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BUSINESS QUESTIONNAIRE

  • BUSINESS QUESTIONNAIRE

    INSTRUCTIONS: Complete the entire form using additional pages if necessary. All financial information, unless otherwise stated, is to be as of the bankruptcy filing date.

  • IMPORTANT

    This form, along with COPIES of all documents requested, must be provided to the trustee in a timely manner. Submit all documents to your attorney. Your attorney must submit the material to the Trustee’s office one week prior to the section 341 meeting of creditors. Failure to supply information will result in the Trustee objecting to the confirmation of the case. INFORMATION SUPPLIED TO THE TRUSTEE WILL BE RETAINED AS PART OF THE CASE FILE. DO NOT SEND ORIGINAL INFORMATION.

  • Drop files here or
  • Type of Business Organization:

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  • QUESTIONNAIRE

  • 1. Employees and/or sub-contractors:

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  • Your Responsibility as a Business Debtor

  • If you have borrowed money from any creditor and as security or collateral for the loan you have pledged accounts receivables, rents, or other cash, you may not use the accounts receivables, rents or cash without express written consent from the creditor, or an order from the court allowing the use. Failure to obtain creditor consent or an order from the court before using these assets may result in severe penalties. During the course of your Bankruptcy it is your responsibility to pay any state and federal taxes on time. Failure to do so may result in severe penalties. In order to continue the operation of your business, it is your responsibility to obtain and maintain comprehensive liability insurance for the operation of your business.

  • DECLARATION UNDER PENALTY OF PERJURY BY DEBTOR

  • I (we) declare under penalty of Perjury that I(we) have answered all questions and provided all applicable documents pertaining to this business questionnaire in good faith and that said answers and documents are true and correct.

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  • Upon review of submitted documentation, we may request additional financial information.

  • BUSINESS CASE CHECKLIST

  • Schedule of Full and Part Time Employees

  • Employee NamePosition/FunctionSalary or Hourly RateP = Part time / F = Full time 
  • Schedule of Sub-Contractors

  • Sub-Contractor NamePosition/FunctionPay RateP = Part time / F = Full time 
  • BUSINESS CASE CHECKLIST

    Schedule of Business Assets

  • Asset DescriptionDate AquiredOriginal CostEstimated Current Market ValueComments 
  • This field is for validation purposes and should be left unchanged.