Expression, Voluntary Petition for Individuals Filing for Bankruptcy

• Court: United States Federal Court
• Legal Form Number: B 101
• Section: United States Federal Court

Official Form 101 Voluntary Petition for Individuals Filing for Bankruptcy page 1

Official Form 101

Voluntary Petition for Individuals Filing for Bankruptcy 12/22

The bankruptcy forms use you and Debtor 1 to refer to a debtor filing alone. A married couple may file a bankruptcy case together—called a

joint case—and in joint cases, these forms use you to ask for information from both debtors. For example, if a form asks, “Do you own a car,”

the answer would be yes if either debtor owns a car. When information is needed about the spouses separately, the form uses Debtor 1 and

Debtor 2 to distinguish between them. In joint cases, one of the spouses must report information as Debtor 1 and the other as Debtor 2. The

same person must be Debtor 1 in all of the forms.

Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct

information. If more space is needed, attach a separate sheet to this form. On the top of any additional pages, write your name and case number

(if known). Answer every question.

Part 1:

Identify Yourself

About Debtor 1: About Debtor 2 (Spouse Only in a Joint Case):

1.

Your full name

Write the name that is on your

government-issued picture

identification (for example,

your driver’s license or

passport).

Bring your picture

identification to your meeting

with the trustee.

______________________________ ____________________

First name

_________________________ _________________________

Middle name

_________________________ _________________________

Last name

_________________________ __

Suffix (Sr., Jr., II, III)

_________________________ _________________________

First name

_________________________ _________________________

Middle name

_________________________ _________________________

Last name

_________________________ __

Suffix (Sr., Jr., II, III)

2. All other names you

have used in the last 8

years

Include your married or

maiden names and any

assumed, trade names and

doing business as names.

Do NOT list the name of any

separate legal entity such as

a corporation, partnership, or

LLC that is not filing this

petition.

_________________________ _________________________

First name

__________________________________________________

Middle name

__________________________________________________

Last name

__________________________________________________

First name

__________________________________________________

Middle name

__________________________________________________

Last name

__________________________________________________

Business name (if applicable)

__________________________________________________

Business name (if applicable)

_________________________ _________________________

First name

_________________________ _________________________

Middle name

__________________________________________________

Last name

__________________________________________________

First name

__________________________________________________

Middle name

__________________________________________________

Last name

__________________________________________________

Business name (if applicable)

__________________________________________________

Business name (if applicable)

3. Only the last 4 digits of

your Social Security

number or federal

Individual Taxpayer

Identification number

(ITIN)

xxx – xx – ____ ____ ____ ____

OR

9 xx – xx – ____ ____ ____ ____

xxx – xx – ____ ____ ____ ____

OR

9 xx – xx – ____ ____ ____ ____

United States Bankruptcy Court for the:

Case number (If known): _________________________ Chapt er you are filing under:

Chapter 7

Chapter 11

Chapter 12

Chapter 13

Fill in this information to identify your case:



Check if this is an

amended filing

__________ District of __________