Templates Bankruptcy Delaware Bankruptcy Exemption Worksheet

Delaware Bankruptcy Exemption Worksheet

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Delaware Bankruptcy Exemption Worksheet

Caption

Court Designation
United States Bankruptcy Court
District of Delaware
Party Role
In re: [DEBTOR NAME], Debtor(s)
Case No.: [__________] Chapter: ☐ 7 ☐ 11 ☐ 13

Section 1 — Debtor Information and Domicile Verification

Field Entry
Debtor full legal name [____________________________________]
Co-debtor / spouse name (if joint) [____________________________________]
Current Delaware residence address [____________________________________]
Date debtor established Delaware domicile [__/__/____]
Anticipated petition date [__/__/____]
Days domiciled in Delaware preceding petition [________] days

1.1 Domicile Eligibility Check (11 U.S.C. § 522(b)(3)(A))

☐ Debtor has been domiciled in Delaware for the 730 days immediately preceding the petition date (Delaware exemptions apply).

☐ Debtor has NOT been domiciled in Delaware for 730 days, BUT was domiciled in Delaware for the 180-day period (or longer portion thereof) immediately preceding that 730-day period (Delaware exemptions apply).

☐ Debtor must apply the exemptions of the state of prior domicile: [__________].

☐ Federal nonbankruptcy exemptions in 11 U.S.C. § 522(b)(3)(A) (last sentence) apply if no state law would govern.

1.2 Federal Homestead Cap Verification (11 U.S.C. § 522(p))

☐ Debtor acquired the principal residence interest more than 1,215 days before the petition date (no federal cap).

☐ Debtor acquired the principal residence interest within 1,215 days before the petition; the federal cap of $189,050 (as adjusted April 1, 2022; next adjustment April 1, 2025 — verify current amount) applies and overrides any larger Delaware homestead.


Section 2 — Real Property Schedule

2.1 Principal Residence (10 Del. C. § 4914(c)(1))

Field Entry
Street address [____________________________________]
County (New Castle / Kent / Sussex) [__________]
Parcel / tax map ID [__________]
Title held as ☐ Sole ☐ Joint Tenants ☐ Tenancy by the Entireties ☐ Tenants in Common
Fair market value (FMV) $[____________]
Total liens (mortgage, HELOC, judgment) $[____________]
Equity (FMV minus liens) $[____________]
Delaware homestead claimed (10 Del. C. § 4914(c)(1)) $[____________] (max $200,000)
Federal § 522(p) cap applies? ☐ Yes ☐ No
Nonexempt equity (if any) $[____________]

2.2 Other Real Property (Non-Residence) — claim under § 4914(b) wildcard if needed

Property FMV Liens Equity Exemption Claimed
[_______________] $[______] $[______] $[______] $[______]
[_______________] $[______] $[______] $[______] $[______]

Section 3 — Personal Property Schedule

3.1 Articles Specifically Exempt (10 Del. C. § 4902(a))

These items are exempt without dollar limitation (except as noted) and do NOT count against the § 4914(b) wildcard.

Item Owned? Estimated Value Exempt Amount Citation
Family Bible $[____] Full § 4902(a)
School books / family library $[____] Full § 4902(a)
Family pictures $[____] Full § 4902(a)
Seat or pew in church / place of worship $[____] Full § 4902(a)
Lot in burial ground $[____] Full § 4902(a)
Wearing apparel (debtor and family) $[____] Full § 4902(a)
Sewing machine (seamstress / private family) $[____] Full § 4902(b)
Leased / hired pianos, organs, attachments $[____] Full § 4902(c)

3.2 Tools, Implements, Fixtures of Trade (10 Del. C. § 4902(a) — small) and § 4914(c)(3) (large)

Item FMV Citation Used Amount Claimed
[_______________] $[______] ☐ § 4902(a) ($75 NCC/Sussex; $50 Kent) ☐ § 4914(c)(3) (up to $25,000) $[______]
[_______________] $[______] ☐ § 4902(a) ☐ § 4914(c)(3) $[______]
Subtotal — Tools of trade § 4914(c)(3) $[______] (max $25,000)

3.3 Head-of-Family Exemption (10 Del. C. § 4903) — $500

☐ Debtor qualifies as head of a family (verify current case law on definition).
☐ Item(s) claimed: [____________________________________]
☐ Value claimed: $[______] (max $500)

3.4 Motor Vehicle (10 Del. C. § 4914(c)(2)) — up to $25,000

Vehicle (Year/Make/Model) VIN FMV Liens Equity Exemption Claimed
[_______________] [_______] $[______] $[______] $[______] $[______]

Vehicle exemption claimed: $[______] (max $25,000 per debtor — verify whether HB 318 caps per debtor or per filing)

3.5 § 4914(b) Wildcard — Personal Property & Non-Residence Real Property — $25,000 aggregate

This wildcard absorbs household goods, furnishings, electronics, jewelry, cash, bank balances, tax refunds, personal injury claims, and any property not otherwise exempt under §§ 4902, 4903, 4914(c), or 4915. It is NOT the homestead.

Asset Category FMV Wildcard Allocation
Cash on hand $[______] $[______]
Bank accounts (checking / savings) $[______] $[______]
Household goods, furnishings, appliances $[______] $[______]
Electronics $[______] $[______]
Jewelry $[______] $[______]
Pets / livestock $[______] $[______]
Sporting / hobby equipment $[______] $[______]
Firearms (verify federal / state restrictions) $[______] $[______]
Pre-petition tax refunds (federal & DE) $[______] $[______]
Stocks, bonds, non-retirement investments $[______] $[______]
Personal injury / wrongful death claim proceeds $[______] $[______]
Other: [_______________] $[______] $[______]
Subtotal — Wildcard claimed $[______] (max $25,000)

Section 4 — Retirement, Life Insurance, and Annuity (10 Del. C. § 4915)

4.1 Retirement Plans

Account Type Plan Name / Custodian Account Balance Exempt under § 4915?
401(k) [_______________] $[______] ☐ Yes (full)
403(b) [_______________] $[______] ☐ Yes (full)
Pension / defined benefit [_______________] $[______] ☐ Yes (full)
Profit-sharing [_______________] $[______] ☐ Yes (full)
Traditional IRA [_______________] $[______] ☐ Yes (subject to § 4915 limits)
Roth IRA [_______________] $[______] ☐ Yes (subject to § 4915 limits)
SEP / SIMPLE IRA [_______________] $[______] ☐ Yes (subject to § 4915 limits)
Eligible rollover (received within 60 days) [_______________] $[______] ☐ Yes (60-day window)

4.2 Life Insurance Contracts

Policy / Insurer Insured Owner / Beneficiary Cash Surrender Value Death Benefit Exempt under § 4915?
[_______________] [_______] [_______] $[______] $[______] ☐ Yes

4.3 Annuity Contracts

Contract / Issuer Account Value Exempt under § 4915?
[_______________] $[______] ☐ Yes

Section 5 — Wages and Public Benefits

5.1 Wage Exemption (10 Del. C. § 4913)

☐ 85% of debtor's wages for labor or service are exempt from attachment and execution.
☐ Only 15% of disposable wages are reachable by general unsecured creditors.
☐ Exception applies (state fines, costs, taxes): [____________________________________]

5.2 Public Benefits (Generally Fully Exempt — Verify Each Statute)

Benefit Statute Receiving? Monthly Amount
Workers' compensation (DE or other state) 19 Del. C. § 2355; 10 Del. C. § 4914 (HB 318 extension) $[______]
Unemployment insurance 19 Del. C. § 3374 $[______]
Social Security 42 U.S.C. § 407 $[______]
SSI / SSDI 42 U.S.C. § 407, § 1383(d)(1) $[______]
Veterans' benefits 38 U.S.C. § 5301 $[______]
TANF / general assistance 31 Del. C. § 513 $[______]
Crime victim compensation 11 Del. C. § 9009 $[______]

Section 6 — Property NOT Eligible for Exemption (Disqualifiers)

☐ Property the debtor concealed, transferred, or removed within 1 year preceding petition with intent to hinder, delay, or defraud (11 U.S.C. § 522(o)).

☐ Homestead reduction under 11 U.S.C. § 522(o) for nonexempt property converted to homestead within 10 years preceding petition with fraudulent intent.

☐ § 4914(c) homestead voided after notice and hearing for: federal/state securities-law violations; fraud, deceit, or manipulation in a fiduciary capacity; or criminal acts causing serious bodily injury or death within 5 years preceding petition (11 U.S.C. § 522(q)).

☐ Property subject to a non-avoidable lien (purchase-money security interest, statutory lien, judicial lien not subject to § 522(f) avoidance).


Section 7 — Summary Totals

Category Statute Amount Claimed
Homestead (principal residence) § 4914(c)(1) $[__________] / max $200,000
Motor vehicle § 4914(c)(2) $[__________] / max $25,000
Tools of trade § 4914(c)(3) $[__________] / max $25,000
Wildcard (personal property + non-residence real) § 4914(b) $[__________] / max $25,000
Specific articles (Bible, library, apparel, sewing machine, etc.) § 4902 Full (no cap)
Head-of-family § 4903 $[______] / max $500
Retirement / life insurance / annuity § 4915 $[__________] (full, subject to § 522(n))
Wages (85%) § 4913 $[__________]
Public benefits various $[__________]
TOTAL EXEMPTIONS CLAIMED $[__________]

Section 8 — Schedule C Cross-Reference

For each line on Official Form 106C (Schedule C — The Property You Claim as Exempt), enter:

  1. Description of property (matching Schedule A/B).
  2. Current value of the portion claimed exempt.
  3. Amount of exemption claimed (or check "100% of fair market value" only when statutory authority supports it — Delaware does not authorize 100% exemptions for most categories; use specific dollar amounts).
  4. Specific Delaware statute (e.g., "10 Del. C. § 4914(c)(1)").
  5. Do not check the "11 U.S.C. § 522(d)" column — Delaware is an opt-out state.

Section 9 — Attorney Certification

I, [ATTORNEY NAME], Delaware Bar No. [________], certify that I have reviewed the debtor's schedules, verified the 730-day domicile rule under 11 U.S.C. § 522(b)(3)(A), confirmed the post-HB 318 (eff. Jan. 1, 2025) Delaware exemption amounts against current 10 Del. C. §§ 4902–4915, and analyzed federal cap exposure under 11 U.S.C. § 522(o), (p), (q), and § 522(n).

Field Entry
Attorney signature [____________________________________]
Date [__/__/____]
Firm [____________________________________]
Address [____________________________________]
Phone / Email [__________] / [__________]

Debtor signature (under penalty of perjury, 28 U.S.C. § 1746): [____________________________________]
Date: [__/__/____]

Joint debtor signature: [____________________________________]
Date: [__/__/____]


Sources and References

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Bankruptcy is a federal legal process for people and businesses who cannot pay their debts. The right chapter depends on your income, what you own, and whether you want to keep assets like a home or car. The paperwork is extensive and the deadlines are strict, so using the right template for your situation is the first step toward getting your filing accepted and your case moving.

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Last updated: May 2026