $
$
$ $
$
$
The foregoing information is for statistical purposes only under 28 U.S.C. § 159.