Bankruptcy Petition - Chapter 13

New York Financial & Banking Updated August 25, 2026 Free Word and PDF

NEW YORK CHAPTER 13 FILING CONTROL WORKSHEET

NOT A PETITION OR PLAN

Do not copy this worksheet into CM/ECF or file it with the court. Complete the
current Official Forms and the selected district's current Chapter 13 plan.
Never condense, adapt, or replace an Official Form or local plan with prose.

1. Counsel and Case Control

Item Verified information
Debtor 1 legal name [________________________________]
Debtor 2 legal name, if joint filing [________________________________]
Bankruptcy counsel [________________________________]
Petition-date target [__/__/____]
Selected New York district [SDNY / EDNY / NDNY / WDNY]
Division or courthouse designation [________________________________]
Current local rules checked on [__/__/____]
Judge or case-management procedures checked on [__/__/____]
Current filing fee or approved installment route [________________________________]
Emergency filing reason, if any [________________________________]

2. District and Plan-Form Gate

Select only after counsel completes the venue analysis under 28 U.S.C. § 1408
and confirms the district/division rules.

Southern District of New York

☐ Use the current SDNY Chapter 13 Plan supplied on the court's Chapter 13 page.

Page: https://www.nysb.uscourts.gov/chapter-13-filing-and-plan-information

Current plan link shown by that page:
https://www.nysb.uscourts.gov/sites/default/files/Ch13Plan2022_Final.pdf

Eastern District of New York

☐ For a case filed on or after June 1, 2026, use the revised EDNY Chapter 13
Model Plan as the sole permissible form.

Page: https://www.nyeb.uscourts.gov/forms/chapter-13-plan-effective-starting-june-1-2026

Northern District of New York

☐ Use the current NDNY Chapter 13 Local Form Plan.

Page: https://www.nynb.uscourts.gov/form/chapter-13-local-form-plan

Western District of New York

☐ Use current Official Form 113 and review the specific Buffalo or Rochester
Case Management Order entered in the case.

Notice: https://www.nywb.uscourts.gov/sites/nywb/files/NOTICE%20TO%20ATTORNEYS%2017-02.pdf

District, division, form version, and controlling-order conclusion:
[____________________________________________________________]

3. Eligibility Gate

A. Debtor and debt eligibility

☐ Debtor is an individual with regular income.

☐ Noncontingent, liquidated unsecured debt was calculated as of the petition date.

☐ Noncontingent, liquidated secured debt was calculated as of the petition date.

☐ Current adjusted § 109(e) limits were checked for the petition date. The
April 1, 2025 adjustments are $526,700 unsecured and $1,580,125 secured; recheck
the official § 109 notes before filing.

Eligibility calculation Amount or conclusion
Noncontingent, liquidated unsecured debt $[________]
Noncontingent, liquidated secured debt $[________]
Disputed classification or liquidation issue [________]
Counsel conclusion [ELIGIBLE / NOT ELIGIBLE / REQUIRES MOTION OR OTHER CHAPTER REVIEW]

B. Prior cases and filing restrictions

Prior case Court and number Filed Dismissed/closed § 109(g), stay, or serial-filing issue
[________] [________] [________] [________] [________]
[________] [________] [________] [________] [________]

☐ Counsel reviewed all cases and stay consequences, not merely cases filed in
the last eight years requested by Form 101.

C. Credit counseling

☐ Approved briefing completed within the 180-day period ending on filing date.

☐ Certificate and any repayment plan obtained.

☐ If relying on an exception, exigent-circumstances certification, incapacity,
disability, active-duty, or district-unavailability route, counsel approved the
exact statutory and form requirements before filing.

Provider / completion date / certificate location: [____________________]

4. Venue and New York District Record

Venue fact during the 180-day lookback Location Dates Evidence
Domicile [________] [________] [________]
Residence [________] [________] [________]
Principal place of business [________] [________] [________]
Principal assets [________] [________] [________]
Affiliate/general-partner/partnership case, if relied upon [________] [________] [________]

Why the selected district holds venue for the longer portion of the relevant
180-day period:
[_______________________________________________________]

Division or courthouse assignment source: [___________________________]

5. Current Official-Form Control

Download fresh forms from:
https://www.uscourts.gov/forms-rules/forms/bankruptcy-forms

Do not reuse a saved form without confirming its revision and petition-date
instructions.

Form or document Required/action conclusion Version checked Complete Filing or delivery destination
Official Form 101 — Voluntary Petition [________] [________] Court
Official Form 121 — Social Security Numbers [________] [________] Restricted court filing
Form 106 Summary and Schedules A/B through J, as applicable [________] [________] Court
Declaration About Schedules [________] [________] Court
Official Form 107 — Statement of Financial Affairs [________] [________] Court
Official Form 122C-1 [________] [________] Court
Official Form 122C-2, if required [________] [________] Court
Selected district plan or Official Form 113 [________] [________] Court/service as required
Creditor name-and-address list in local format [________] [________] Court
Credit-counseling certificate and any repayment plan [________] [________] Court
Payment advices or local declaration route [________] [________] Court/trustee as directed
Official Form 2010 delivery/acknowledgment record [________] [________] Debtor record
Attorney-compensation disclosure, if represented [________] [________] Court
Local cover sheet, declaration, or filing event [________] [________] Court

6. Filing and Deadline Calendar

Do not treat every item as a 14-day cure item. Some documents or eligibility
records must accompany the petition.

Event Controlling rule or order Calculated date/time Filed, served, or delivered Proof
Petition and creditor list Rule 1007(a)(1) and local procedure [________] [________] [________]
Credit-counseling documents required with petition Rule 1007(c)(3) [________] [________] [________]
Schedules, statements, payment evidence, and means-test forms Rule 1007 and court order [________] [________] [________]
Chapter 13 plan Rule 3015(b) and selected local plan rule [________] [________] [________]
First plan/lease/adequate-protection payment § 1326(a)(1) and court order [________] [________] [________]
Most recently filed federal return/transcript to trustee § 521(e)(2); Rule 4002(b)(3) [________] [________] [________]
Four-year prepetition returns filed with tax authorities § 1308 [________] [________] [________]
§ 341 meeting Clerk/trustee notice [________] [________] [________]
ID, SSN evidence, income, account, and expense documents for meeting Rule 4002 and trustee instructions [________] [________] [________]

Rule 3015(b) ordinarily requires the plan with the petition or within 14 days.
Section 1326(a)(1) ordinarily requires specified payments no later than 30 days
after plan filing or the order for relief, whichever is earlier. Calendar the
actual dates; do not begin payments on a generic “next month” formula.

7. Financial and Disclosure Reconciliation

Topic Source records Official forms/plan checked Difference resolved
Real estate and liens [________] [________] [________]
Vehicles and secured personal property [________] [________] [________]
Bank, investment, retirement, digital, and business assets [________] [________] [________]
Claims, litigation, transfers, gifts, losses, and repossessions [________] [________] [________]
Income, household, dependents, and payroll deductions [________] [________] [________]
Expenses and anticipated changes [________] [________] [________]
Priority, secured, unsecured, disputed, contingent, and unliquidated debts [________] [________] [________]
Taxes and refunds [________] [________] [________]
Domestic-support obligations [________] [________] [________]
Executory contracts and unexpired leases [________] [________] [________]
Exemption election and petition-date amounts [________] [________] [________]

No tax-refund turnover amount, attorney-fee cap, conduit-payment rule, plan
default, insurance duty, income-change deadline, or cure procedure should be
invented here. Put a term only in the selected plan location authorized by that
form, current law, and the selected court's current procedures.

8. Plan Control Record

Complete the selected district plan itself. Use this table only to reconcile
evidence and entries.

Plan field Proposed treatment Evidence Form section Counsel approval
Trustee payment and start date [________] [________] [________] [________]
Plan length [________] [________] [________] [________]
Secured claim maintenance or cure [________] [________] [________] [________]
Valuation or lien treatment [________] [________] [________] [________]
Priority claims [________] [________] [________] [________]
Executory contracts and leases [________] [________] [________] [________]
Unsecured distribution [________] [________] [________] [________]
Domestic-support obligations [________] [________] [________] [________]
Attorney fees [________] [________] [________] [________]
Nonstandard provisions [________] [________] [________] [________]

Under Rule 3015(c), a nonstandard provision is effective only in the form's
designated nonstandard-provision section and when identified as the form
requires. Do not attach a prose “summary” that changes the selected plan.

9. Verification, Signature, Privacy, and Filing Review

☐ Petition, lists, schedules, statements, plan, amendments, and declarations
use the required current signature and verification method.

☐ Rule 1008 verification or the unsworn declaration it authorizes is present where required.

☐ Debtor and attorney signatures follow the selected court's current electronic-
filing procedures; no generic /s/ instruction replaces those procedures.

☐ Full Social Security numbers and other protected identifiers appear only in
the authorized restricted form or redacted manner.

☐ Creditor names and addresses match source documents and the local upload format.

☐ No notary block was added unless a current form or specific law requires one.

☐ Filing event, PDF settings, attachments, and fees were checked in the live system.

10. Final Filing Authorization

☐ Chapter 13, credit-counseling, prior-case, and debt-limit eligibility approved.

☐ Venue, district, division, local plan, local rules, and judge procedures approved.

☐ Every form and plan field reconciles to supporting records.

☐ Petition-date means-test, exemption, fee, and adjusted-dollar data are current.

☐ Tax-return filing and trustee-delivery duties are separately calendared.

☐ First-payment date is calculated from the actual plan filing and order for relief.

☐ Debtor reviewed each completed form and declaration before signature.

Debtor 1 approval: [________________________________] Date: [__/__/____]

Debtor 2 approval: [________________________________] Date: [__/__/____]

Counsel filing authorization: [______________________] Date/time: [________]

Sources and Current Form Portals

  • Current Official Bankruptcy Forms: https://www.uscourts.gov/forms-rules/forms/bankruptcy-forms
  • Current Federal Rules of Bankruptcy Procedure: https://www.uscourts.gov/forms-rules/current-rules-practice-procedure/federal-rules-bankruptcy-procedure
  • Current 11 U.S.C. § 109 and adjusted-dollar notes: https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title11-section109&num=0&edition=prelim
  • SDNY Chapter 13 information and plan: https://www.nysb.uscourts.gov/chapter-13-filing-and-plan-information
  • EDNY plan effective June 1, 2026: https://www.nyeb.uscourts.gov/forms/chapter-13-plan-effective-starting-june-1-2026
  • NDNY Chapter 13 Local Form Plan: https://www.nynb.uscourts.gov/form/chapter-13-local-form-plan
  • WDNY Chapter 13 plan notice: https://www.nywb.uscourts.gov/sites/nywb/files/NOTICE%20TO%20ATTORNEYS%2017-02.pdf

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About this template

Last updated
August 25, 2026
Citations checked
August 25, 2026
Jurisdiction
New York
Category
Financial & Banking

Legal authority

  • 11 U.S.C. § 109(e), (g), and (h) (Chapter 13 and credit-counseling eligibility gates)
  • 11 U.S.C. § 301 (commencement of voluntary case and order for relief)
  • 11 U.S.C. § 521(a)(1), (b), and (e)(2) (filing and tax-return duties)
  • 11 U.S.C. § 1308 (prepetition tax-return filing duty)
  • 11 U.S.C. § 1321 (plan filing)
  • 11 U.S.C. § 1326(a)(1) (initial payments)
  • 28 U.S.C. § 1408 (bankruptcy venue)
  • Fed. R. Bankr. P. 1007, 1008, 3015, and 4002 (documents, verification, plan form/timing, and debtor duties)

Financial and banking documents govern loans, security interests, account agreements, and commercial transactions between lenders, borrowers, and financial institutions. Promissory notes, guaranties, security agreements, and UCC filings have precise legal requirements, and mistakes can leave a lender unsecured or a borrower on the hook for more than they agreed to. Well-drafted finance paperwork protects both sides and keeps the deal enforceable if something goes wrong later.

Not legal advice

This template is provided for informational purposes. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.

Checked against the law it cites

A reviewer verified this template's legal citations against the official source on August 25, 2026.

11 U.S.C. § 109(e), (g), and (h) (checked August 25, 2026): "Chapter 13 eligibility is limited to an individual with regular income within the adjusted noncontingent, liquidated secured- and unsecured-debt limits. Section 109 also supplies specified prior-case bars and ordinarily requires an approved credit-counseling briefing during the 180-day period ending on the petition date, subject to its stated exceptions."

11 U.S.C. § 301 (checked August 25, 2026): "A voluntary case is commenced by filing a petition under the selected chapter with the bankruptcy court, and commencement constitutes an order for relief under that chapter."

11 U.S.C. § 521(a)(1), (b), and (e)(2) (checked August 25, 2026): "Section 521 requires the creditor list, schedules, income and expenditure information, statement of financial affairs, specified payment evidence, credit-counseling documents, and the most recently filed prepetition federal return or transcript to the trustee not later than seven days before the first date set for the section 341 meeting."

11 U.S.C. § 1308(a) (checked August 25, 2026): "Not later than the day before the date on which the meeting of creditors is first scheduled, a debtor required to file tax returns must file with the appropriate tax authorities all returns for taxable periods ending during the four-year period ending on the petition date."

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