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Last Name: ___ First Name: ___ Date of Birth (DD/MM/YYYY): ___/___/___ Health card #: ___ MRN #:___CSN #:___Affix patient encounter label here/complete all fields if label not available.PATIENT DEMOGRAPHICS:
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The MA CH 13 form is a document used to petition for Chapter 13 bankruptcy in Massachusetts, allowing individuals with a regular income to create a repayment plan to pay off debts over a period of time.
Individuals with regular income who are unable to pay their debts and wish to reorganize their obligations must file the MA CH 13 form.
To fill out the MA CH 13 form, individuals must provide personal information, details about their income, expenses, debts, and assets, as well as a proposed repayment plan.
The purpose of the MA CH 13 form is to initiate the Chapter 13 bankruptcy process, allowing debtors to reorganize and repay their debts over three to five years under court supervision.
The MA CH 13 form requires reporting of personal identification, income sources, monthly expenses, total debt amounts, and a detailed repayment plan.
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