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Please attach a copy of the latest bill/invoice that you have to each debt form. 1. Name and address of Creditor 2. Is this debt covered or secured by a mortgage or lien on any of your property Yes No/Unsecured a. Describe the property/collateral b. Is this creditor a member of your family YES NO If yes specify family relation 7. Type of Debt Mortgage Payday Loan Financing purchase of item s Money Loan Student Loan Credit Card Judgment Taxes Settlement Award Medical Support Obligation 8....
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This form is a document used for reporting bankruptcy debt information.
Individuals or entities who have filed for bankruptcy and need to report their debt information.
The form should be filled out accurately with all required debt information, following the instructions provided on the form.
The purpose is to provide a detailed report of bankruptcy debt for legal and financial purposes.
Debt details including creditor names, amounts owed, and payment schedules must be reported on the form.
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