Creditor's Name, Mailing address including Zip Code, and Account Number
Debtors Last Name:
State the name, mailing address, including zip code, and last four digits of any account number, of all entities holding unsecured claims without priority against the debtor or the property of the debtor, as of the date of filing of the petition. The complete account number of any account the debtor has with the creditor is useful to the trustee and the creditor and may be provided if the debtor chooses to do so. If a minor child is a creditor, indicate that by stating "minor child" and do not disclose the child's name. See 11 U.S.C. Section 112. If "a minor child" is stated, also include he name, address, and legal relationship to the minor child of a person described in Fed. R. Bankr.P. 1007(m). Do not include claims listed in Schedules D and E. If you prefer you can simply fax over a list or the lastest bill of each creditor to (888) 317-9488 . If you choose this option just Click "Move On To Next Section" .
Date Claim was incurred &
Consideration for claim. If Claim is subject to setoff, so state.
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