Major credit card 1. Amount Owed (amount of claim): Is there a codebtor or No debts (Visa, cosigner on this loan? American 2. Creditor Name and Address: Yes Express, Master No Card, Discover) Yes If yes, please provide name and address: 3. Account Number, if any: 4. Date/range of dates when debt was incurred: 5. Contact person's name and address if different: Major credit card 1. Amount Owed (amount of Is a codebtor or No debts (Visa, cosigner on this loan? American 2. Creditor Name and Address: Yes Express, Master No Card, Discover) Yes If yes, please provide name and address: 3. Account Number, if any: 4. Date/range of dates when debt was incurred: 5. Contact person's name and address if different:
Major credit card debts (Visa, American Express, Master Card, Discover) 1. Amount Owed (amount of claim): 2. Creditor Name and Address: 3. Account Number, if any: 4. Date/range of dates when debt was incurred: 5. Contact person's name and address if different: Is there a codebtor or cosigner on this loan? No Yes If yes, please provide name and address: No Yes Major credit card debts (Visa, American Express, Master Card, Discover) 1. Amount Owed (amount of 2. Creditor Name and Address: 3. Account Number, if any: 4. Date/range of dates when debt was incurred: 5. Contact person's name and address if different: Is a codebtor or cosigner on this loan? No Yes If yes, please provide name and address: No Yes
Consumer-Bankruptcy-questionnaire.docx