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B 10 (Official Form 10) (04/10) PROOF OF CLAIM UNITED STATES BANKRUPTCY COURT DISTRICT OF Name of Debtor: Case Number: Clarksville Liquidation Inc., et al. DBA Still Fasteners Inc. et al. 11-21650

How to fill out proof of claim form

How to fill out a proof of claim form?

1. Read the instructions: Before starting to fill out the form, carefully read the instructions provided with the form. These instructions will provide you with important information on how to properly complete the form and what supporting documentation may be required.
2. Provide accurate contact information: Begin by entering your contact information accurately. This includes your name, address, phone number, and email address. Ensure that this information is up to date and matches the information on file with the relevant organization or court.
3. Identify the case and creditor: Specify the case number and the name of the bankruptcy debtor or company that you are filing a claim against. Additionally, identify the name and address of the creditor for whom you are filing the claim.
4. Specify the claim amount: Clearly state the amount of the claim you are filing. This should be the total amount owed to you by the debtor or company. Be sure to provide any supporting documentation or evidence to substantiate the claim, such as invoices, contracts, or receipts.
5. Provide details about the nature of the claim: In this section, describe the nature of your claim. Explain why you believe you are owed the specified amount and provide any relevant details, such as dates, transactions, or services rendered.
6. Indicate whether the claim is secured or unsecured: Determine if your claim is secured or unsecured. A secured claim is backed by collateral, such as a mortgage or a car loan, while an unsecured claim has no collateral. Check the appropriate box on the form and provide any additional information or documentation required to support your claim's classification.
7. Sign and date the form: Once you have completed all the necessary sections of the proof of claim form, sign and date it. By signing, you certify that the information provided is true and accurate to the best of your knowledge.
8. Keep a copy for your records: Make sure to make a copy of the completed form for your records before submitting it. This will serve as proof of your submission and will contain all the relevant information you provided.

Who needs a proof of claim form?

A proof of claim form is typically required in bankruptcy cases or other legal proceedings where creditors are seeking to collect money owed to them. This form is necessary to assert your rights as a creditor and provide evidence of the amount owed to you. Depending on the specific case, both individual and corporate creditors may need to complete and submit a proof of claim form to participate in the distribution of assets or debt repayment process. It is important to consult with legal counsel or review the specific instructions for the case to determine if you are required to file a proof of claim form.

For pdfFiller’s FAQs

What is proof of claim form?

Proof of claim form is a legal document required to be filed in a bankruptcy case by a creditor, outlining the amount and nature of their claim against the debtor.

Who is required to file proof of claim form?

Creditors who believe they have a valid claim against the debtor in a bankruptcy case are required to file a proof of claim form.

How to fill out proof of claim form?

The proof of claim form typically requires the creditor to provide information such as the amount owed, the nature of the debt, supporting documentation, and their contact information. It should be filled out accurately and completely.

What is the purpose of proof of claim form?

The purpose of the proof of claim form is to notify the bankruptcy court and the debtor of the creditor's claim, providing an opportunity for the claim to be considered and potentially included in the distribution of assets to creditors.

What information must be reported on proof of claim form?

The proof of claim form typically requires reporting information such as the creditor's name and address, the amount and basis of the claim, any supporting documentation, and whether the claim is secured or unsecured.

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