Caption (Full) (United States)
This is caption (full) and a supplemental form to a Bankruptcy form. The form provided here is simply a sample of what the actual Form B16A looks like.
Form B16A
11/94
Form 16A. CAPTION (FULL)
UNITED STATES BANKRUPTCY COURT
________________________ DISTRICT OF_____________________
In re __________________________________________, )
Set forth here all names including married, )
maiden, and trade names used by debtor within )
last 6 years.] )
Debtor ) Case No. ________________
)
)
Address _________________________________________ )
)
_________________________________________
) Chapter _________________
)
Social Security No(s). _____________________ and all )
Employer's Tax Identification No(s). [if any]_________ )
________________________________________________ )
[Designation of Character of Paper]