Official Form 206 Series - Comprehensive Schedules Worksheet for Non-Individual Debtors
Official Form 206 Series - Comprehensive Schedules Worksheet for Non-Individual Debtors
PREPARATION WORKSHEET ONLY - NOT FOR FILING
This worksheet assists in preparing Official Bankruptcy Forms 206A/B, 206D, 206E/F, 206G, 206H, and 206Sum for corporations, partnerships, limited liability companies, and other non-individual debtors. All information must be transferred to Official Forms or court-approved e-filing software before submission.
Case Information
United States Bankruptcy Court
District of [________________________________]
In re:
Debtor Name: [________________________________]
Tax ID/EIN: [________________________________]
Case Number: [________________________________] (if assigned)
Chapter: ☐ 7 ☐ 11 ☐ Subchapter V
Entity Type:
☐ Corporation (C-Corp)
☐ Corporation (S-Corp)
☐ Limited Liability Company (LLC)
☐ Partnership (General)
☐ Partnership (Limited)
☐ Limited Liability Partnership (LLP)
☐ Other: [________________________________]
State of Formation: [________________________________]
Date of Formation: [__/__/____]
Principal Place of Business: [________________________________]
Filing Status:
☐ Original Filing
☐ Amended Filing (indicate schedules amended): [________________________________]
Part I: Schedule A/B - Property of the Non-Individual Debtor
Official Form 206A/B requires disclosure of ALL property in which the debtor has any legal, equitable, or possessory interest as of the petition date, regardless of whether the debtor believes the property has value or is subject to liens.
Valuation Standards Guidance
CRITICAL: Select the appropriate valuation standard based on case type and property use:
| Valuation Standard | When to Use | Description |
|---|---|---|
| Fair Market Value (FMV) | Chapter 11 reorganization; going concern | Price at which property would change hands between willing buyer and willing seller, both having reasonable knowledge of relevant facts and neither under compulsion |
| Liquidation Value | Chapter 7 liquidation | Amount realizable if assets sold in current condition within limited time frame |
| Orderly Liquidation Value (OLV) | Controlled sale over reasonable period | Higher than forced liquidation; assumes adequate marketing time |
| Forced Liquidation Value (FLV) | Immediate sale required | Lowest value; assumes distressed sale conditions |
| Replacement Cost (Less Depreciation) | Specialized assets; insurance claims | Cost to replace asset with similar item minus accumulated depreciation |
| Going Concern Value | Operating business in Chapter 11 | Value of assets as part of ongoing business operations |
Valuation Authority: 11 U.S.C. § 506(a) provides that value "shall be determined in light of the purpose of the valuation and of the proposed disposition or use of such property."
Category 1: Real Property
List all real property interests including owned property, leasehold interests, options, and contracts for deed.
| Item | Description and Location | Nature of Interest | Current Value | Basis for Valuation |
|---|---|---|---|---|
| 1.1 | [________________________________] | ☐ Fee Simple ☐ Leasehold ☐ Other: [____] | $[________________] | [________________] |
| 1.2 | [________________________________] | ☐ Fee Simple ☐ Leasehold ☐ Other: [____] | $[________________] | [________________] |
| 1.3 | [________________________________] | ☐ Fee Simple ☐ Leasehold ☐ Other: [____] | $[________________] | [________________] |
Subtotal Real Property: $[________________]
Category 2: Vehicles, Watercraft, and Aircraft
Include all titled vehicles, rolling stock, trailers, and transportation equipment.
| Item | Year/Make/Model | VIN/Serial Number | Mileage/Hours | Current Value |
|---|---|---|---|---|
| 2.1 | [________________________________] | [________________] | [________] | $[________________] |
| 2.2 | [________________________________] | [________________] | [________] | $[________________] |
| 2.3 | [________________________________] | [________________] | [________] | $[________________] |
Subtotal Vehicles/Transportation: $[________________]
Category 3: Machinery, Equipment, and Fixtures
Include manufacturing equipment, office equipment, computers, furniture, fixtures, and trade equipment.
| Item | Description | Serial/Asset Number | Age/Condition | Current Value |
|---|---|---|---|---|
| 3.1 | [________________________________] | [________________] | [________] | $[________________] |
| 3.2 | [________________________________] | [________________] | [________] | $[________________] |
| 3.3 | [________________________________] | [________________] | [________] | $[________________] |
Subtotal Machinery/Equipment: $[________________]
Category 4: Inventory
List all inventory by type. Provide aging analysis if applicable.
| Item | Type of Inventory | Location | Quantity | Cost Basis | Current Value |
|---|---|---|---|---|---|
| 4.1 | Raw Materials | [________________] | [____] | $[________] | $[________________] |
| 4.2 | Work in Progress | [________________] | [____] | $[________] | $[________________] |
| 4.3 | Finished Goods | [________________] | [____] | $[________] | $[________________] |
| 4.4 | Supplies | [________________] | [____] | $[________] | $[________________] |
Inventory Valuation Method: ☐ FIFO ☐ LIFO ☐ Weighted Average ☐ Specific Identification ☐ Lower of Cost or Market
Subtotal Inventory: $[________________]
Category 5: Accounts Receivable
Provide aging analysis. Consider collectability when determining current value.
| Age Category | Gross Amount | Allowance for Doubtful Accounts | Net Realizable Value |
|---|---|---|---|
| Current (0-30 days) | $[________________] | $[________________] | $[________________] |
| 31-60 days | $[________________] | $[________________] | $[________________] |
| 61-90 days | $[________________] | $[________________] | $[________________] |
| 91-120 days | $[________________] | $[________________] | $[________________] |
| Over 120 days | $[________________] | $[________________] | $[________________] |
Top 20 Accounts Receivable (if material):
| Debtor Name | Amount Owed | Age | Disputed? | Expected Collection |
|---|---|---|---|---|
| [________________________________] | $[________] | [____] days | ☐ Yes ☐ No | $[________] |
| [________________________________] | $[________] | [____] days | ☐ Yes ☐ No | $[________] |
| [________________________________] | $[________] | [____] days | ☐ Yes ☐ No | $[________] |
Subtotal Accounts Receivable (Net): $[________________]
Category 6: Cash and Cash Equivalents
| Item | Description | Account Number (Last 4) | Financial Institution | Current Value |
|---|---|---|---|---|
| 6.1 | Cash on Hand | N/A | N/A | $[________________] |
| 6.2 | Checking Account | [____] | [________________] | $[________________] |
| 6.3 | Savings Account | [____] | [________________] | $[________________] |
| 6.4 | Money Market Account | [____] | [________________] | $[________________] |
| 6.5 | Certificates of Deposit | [____] | [________________] | $[________________] |
| 6.6 | Petty Cash/Registers | N/A | N/A | $[________________] |
Subtotal Cash and Cash Equivalents: $[________________]
Category 7: Deposits and Prepaid Expenses
| Item | Description | Held By | Purpose | Current Value |
|---|---|---|---|---|
| 7.1 | Security Deposits | [________________] | [________________] | $[________________] |
| 7.2 | Utility Deposits | [________________] | [________________] | $[________________] |
| 7.3 | Prepaid Insurance | [________________] | [________________] | $[________________] |
| 7.4 | Prepaid Rent | [________________] | [________________] | $[________________] |
| 7.5 | Retainers Paid | [________________] | [________________] | $[________________] |
| 7.6 | Other Prepaid Expenses | [________________] | [________________] | $[________________] |
Subtotal Deposits/Prepaid: $[________________]
Category 8: Financial Assets and Investments
| Item | Description | Account Number (Last 4) | Custodian/Broker | Current Value |
|---|---|---|---|---|
| 8.1 | Stocks/Equities | [____] | [________________] | $[________________] |
| 8.2 | Bonds/Debt Securities | [____] | [________________] | $[________________] |
| 8.3 | Mutual Funds | [____] | [________________] | $[________________] |
| 8.4 | Interests in Other Entities | N/A | [________________] | $[________________] |
| 8.5 | Notes Receivable | [____] | [________________] | $[________________] |
| 8.6 | Digital Assets/Cryptocurrency | [____] | [________________] | $[________________] |
Subtotal Financial Assets: $[________________]
Category 9: Intellectual Property and Intangible Assets
| Item | Description | Registration Number | Jurisdiction | Current Value |
|---|---|---|---|---|
| 9.1 | Patents | [________________________________] | [________] | $[________________] |
| 9.2 | Trademarks | [________________________________] | [________] | $[________________] |
| 9.3 | Copyrights | [________________________________] | [________] | $[________________] |
| 9.4 | Trade Secrets | [________________________________] | N/A | $[________________] |
| 9.5 | Software/Technology | [________________________________] | [________] | $[________________] |
| 9.6 | Customer Lists/Data | [________________________________] | N/A | $[________________] |
| 9.7 | Goodwill | [________________________________] | N/A | $[________________] |
| 9.8 | Domain Names | [________________________________] | N/A | $[________________] |
| 9.9 | Licenses/Permits | [________________________________] | [________] | $[________________] |
Subtotal Intellectual Property/Intangibles: $[________________]
Category 10: Insurance Interests
| Item | Type of Policy | Policy Number | Insurance Company | Cash Surrender/Current Value |
|---|---|---|---|---|
| 10.1 | Key Person Life Insurance | [________________] | [________________] | $[________________] |
| 10.2 | Business Interruption | [________________] | [________________] | $[________________] |
| 10.3 | Pending Insurance Claims | [________________] | [________________] | $[________________] |
| 10.4 | Other Insurance Interests | [________________] | [________________] | $[________________] |
Subtotal Insurance Interests: $[________________]
Category 11: Causes of Action and Claims
List all pending or potential lawsuits, claims, or rights to payment.
| Item | Nature of Claim | Defendant/Obligor | Court/Forum | Estimated Value |
|---|---|---|---|---|
| 11.1 | [________________________________] | [________________] | [________] | $[________________] |
| 11.2 | [________________________________] | [________________] | [________] | $[________________] |
| 11.3 | [________________________________] | [________________] | [________] | $[________________] |
Include potential claims for:
☐ Breach of contract
☐ Fraud/misrepresentation
☐ Preference actions (post-petition)
☐ Fraudulent transfer actions (post-petition)
☐ Patent/trademark infringement
☐ Negligence/tort claims
☐ Other: [________________________________]
Subtotal Causes of Action: $[________________]
Category 12: Other Assets
| Item | Description | Location | Current Value |
|---|---|---|---|
| 12.1 | [________________________________] | [________________] | $[________________] |
| 12.2 | [________________________________] | [________________] | $[________________] |
| 12.3 | [________________________________] | [________________] | $[________________] |
Subtotal Other Assets: $[________________]
Schedule A/B Summary
| Category | Total Value |
|---|---|
| 1. Real Property | $[________________] |
| 2. Vehicles/Transportation | $[________________] |
| 3. Machinery/Equipment | $[________________] |
| 4. Inventory | $[________________] |
| 5. Accounts Receivable | $[________________] |
| 6. Cash and Cash Equivalents | $[________________] |
| 7. Deposits and Prepaid Expenses | $[________________] |
| 8. Financial Assets | $[________________] |
| 9. Intellectual Property/Intangibles | $[________________] |
| 10. Insurance Interests | $[________________] |
| 11. Causes of Action | $[________________] |
| 12. Other Assets | $[________________] |
| TOTAL ASSETS (Schedule A/B) | $[________________] |
Part II: Schedule D - Creditors Holding Secured Claims
Official Form 206D requires listing all creditors holding claims secured by property of the debtor as of the petition date.
Secured Claims Analysis
Per 11 U.S.C. § 506(a): A claim is secured only to the extent of the value of the creditor's interest in the estate's interest in the collateral. Any amount exceeding collateral value is an unsecured claim.
Secured Creditor Listing
Creditor 1:
| Field | Information |
|-------|-------------|
| Creditor Name | [________________________________] |
| Creditor Address | [________________________________] |
| Account Number (Last 4) | [____] |
| Date Debt Incurred | [__/__/____] |
| Nature of Lien | ☐ Consensual ☐ Statutory ☐ Judicial |
| Type of Security | ☐ Mortgage ☐ Deed of Trust ☐ UCC Security Interest ☐ Judgment Lien ☐ Tax Lien ☐ Mechanic's Lien ☐ Other: [________] |
| Collateral Description | [________________________________] |
| Collateral Value | $[________________] |
| Total Claim Amount | $[________________] |
| Secured Portion | $[________________] |
| Unsecured Deficiency | $[________________] |
| Interest Rate | [____]% |
| Arrearage Amount | $[________________] |
| Claim Status | ☐ Disputed ☐ Contingent ☐ Unliquidated |
Creditor 2:
| Field | Information |
|-------|-------------|
| Creditor Name | [________________________________] |
| Creditor Address | [________________________________] |
| Account Number (Last 4) | [____] |
| Date Debt Incurred | [__/__/____] |
| Nature of Lien | ☐ Consensual ☐ Statutory ☐ Judicial |
| Type of Security | ☐ Mortgage ☐ Deed of Trust ☐ UCC Security Interest ☐ Judgment Lien ☐ Tax Lien ☐ Mechanic's Lien ☐ Other: [________] |
| Collateral Description | [________________________________] |
| Collateral Value | $[________________] |
| Total Claim Amount | $[________________] |
| Secured Portion | $[________________] |
| Unsecured Deficiency | $[________________] |
| Interest Rate | [____]% |
| Arrearage Amount | $[________________] |
| Claim Status | ☐ Disputed ☐ Contingent ☐ Unliquidated |
Creditor 3:
| Field | Information |
|-------|-------------|
| Creditor Name | [________________________________] |
| Creditor Address | [________________________________] |
| Account Number (Last 4) | [____] |
| Date Debt Incurred | [__/__/____] |
| Nature of Lien | ☐ Consensual ☐ Statutory ☐ Judicial |
| Type of Security | ☐ Mortgage ☐ Deed of Trust ☐ UCC Security Interest ☐ Judgment Lien ☐ Tax Lien ☐ Mechanic's Lien ☐ Other: [________] |
| Collateral Description | [________________________________] |
| Collateral Value | $[________________] |
| Total Claim Amount | $[________________] |
| Secured Portion | $[________________] |
| Unsecured Deficiency | $[________________] |
| Interest Rate | [____]% |
| Arrearage Amount | $[________________] |
| Claim Status | ☐ Disputed ☐ Contingent ☐ Unliquidated |
(Continue on additional pages as needed)
Schedule D Summary
| Description | Amount |
|---|---|
| Total Secured Claims | $[________________] |
| Total Value of Collateral | $[________________] |
| Total Unsecured Deficiency Claims | $[________________] |
| Number of Secured Creditors | [____] |
Part III: Schedule E/F - Creditors Holding Unsecured Claims
Official Form 206E/F requires listing all unsecured creditors, divided into priority claims (Part 1) and non-priority claims (Part 2).
Part 1: Unsecured Priority Claims
Priority Claim Categories Under 11 U.S.C. § 507(a):
| Priority | Category | Statutory Limit (2025) | Description |
|---|---|---|---|
| 1st | Domestic Support Obligations | No limit | Child support, alimony (N/A for non-individual debtors) |
| 2nd | Administrative Expenses | No limit | Post-petition costs of administering estate |
| 3rd | Gap Claims (Involuntary Cases) | No limit | Claims arising in ordinary course between filing and order for relief |
| 4th | Employee Wages | $15,150 per employee | Wages, salaries, commissions earned within 180 days before petition |
| 5th | Employee Benefit Plans | $15,150 per employee | Contributions to benefit plans within 180 days |
| 6th | Grain Farmers/Fishermen | $7,575 per individual | Claims of grain producers and fishermen |
| 7th | Consumer Deposits | $3,350 per individual | Deposits for undelivered goods/services |
| 8th | Tax Claims | Varies by tax type | Various federal, state, and local taxes |
| 9th | FDIC Claims | No limit | Claims of FDIC and similar agencies |
| 10th | Personal Injury Claims (DUI) | No limit | Death/personal injury from DUI (N/A for non-individual debtors) |
Priority Creditor Listing
Priority Creditor 1:
| Field | Information |
|-------|-------------|
| Creditor Name | [________________________________] |
| Creditor Address | [________________________________] |
| Priority Category | ☐ 507(a)(4) Wages ☐ 507(a)(5) Benefits ☐ 507(a)(8) Taxes ☐ Other: [________] |
| Statutory Basis | [________________________________] |
| Date Incurred | [__/__/____] |
| Total Claim Amount | $[________________] |
| Priority Portion | $[________________] |
| Non-Priority Portion | $[________________] |
| Claim Status | ☐ Disputed ☐ Contingent ☐ Unliquidated |
Priority Creditor 2:
| Field | Information |
|-------|-------------|
| Creditor Name | [________________________________] |
| Creditor Address | [________________________________] |
| Priority Category | ☐ 507(a)(4) Wages ☐ 507(a)(5) Benefits ☐ 507(a)(8) Taxes ☐ Other: [________] |
| Statutory Basis | [________________________________] |
| Date Incurred | [__/__/____] |
| Total Claim Amount | $[________________] |
| Priority Portion | $[________________] |
| Non-Priority Portion | $[________________] |
| Claim Status | ☐ Disputed ☐ Contingent ☐ Unliquidated |
Priority Creditor 3:
| Field | Information |
|-------|-------------|
| Creditor Name | [________________________________] |
| Creditor Address | [________________________________] |
| Priority Category | ☐ 507(a)(4) Wages ☐ 507(a)(5) Benefits ☐ 507(a)(8) Taxes ☐ Other: [________] |
| Statutory Basis | [________________________________] |
| Date Incurred | [__/__/____] |
| Total Claim Amount | $[________________] |
| Priority Portion | $[________________] |
| Non-Priority Portion | $[________________] |
| Claim Status | ☐ Disputed ☐ Contingent ☐ Unliquidated |
(Continue on additional pages as needed)
Tax Claims Detail (11 U.S.C. § 507(a)(8))
| Tax Type | Taxing Authority | Tax Period | Amount | Priority/Non-Priority |
|---|---|---|---|---|
| Income Tax | [________________] | [________] | $[________] | ☐ Priority ☐ Non-Priority |
| Payroll Tax (Trust Fund) | [________________] | [________] | $[________] | ☐ Priority ☐ Non-Priority |
| Payroll Tax (Employer Share) | [________________] | [________] | $[________] | ☐ Priority ☐ Non-Priority |
| Sales Tax | [________________] | [________] | $[________] | ☐ Priority ☐ Non-Priority |
| Property Tax | [________________] | [________] | $[________] | ☐ Priority ☐ Non-Priority |
| Excise Tax | [________________] | [________] | $[________] | ☐ Priority ☐ Non-Priority |
| Other Tax | [________________] | [________] | $[________] | ☐ Priority ☐ Non-Priority |
Priority Tax Rules: Income taxes are generally priority if: (1) due within 3 years before petition; (2) assessed within 240 days before petition; or (3) return filed within 2 years before petition.
Part 1 Summary - Priority Claims
| Category | Total Amount |
|---|---|
| 507(a)(4) - Employee Wages | $[________________] |
| 507(a)(5) - Employee Benefits | $[________________] |
| 507(a)(8) - Taxes | $[________________] |
| Other Priority Claims | $[________________] |
| TOTAL PRIORITY UNSECURED CLAIMS | $[________________] |
Part 2: Unsecured Non-Priority Claims
Non-Priority Creditor 1:
| Field | Information |
|-------|-------------|
| Creditor Name | [________________________________] |
| Creditor Address | [________________________________] |
| Account Number (Last 4) | [____] |
| Nature of Debt | ☐ Trade Debt ☐ Credit Line ☐ Loan ☐ Judgment ☐ Contract ☐ Other: [________] |
| Date Incurred | [__/__/____] |
| Consideration/Basis | [________________________________] |
| Amount of Claim | $[________________] |
| Claim Status | ☐ Disputed ☐ Contingent ☐ Unliquidated |
Non-Priority Creditor 2:
| Field | Information |
|-------|-------------|
| Creditor Name | [________________________________] |
| Creditor Address | [________________________________] |
| Account Number (Last 4) | [____] |
| Nature of Debt | ☐ Trade Debt ☐ Credit Line ☐ Loan ☐ Judgment ☐ Contract ☐ Other: [________] |
| Date Incurred | [__/__/____] |
| Consideration/Basis | [________________________________] |
| Amount of Claim | $[________________] |
| Claim Status | ☐ Disputed ☐ Contingent ☐ Unliquidated |
Non-Priority Creditor 3:
| Field | Information |
|-------|-------------|
| Creditor Name | [________________________________] |
| Creditor Address | [________________________________] |
| Account Number (Last 4) | [____] |
| Nature of Debt | ☐ Trade Debt ☐ Credit Line ☐ Loan ☐ Judgment ☐ Contract ☐ Other: [________] |
| Date Incurred | [__/__/____] |
| Consideration/Basis | [________________________________] |
| Amount of Claim | $[________________] |
| Claim Status | ☐ Disputed ☐ Contingent ☐ Unliquidated |
(Continue on additional pages as needed)
Part 2 Summary - Non-Priority Claims
| Category | Number of Creditors | Total Amount |
|---|---|---|
| Trade Creditors | [____] | $[________________] |
| Bank/Financial Institution Debt | [____] | $[________________] |
| Lease Rejection Claims | [____] | $[________________] |
| Contract Rejection Claims | [____] | $[________________] |
| Litigation/Judgment Claims | [____] | $[________________] |
| Intercompany Claims | [____] | $[________________] |
| Other Unsecured Claims | [____] | $[________________] |
| TOTAL NON-PRIORITY UNSECURED CLAIMS | [____] | $[________________] |
Schedule E/F Combined Summary
| Description | Amount |
|---|---|
| Total Priority Unsecured Claims (Part 1) | $[________________] |
| Total Non-Priority Unsecured Claims (Part 2) | $[________________] |
| TOTAL UNSECURED CLAIMS | $[________________] |
Part IV: Schedule G - Executory Contracts and Unexpired Leases
Official Form 206G requires listing all executory contracts and unexpired leases to which the debtor is a party. Per 11 U.S.C. § 365, the trustee or debtor-in-possession may assume or reject these agreements.
Key 11 U.S.C. § 365 Deadlines
| Case Type | Deadline to Assume/Reject | Authority |
|---|---|---|
| Chapter 7 (Liquidation) | 60 days from order for relief (extendable for cause) | § 365(d)(1) |
| Chapter 11 (Non-Residential Real Property) | 120 days from order for relief or plan confirmation, whichever is earlier | § 365(d)(4) |
| Chapter 11 (Other Contracts/Leases) | At plan confirmation (court may set earlier deadline on motion) | § 365(d)(2) |
Assumption Requirements
To assume an executory contract or unexpired lease, the debtor must:
☐ Cure all defaults (or provide adequate assurance of prompt cure)
☐ Compensate the non-debtor party for actual pecuniary loss from default
☐ Provide adequate assurance of future performance
Real Property Leases
Lease 1:
| Field | Information |
|-------|-------------|
| Counterparty Name | [________________________________] |
| Counterparty Address | [________________________________] |
| Property Address | [________________________________] |
| Lease Commencement Date | [__/__/____] |
| Lease Expiration Date | [__/__/____] |
| Monthly Rent | $[________________] |
| Security Deposit Held | $[________________] |
| Current Arrearages | $[________________] |
| Debtor's Role | ☐ Lessee/Tenant ☐ Lessor/Landlord |
| Proposed Treatment | ☐ Assume ☐ Reject ☐ Assume and Assign ☐ Undetermined |
| Business Necessity | ☐ Critical ☐ Important ☐ Non-Essential |
Lease 2:
| Field | Information |
|-------|-------------|
| Counterparty Name | [________________________________] |
| Counterparty Address | [________________________________] |
| Property Address | [________________________________] |
| Lease Commencement Date | [__/__/____] |
| Lease Expiration Date | [__/__/____] |
| Monthly Rent | $[________________] |
| Security Deposit Held | $[________________] |
| Current Arrearages | $[________________] |
| Debtor's Role | ☐ Lessee/Tenant ☐ Lessor/Landlord |
| Proposed Treatment | ☐ Assume ☐ Reject ☐ Assume and Assign ☐ Undetermined |
| Business Necessity | ☐ Critical ☐ Important ☐ Non-Essential |
Equipment Leases
Equipment Lease 1:
| Field | Information |
|-------|-------------|
| Counterparty Name | [________________________________] |
| Counterparty Address | [________________________________] |
| Equipment Description | [________________________________] |
| Lease Type | ☐ True Lease ☐ Capital Lease ☐ Lease-to-Own |
| Lease Commencement Date | [__/__/____] |
| Lease Expiration Date | [__/__/____] |
| Monthly Payment | $[________________] |
| Current Arrearages | $[________________] |
| Proposed Treatment | ☐ Assume ☐ Reject ☐ Assume and Assign ☐ Undetermined |
Service Contracts
Service Contract 1:
| Field | Information |
|-------|-------------|
| Counterparty Name | [________________________________] |
| Counterparty Address | [________________________________] |
| Nature of Contract | [________________________________] |
| Contract Date | [__/__/____] |
| Expiration/Term | [________________________________] |
| Payment Terms | [________________________________] |
| Current Arrearages | $[________________] |
| Debtor's Role | ☐ Service Provider ☐ Service Recipient |
| Proposed Treatment | ☐ Assume ☐ Reject ☐ Assume and Assign ☐ Undetermined |
License Agreements
License Agreement 1:
| Field | Information |
|-------|-------------|
| Counterparty Name | [________________________________] |
| Counterparty Address | [________________________________] |
| Licensed Property | [________________________________] |
| License Type | ☐ Software ☐ Patent ☐ Trademark ☐ Copyright ☐ Other: [________] |
| License Date | [__/__/____] |
| Expiration/Term | [________________________________] |
| Royalty/Payment Terms | [________________________________] |
| Current Arrearages | $[________________] |
| Debtor's Role | ☐ Licensor ☐ Licensee |
| Proposed Treatment | ☐ Assume ☐ Reject ☐ Assume and Assign ☐ Undetermined |
Note: Per 11 U.S.C. § 365(n), licensees of intellectual property have special protections if the debtor/licensor rejects the license agreement.
Other Executory Contracts
Contract 1:
| Field | Information |
|-------|-------------|
| Counterparty Name | [________________________________] |
| Counterparty Address | [________________________________] |
| Contract Type | ☐ Employment ☐ Distribution ☐ Supply ☐ Franchise ☐ Joint Venture ☐ Other: [________] |
| Contract Date | [__/__/____] |
| Term/Expiration | [________________________________] |
| Material Terms | [________________________________] |
| Current Arrearages | $[________________] |
| Proposed Treatment | ☐ Assume ☐ Reject ☐ Assume and Assign ☐ Undetermined |
(Continue on additional pages as needed)
Schedule G Summary
| Category | Number | Proposed Assume | Proposed Reject | Undetermined |
|---|---|---|---|---|
| Real Property Leases | [____] | [____] | [____] | [____] |
| Equipment Leases | [____] | [____] | [____] | [____] |
| Service Contracts | [____] | [____] | [____] | [____] |
| License Agreements | [____] | [____] | [____] | [____] |
| Other Executory Contracts | [____] | [____] | [____] | [____] |
| TOTALS | [____] | [____] | [____] | [____] |
Part V: Schedule H - Codebtors
Official Form 206H requires listing all entities (individuals or businesses) that are also liable on any debt listed in Schedules D, E/F, or G.
Codebtor Analysis
Types of Codebtors:
- Guarantors (personal or corporate)
- Co-signers
- Joint obligors
- Partners (for partnership debts)
- Members with personal guarantees (for LLC debts)
- Parent companies with guarantees
- Affiliated entities
Codebtor Listing
Codebtor 1:
| Field | Information |
|-------|-------------|
| Codebtor Name | [________________________________] |
| Codebtor Address | [________________________________] |
| Codebtor Type | ☐ Individual ☐ Corporation ☐ LLC ☐ Partnership ☐ Other: [________] |
| Relationship to Debtor | ☐ Officer ☐ Director ☐ Shareholder ☐ Member ☐ Partner ☐ Affiliate ☐ Other: [________] |
| Creditor Name | [________________________________] |
| Nature of Liability | ☐ Guarantor ☐ Co-Signer ☐ Joint Obligor ☐ Other: [________] |
| Schedule Reference | ☐ D ☐ E/F ☐ G |
| Amount of Obligation | $[________________] |
Codebtor 2:
| Field | Information |
|-------|-------------|
| Codebtor Name | [________________________________] |
| Codebtor Address | [________________________________] |
| Codebtor Type | ☐ Individual ☐ Corporation ☐ LLC ☐ Partnership ☐ Other: [________] |
| Relationship to Debtor | ☐ Officer ☐ Director ☐ Shareholder ☐ Member ☐ Partner ☐ Affiliate ☐ Other: [________] |
| Creditor Name | [________________________________] |
| Nature of Liability | ☐ Guarantor ☐ Co-Signer ☐ Joint Obligor ☐ Other: [________] |
| Schedule Reference | ☐ D ☐ E/F ☐ G |
| Amount of Obligation | $[________________] |
Codebtor 3:
| Field | Information |
|-------|-------------|
| Codebtor Name | [________________________________] |
| Codebtor Address | [________________________________] |
| Codebtor Type | ☐ Individual ☐ Corporation ☐ LLC ☐ Partnership ☐ Other: [________] |
| Relationship to Debtor | ☐ Officer ☐ Director ☐ Shareholder ☐ Member ☐ Partner ☐ Affiliate ☐ Other: [________] |
| Creditor Name | [________________________________] |
| Nature of Liability | ☐ Guarantor ☐ Co-Signer ☐ Joint Obligor ☐ Other: [________] |
| Schedule Reference | ☐ D ☐ E/F ☐ G |
| Amount of Obligation | $[________________] |
(Continue on additional pages as needed)
Schedule H Summary
| Description | Count |
|---|---|
| Total Individual Codebtors | [____] |
| Total Entity Codebtors | [____] |
| TOTAL CODEBTORS | [____] |
Note: The automatic stay under 11 U.S.C. § 362 generally does not protect non-debtor codebtors in Chapter 7 or Chapter 11 cases. Creditors may pursue codebtors for collection.
Part VI: Summary of Assets and Liabilities (Form 206Sum)
Assets Summary
| Schedule | Description | Total Value |
|---|---|---|
| A/B | Property | $[________________] |
| TOTAL ASSETS | $[________________] |
Liabilities Summary
| Schedule | Description | Total Amount |
|---|---|---|
| D | Secured Claims | $[________________] |
| E/F Part 1 | Unsecured Priority Claims | $[________________] |
| E/F Part 2 | Unsecured Non-Priority Claims | $[________________] |
| TOTAL LIABILITIES | $[________________] |
Key Ratios
| Metric | Calculation | Result |
|---|---|---|
| Total Assets | From above | $[________________] |
| Total Liabilities | From above | $[________________] |
| Net Worth (Deficit) | Assets - Liabilities | $[________________] |
| Debt-to-Asset Ratio | Liabilities / Assets | [____]:1 |
Part VII: Common Issues for Non-Individual Debtors
Entity-Specific Considerations
Corporations:
☐ Corporate resolution authorizing bankruptcy filing required
☐ List all officers, directors, and shareholders owning 5%+ in Statement of Financial Affairs
☐ No discharge available in Chapter 7 liquidation
☐ Corporate ownership statement required per Fed. R. Bankr. P. 1007(a)(1) and 7007.1
LLCs:
☐ Operating agreement provisions regarding bankruptcy must be reviewed
☐ Member consents or manager authorization required
☐ Treatment depends on state law characterization (partnership vs. corporate)
☐ Single-member LLC issues with regard to entity separateness
Partnerships:
☐ General partners may have joint and several liability for partnership debts
☐ General partners must file personal asset/liability statements if ordered
☐ Partnership bankruptcy may trigger partner bankruptcies
☐ Limited partners generally protected to extent of capital contribution
Substantive Consolidation Considerations
If debtor is part of an affiliated group, consider:
☐ Intercompany claims and transactions
☐ Commingling of assets and operations
☐ Common ownership and management
☐ Consolidated financial statements
☐ Potential for substantive consolidation motion
Preference and Fraudulent Transfer Exposure
Review transactions occurring within:
☐ 90 days before petition (preferences to non-insiders)
☐ 1 year before petition (preferences to insiders)
☐ 2 years before petition (actual fraudulent transfers)
☐ State law limitations period (constructive fraudulent transfers)
Part VIII: Local Rule Considerations
IMPORTANT: Local bankruptcy rules vary significantly by district. Before filing, review local rules for:
Common Local Rule Variations
☐ Amended Schedules: Many districts require service on all affected creditors and specific notice language when amending schedules
☐ Matrix Requirements: Most districts have specific formatting requirements for creditor mailing matrices
☐ Fee Disclosures: Some districts require detailed attorney fee disclosures beyond Official Form requirements
☐ First Day Motions: Chapter 11 cases may require specific first-day motion packages
☐ Cash Collateral: Local rules may impose specific requirements for cash collateral stipulations
☐ Monthly Operating Reports: Format and content requirements vary by district
☐ Claims Bar Dates: Procedures for setting and noticing claims bar dates vary
☐ Plan Confirmation: Local rules may impose additional plan confirmation requirements
Key District Court Websites
Consult the local bankruptcy court website for your district for current local rules, standing orders, and required forms.
Declaration Under Penalty of Perjury
For Non-Individual Debtors (Form 202)
I, the undersigned authorized representative of the debtor named in this case, declare under penalty of perjury that I have read the foregoing schedules, consisting of [____] pages, and that they are true and correct to the best of my knowledge, information, and belief.
Authorized Representative:
Name: [________________________________]
Title: [________________________________]
Signature: ________________________________ Date: [__/__/____]
If Prepared by Debtor's Attorney:
I, the attorney for the debtor named in this case, declare that I have informed the debtor's authorized representative that they may seek independent legal advice and that the schedules have been prepared in accordance with their instructions.
Attorney Name: [________________________________]
Bar Number: [________________________________]
Firm Name: [________________________________]
Address: [________________________________]
Telephone: [________________________________]
Email: [________________________________]
Signature: ________________________________ Date: [__/__/____]
Filing Checklist
Before filing Official Forms, confirm:
☐ All schedules completed (206A/B, 206D, 206E/F, 206G, 206H)
☐ Summary of Assets and Liabilities (206Sum) completed
☐ Declaration (Form 202) executed by authorized representative
☐ Corporate ownership statement prepared (if corporate debtor)
☐ Creditor mailing matrix prepared per local rules
☐ Proper valuation standards applied consistently
☐ All secured creditors listed on Schedule D with collateral descriptions
☐ Priority claims properly categorized on Schedule E/F Part 1
☐ All executory contracts and leases listed on Schedule G
☐ All codebtors identified on Schedule H
☐ Filing fees paid or fee waiver obtained
☐ Electronic filing requirements satisfied
☐ Local rule requirements reviewed and satisfied
This worksheet is for preparation purposes only. Transfer all information to Official Bankruptcy Forms 206A/B, 206D, 206E/F, 206G, 206H, 206Sum, and Form 202 or court-approved e-filing software. Retain this worksheet in client file for reference.
About This Template
These universal templates are drafted for general use across the United States, without being tied to one specific state's statutes or court rules. They work as a starting point for documents where the subject matter is governed mainly by federal law or by legal concepts that are broadly similar everywhere. For state-specific versions with local citations and filing rules, look for the jurisdiction-tagged version of the same template.
Important Notice
This template is provided for informational purposes. It is not legal advice. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.
Last updated: April 2026