Expression, Statement of Military Service

• Court: United States Federal Court
• Legal Form Number: B 2020
• Section: United States Federal Court

This statement is for information use only. Filing this statement with the Bankruptcy Court does not constitute an application for

or invoke the benefits and relief available un der the Servicemembers’ Civil Relief Act of 2003.

B2020 (Form 2020) (12/15)

United States Bankruptcy Court

____________________ District of ____________________

In re _________________________ Case Number _______________________

Chapter _______________________

STATEMENT OF MILITARY SERVICE

The Servicemembers’ Civil Relief Act of 2003, Pub. L. No. 108-189, provides for the temporary

suspension of certain judicial proceedings or transactions that may adversely affect military servicemembers, their

dependents, and others. Each party to a bankruptcy case who might be eligible for relief under the act should

complete this form and file it with the Bankruptcy Court.

IDENTIFICATION OF SERVICEMEMBER

 Self (Debtor, Codebtor, Creditor, Other)

 Non-Filing Spouse of Debtor (name)________________________________________

 Other (Name of servicemember)__________________________________________

(Relationship of filer to servicemember)_______________________________

(Type of liability) ________________________________________________

TYPE OF MILITARY SERVICE

U.S. Armed Forces (Army, Navy, Air Force, Marine Corps, or Coast Guard) or commissioned officer

of the Public Health Service or the National Oceanic and Atmospheric Administration (specify type

of service) _____________________________________________________________

 Active Service since ____________________________________________(date)

 Inductee - ordered to report on ____________________________________________(date)

 Retired / Discharged ____________________________________________(date)

U.S. Military Reserves and National Guard

 Active Service since ____________________________________________(date)

 Impending Active Service -orders postmarked _______________________________(date)

Ordered to report on ____________________________________________(date)

 Retired /Discharged ____________________________________________(date)

U.S. Citizen Serving with U.S. ally in war or military action (specify ally and war or action)

______________________________________________________________________

 Active Service since ____________________________________________(date)

 Retired/Discharged ____________________________________________(date)

DEPLOYMENT

 Servicemember deployed overseas on _______________________________________(date)

Anticipated completion of overseas tour-of-duty ______________________________(date)

SIGNATURE

____________________________________ ___________________________

Date

____________________________________

(print name)