Form 206 Series Worksheet - Schedules for Non-Individuals
Worksheet only. Not the official forms. Transfer to Official Forms 206A/B, 206D, 206E/F, 206G, and 206H (plus Summary/Declaration) or e-filing software. For corporations/LLCs/partnership debtors.
United States Bankruptcy Court
District of [District]
In re: [Debtor Name]
Case No.: [if known]
Chapter: [7/11/12/13]
Check if amended filing: [ ]
Summary of Assets and Liabilities for Non-Individuals
- Total assets (from 206A/B): $[ ]
- Total secured claims (from 206D): $[ ]
- Total unsecured priority claims (from 206E/F Part 1): $[ ]
- Total unsecured nonpriority claims (from 206E/F Part 2): $[ ]
- Total liabilities (secured + unsecured): $[ ]
Schedule A/B: Assets (Non-Individuals)
List all property with estimated values. Use continuation pages as needed.
| Item No. | Category | Description and location | Current value |
|---|---|---|---|
| 1.1 | Real property | [ ] | $[ ] |
| 2.1 | Vehicles/rolling stock | [ ] | $[ ] |
| 3.1 | Machinery/equipment | [ ] | $[ ] |
| 4.1 | Inventory | [ ] | $[ ] |
| 5.1 | Accounts receivable (aging detail) | [ ] | $[ ] |
| 6.1 | Cash and cash equivalents | [ ] | $[ ] |
| 7.1 | Deposits/retainers | [ ] | $[ ] |
| 8.1 | Financial assets (stocks, bonds, crypto, etc.) | [ ] | $[ ] |
| 9.1 | Intangibles/IP (patents, trademarks, goodwill, software, data) | [ ] | $[ ] |
| 10.1 | Insurance interests | [ ] | $[ ] |
| 11.1 | Causes of action/claims | [ ] | $[ ] |
| 12.1 | Other assets | [ ] | $[ ] |
Schedule D: Creditors Holding Secured Claims
List all secured claims. Indicate collateral and exemptions (if any).
| Item No. | Creditor | Last 4 of acct # | Collateral description | Collateral value | Claim amount | Unsecured portion (if any) | Interest rate/arrears |
|---|---|---|---|---|---|---|---|
| 1.1 | [ ] | [ ] | [ ] | $[ ] | $[ ] | $[ ] | [ ] |
- Check if any secured claim is disputed, contingent, or unliquidated and mark accordingly: [ ] Disputed [ ] Contingent [ ] Unliquidated
- Adequate protection payments (if any): [ ]
Schedule E/F: Creditors Holding Unsecured Claims
Separate priority vs nonpriority. Mark disputed/contingent/unliquidated.
Part 1 - Unsecured Priority Claims
| Item No. | Creditor | Basis (e.g., taxes, wages) | Statute | Amount |
|---|---|---|---|---|
| 1.1 | [ ] | [ ] | [ ] | $[ ] |
Part 2 - Unsecured Nonpriority Claims
| Item No. | Creditor | Last 4 of acct # | Basis | Amount |
|---|---|---|---|---|
| 2.1 | [ ] | [ ] | [ ] | $[ ] |
Schedule G: Executory Contracts and Unexpired Leases
List each executory contract/unexpired lease. Indicate parties and brief description.
| Item No. | Counterparty (name/address) | Type (lease, license, services) | Description/term end | Subject property (if any) |
|---|---|---|---|---|
| 1.1 | [ ] | [ ] | [ ] | [ ] |
Schedule H: Codebtors (Non-Individuals)
List any individual or entity liable on any debt with the debtor.
| Item No. | Codebtor name/address | Creditor | Schedule reference (D/E/F/G) | Notes |
|---|---|---|---|---|
| 1.1 | [ ] | [ ] | [ ] | [ ] |
Declaration About Schedules for Non-Individuals
- I declare under penalty of perjury that I have read the summaries and schedules filed with this petition and that they are true and correct to the best of my knowledge, information, and belief.
Authorized representative of debtor (officer/agent):
- Name/Title: [ ]
- Signature: ____________________________ Date: __________
- Address/Phone/Email: [ ]
Attorney for debtor:
- Name/Bar #: [ ]
- Firm/Address: [ ]
- Phone/Email: [ ]
- Signature: ____________________________ Date: __________