Bankruptcy Schedule E/F – Creditors Holding Unsecured Claims Template - Free Editor
Bankruptcy Schedule E/F – Creditors Holding Unsecured Claims Template
United States Bankruptcy Court
District of [District]
In re: [Debtor Name(s)]
Case No.: [if known]
Chapter: [7/13]
Schedule E/F: Creditors Holding Unsecured Claims
Separate priority and nonpriority unsecured claims. Include co-debtors and notices if required.
Part 1: Priority Unsecured Claims (Schedule E)
| Creditor Name | Mailing Address | Basis for Claim | Date Incurred | Amount of Claim | Type of Priority (e.g., Domestic Support, Taxes) | Amount Entitled to Priority | Amount Not Entitled |
|---|---|---|---|---|---|---|---|
| [IRS] | [Address] | Income taxes | [Tax Year] | $[Amount] | 11 U.S.C. § 507(a)(8) | $[Priority Amount] | $[Balance] |
| [State Dept. of Revenue] | |||||||
| [Domestic Support Obligee] |
Part 2: Nonpriority Unsecured Claims (Schedule F)
| Creditor Name | Mailing Address | Account No. (last 4) | Date Incurred | Consideration (e.g., credit card, medical) | Amount of Claim | Is Claim Contingent, Unliquidated, Disputed? |
|---|---|---|---|---|---|---|
| [Credit Card Company] | [Address] | [XXXX] | [Date] | [Credit card purchases] | $[Amount] | ☐ |
| [Medical Provider] | $[Amount] | ☐ | ||||
| [Personal loan] | $[Amount] | ☐ |
Part 3: Total Claim Summary
- Total priority unsecured claims: $[Total]
- Total nonpriority unsecured claims: $[Total]
- Total unsecured claims: $[Total]
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: __
Complete per Official Form 106E/F. Use continuation sheets for additional creditors.
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