Bankruptcy Schedule C – Property Claimed as Exempt Template - Free Editor
Bankruptcy Schedule C – Property Claimed as Exempt Template
United States Bankruptcy Court
District of [District]
In re: [Debtor Name(s)]
Case No.: [if known]
Chapter: [7/13]
Schedule C: Property Claimed as Exempt
List each item of property claimed as exempt, applicable law, and amount of exemption. Ensure values correspond to Schedule A/B entries.
| Description of Property | Schedule A/B Line | Current Value of Debtor’s Interest | Exemption Law | Amount of Exemption Claimed |
|---|---|---|---|---|
| [Household goods and furnishings] | [Line] | $[Value] | [State/Federal statute] | $[Amount] |
| [Motor vehicle] | [Line] | $[Value] | [State/Federal statute] | $[Amount] |
| [Clothing] | ||||
| [Tools of trade] | ||||
| [Retirement account (401(k))] | 11 U.S.C. § 522(b)(3)(C) | $[Value] | ||
| [Homestead] | [State homestead statute] | $[Amount] |
Notes
- Choose state or federal exemption scheme (if applicable) and indicate in heading.
- For married joint filers, specify whether exemption claimed jointly.
- If claiming wildcard, note remaining unused amount.
Declaration
I declare under penalty of perjury that the foregoing is true and correct.
Debtor 1 Signature: ____ Date: __
Debtor 2 Signature (if joint case): ____ Date: __
Use Official Form 106C instructions. Attach additional sheets as necessary.
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