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Schedule E, Creditors Holding Unsecured Priority Claims (United States)

This is Schedule F, Creditors Holding Unsecured Nonpriority Claims. The form provided here is simply a sample of what the actual Form B6F looks like.

FORM B6F

In re __________________________________________ Debtor

Case No. _________________________________ (If known)

SCHEDULE F- CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS

State the name, mailing address, including zip code, and account number, if any, of all entities holding unsecured claims without priority against the debtor or the property of the debtor, as of the date of filing of the petition. Do not include claims listed in Schedules D and E. If all creditors will not fit on this page, use the continuation sheet provided.

If any entity other than a spouse in a joint case may be jointly liable on a claim, place an "X" in the column labeled "Codebtor," include the entity on the appropriate schedule of creditors, and complete Schedule H - Codebtors. If a joint petition is filed, state whether husband, wife, both of them, or the marital community maybe liable on each claim by placing an "H," "W," "J," or "C" in the column labeled "Husband, Wife, Joint, or Community."

If the claim is contingent, place an "X" in the column labeled "Contingent." If the claim is unliquidated, place an "X" in the column labeled "Unliquidated." If the claim is disputed, place an "X" in the column labeled "Disputed." (You may need to place an "X" in more than one of these three columns.)

Report total of all claims listed on this schedule in the box labeled "Total" on the last sheet of the completed schedule. Report this total also on the Summary of Schedules.

G Check this box if debtor has no creditors holding unsecured claims to report on this Schedule F.

CREDITOR'S NAME AND MAILING ADDRESS INCLUDING ZIP CODE

ACCOUNT NO. __________________________

ADDRESS __________________________

CITY __________________________

STATE __________________________

ZIP CODE __________________________

CODEBTOR __________________________

HUSBAND, WIFE, JOINT, OR COMMUNITY __________________________

DATE CLAIM WAS INCURRED AND CONSIDERATION FOR CLAIM

__________________________

CONTINGENT __________________________

UNLIQUIDATED __________________________

DISPUTED __________________________

AMOUNT OF CLAIM __________________________


CREDITOR'S NAME AND MAILING ADDRESS INCLUDING ZIP CODE

ACCOUNT NO. __________________________

ADDRESS __________________________

CITY __________________________

STATE __________________________

ZIP CODE __________________________

CODEBTOR __________________________

HUSBAND, WIFE, JOINT, OR COMMUNITY __________________________

DATE CLAIM WAS INCURRED AND CONSIDERATION FOR CLAIM

__________________________

CONTINGENT __________________________

UNLIQUIDATED __________________________

DISPUTED __________________________

AMOUNT OF CLAIM __________________________


CREDITOR'S NAME AND MAILING ADDRESS INCLUDING ZIP CODE

ACCOUNT NO. __________________________

ADDRESS __________________________

CITY __________________________

STATE __________________________

ZIP CODE __________________________

CODEBTOR __________________________

HUSBAND, WIFE, JOINT, OR COMMUNITY __________________________

DATE CLAIM WAS INCURRED AND CONSIDERATION FOR CLAIM

__________________________

CONTINGENT __________________________

UNLIQUIDATED __________________________

DISPUTED __________________________

AMOUNT OF CLAIM __________________________


Subtotal $__________________________

Total $__________________________

(Report also on Summary of Schedules)


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