Worksheet for Official Form 106H - Schedule H: Your Codebtors - Free Editor
Form 106H Worksheet - Schedule H: Your Codebtors
Worksheet only. Not the official form. Transfer all entries to the official Form 106H or e-filing software.
United States Bankruptcy Court
District of [District]
In re: [Debtor Name(s)]
Case No.: [if known]
Chapter: [7/11/13]
Part 1: Do you have any codebtors?
- [ ] No. If no, stop here and check "none" on the official form.
- [ ] Yes. Complete Parts 2 and 3 below.
If you are filing a joint case, do not list either spouse as a codebtor.
Part 2: Community Property State Question (last 8 years)
- Within the last 8 years, have you lived in a community property state or territory? [No / Yes]
(Community property states/territories include Arizona, California, Idaho, Louisiana, Nevada, New Mexico, Puerto Rico, Texas, Washington, Wisconsin.) - If Yes: Did your spouse/former spouse/legal equivalent live with you at the time? [No / Yes]
- If Yes, state/territory: [ ]
Name and current address of spouse/former spouse/legal equivalent: [Name, Address]
Part 3: List Your Codebtors
List each codebtor and the creditor to whom you owe the debt. Use Schedule D, Schedule E/F, or Schedule G to identify the creditor and line numbers. List the person from Part 2 here only if that person is a guarantor or cosigner.
| Entry No. | Codebtor name/address (Column 1) | Creditor name (Column 2) | Schedule reference (check all that apply and add line numbers) |
|---|---|---|---|
| 3.1 | [Name, Address] | [Creditor] | [ ] Schedule D line ___ [ ] Schedule E/F line ___ [ ] Schedule G line ___ |
| 3.2 | [Name, Address] | [Creditor] | [ ] Schedule D line ___ [ ] Schedule E/F line ___ [ ] Schedule G line ___ |
| 3.3 | [Name, Address] | [Creditor] | [ ] Schedule D line ___ [ ] Schedule E/F line ___ [ ] Schedule G line ___ |
Use continuation pages if you need more entries. Put your name and case number on each additional page.
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