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Schedule C, Property Claimed as Exempt (United States)

This is Schedule C, Property Claimed as Exempt. The form provided here is simply a sample of what the actual Form B6C looks like.

FORM B6C

In re ____________________________________________ Debtor

(Case No. _________________________ If known)

SCHEDULE C - PROPERTY CLAIMED AS EXEMPT

Debtor elects the exemptions to which debtor is entitled under: (Check one box)

____11 U.S.C. § 522(b)(1): Exemptions provided in 11 U.S.C. § 522(d). Note: These exemptions are available only in certain states.

____ 11 U.S.C. § 522(b)(2): Exemptions available under applicable nonbankruptcy federal laws, state or local law where the debtor's domicile has been located for the 180 days immediately preceding the filing of the petition, or for a longer portion of the 180-day period than in any other place, and the debtor's interest as a tenant by the entirety or joint tenant to the extent the interest is exempt from process under applicable nonbankruptcy law.

DESCRIPTION OF PROPERTY __________________________

SPECIFY LAW PROVIDING EACH EXEMPTION __________________________

VALUE OF CLAIMED EXEMPTION __________________________

CURRENT MARKET VALUE OF PROPERTY WITHOUT DEDUCTING EXEMPTION

__________________________

DESCRIPTION OF PROPERTY __________________________

SPECIFY LAW PROVIDING EACH EXEMPTION __________________________

VALUE OF CLAIMED EXEMPTION __________________________

CURRENT MARKET VALUE OF PROPERTY WITHOUT DEDUCTING EXEMPTION

__________________________


DESCRIPTION OF PROPERTY __________________________

SPECIFY LAW PROVIDING EACH EXEMPTION __________________________

VALUE OF CLAIMED EXEMPTION __________________________

CURRENT MARKET VALUE OF PROPERTY WITHOUT DEDUCTING EXEMPTION

__________________________

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