Individual Debtor's Statement of Intention (United States)
This is a supplemental form to a Bankruptcy and is a debtor's statement of intention. The form provided here is simply a sample of what the actual Form B8 looks like.
Form B8 (Official Form 8)
(9/97)
INDIVIDUAL DEBTOR'S STATEMENT OF INTENTION
[Caption as in Form 16B]
CHAPTER 7 INDIVIDUAL DEBTOR'S STATEMENT OF INTENTION
1. I have filed a schedule of assets and liabilities which includes consumer debts secured by property of the estate.
2. I intend to do the following with respect to the property of the estate which secures those consumer debts:
a. Property to Be Surrendered.
Description of Property ______________________________________
Creditor's name ______________________________________
b. Property to Be Retained [Check any applicable statement.]
Description of Property ______________________________________
Creditor's Name ______________________________________
Property is claimed as exempt ______________________________________
Property will be redeemed pursuant to 11 U.S.C. § 722 11 ______________________________________
Debt will be reaffirmed pursuant to U.S.C. § 524(c) ______________________________________
Date: ____________________
Signature of Debtor ______________________________________
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CERTIFICATION OF NON-ATTORNEY BANKRUPTCY PETITION PREPARER (See 11 U.S.C. § 110)
I certify that I am a bankruptcy petition preparer as defined in 11 U.S.C. § 110, that I prepared this document for compensation, and that I have provided the debtor with a copy of this document.
Printed or Typed Name of Bankruptcy Petition Preparer ______________________________________
Social Security No. ______________________________________
Address ______________________________________
______________________________________
Names and Social Security Numbers of all other individuals who prepared or assisted in preparing this document.
______________________________________
______________________________________
If more than one person prepared this document, attach additional signed sheets conforming to the appropriate Official Form for each person.
X__________________________________________
Signature of Bankruptcy Petition Preparer
Date ______________________________________
A bankruptcy petition preparer's failure to comply with the provisions of title 11 and the Federal Rules of Bankruptcy Procedure may result in fines or imprisonment or both. 11 U.S.C. § 110; 18 U.S.C. § 156.