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District Form
Debtor’s assets. Add the amounts of all
claims from Schedules D, E, and F to determine the total amount of the debtor’s liabilities. Individual debtors also must complete the “Statistical
Summary of Certain Liabilities and Related Data” if they file a case under chapter 7, 11, or 13.
ATTACHED
(YES/NO)
NAME OF SCHEDULE
NO. OF SHEETS
ASSETS
A - Real Property
OTHER
$
B - Personal Property
LIABILITIES
$
C - Property Claimed
as Exempt
D - Creditors Holding
Secured Claims
$
E - Creditors...
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