Name of Name(s) Total Debt Monthly Type Creditor/Purpose Account Name on Account Due Payment of Debt A. Secured Debt (Mortgages, Car, etc.) Your name name Spouse’s Joint 1. $ $ Your name name Spouse’s Joint 2. $ $ Your name name Spouse’s Joint 3. $ $ Your name name Spouse’s Joint 4. $ $ Your name name Spouse’s Joint 5. $ $ B. Unsecured Debt, including credit cards Your name name Spouse’s Joint 1. $ $ Your name name Spouse’s Joint 2. $ $ Your name name Spouse’s Joint 3. $ $ Your name name Spouse’s Joint 4. $ $ Your name name Spouse’s Joint 5. $ $ TOTAL SECTION IV: DEBT $ V. BANKRUPTCY Date of Filing: Date of Discharge Type of Case Current Monthly Filed by: Case Number or Relief from Stay (Ch. 7, 11, 12, 13) Payments 1. You $ Spouse
Type Name of Creditor/Purpose of Debt Account Name Name(s) on Account Total Debt Due Monthly Payment A. Secured Debt (Mortgages, Car, etc.) 1. Your name Spouse’s name Joint $ $ 2. Your name Spouse’s name Joint $ $ 3. Your name Spouse’s name Joint $ $ 4. Your name Spouse’s name Joint $ $ 5. Your name Spouse’s name Joint $ $ B. Unsecured Debt, including credit cards 1. Your name Spouse’s name Joint $ $ 2. Your name Spouse’s name Joint $ $ 3. Your name Spouse’s name Joint $ $ 4. Your name Spouse’s name Joint $ $ 5. Your name Spouse’s name Joint $ $ TOTAL SECTION IV: DEBT $ V. BANKRUPTCY Filed by: Date of Filing: Case Number Date of Discharge or Relief from Stay Type of Case (Ch. 7, 11, 12, 13) Current Monthly Payments 1. You Spouse $
affidavitofproperty-form502.docx