creditor list law offices of peter francis geraci read ...page 1 of 2 last name _____ first_____...
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Page 1 of 2 Last Name ______________________________________________ First__________________________ Middle __________________ Spouse name if joint ___________________________________________________ Date: _____/_____/______ Record # _______-_________
CREDITOR LIST 07 1009 This form is the property of and copyright 2007 by Peter Francis Geraci It is totally confidential until bankruptcy is filed in Court.
1 Creditor
Address City State Zip
A D E F H Date opened / Date last used /
What for Account # BAL$
Husb-indiv wife Joint Community
Describe collateral (house, vehicle, cr union Personal property account pension) or NONE
Collection agency Co-signer Collector or attorney name, address, acct #
2 Creditor
Address City State Zip
A D E F H Date opened / Date last used /
What for Account # BAL$
Husb-indiv wife Joint Community
Describe collateral (house, vehicle, cr union Personal property account pension) or NONE
Collection agency Co-signer Collector or attorney name, address, acct #
3 Creditor
Address City State Zip
A D E F H Date opened / Date last used /
What for Account # BAL$
Husb-indiv wife Joint Community
Describe collateral (house, vehicle, cr union Personal property account pension) or NONE
Collection agency Co-signer Collector or attorney name, address, acct #
4 Creditor
Address City State Zip
A D E F H Date opened / Date last used /
What for Account # BAL$
Husb-indiv wife Joint Community
Describe collateral (house, vehicle, cr union Personal property account pension) or NONE
Collection agency Co-signer Collector or attorney name, address, acct #
5 Creditor
Address City State Zip
A D E F H Date opened / Date last used /
What for Account # BAL$
Husb-indiv wife Joint Community
Describe collateral (house, vehicle, cr union Personal property account pension) or NONE
Collection agency Co-signer Collector or attorney name, address, acct #
6 Creditor
Address City State Zip
A D E F H Date opened / Date last used /
What for Account # BAL$
Husb-indiv wife Joint Community
Describe collateral (house, vehicle, cr union Personal property account pension) or NONE
Collection agency Co-signer Collector or attorney name, address, acct #
7 Creditor
Address City State Zip
A D E F H Date opened / Date last used /
What for Account # BAL$
Husb-indiv wife Joint Community
Describe collateral (house, vehicle, cr union Personal property account pension) or NONE
Collection agency Co-signer Collector or attorney name, address, acct #
CREDITOR LIST Law Offices of Peter Francis Geraci READ THESE INSTRUCTIONS AND INITIAL EACH ONE __1. List ALL debts whether you want to keep them or not!!! Put a star next to number if “keeping” You must be current unless a 13. __2. You can’t keep credit cards unless with credit union secured w/other debts. List debts you dispute, debts you owe friends, etc. __3. First list debts with collateral like mortgages, vehicles, credit unions, finance companies; ALL SECURED DEBTS FIRST! __4. List any child support agency you owe, and tax debts. List credit cards, medical, payday loans, unsecured debts etc. last. __5. Get the name of the creditor right! List the co-signer, collector or attorney in the space for Collection Agency __6. If you don’t know the CREDITOR ADDRESS, go on Google (free at library) and FIND IT. __7. FILL IN ALL BLANKS & list the date originally opened & the date last used. Joint filers must specify Husb,wife, joint, community. __8. Failure to list any debt is fraudulent!! If you have more than 15 creditors, make a copy of page 2 and re-number it.
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Page 2 of 2 Last Name ______________________________________________ First__________________________ Middle __________________ Spouse name if joint ___________________________________________________ Date: _____/_____/______ Record # _______-_________
CREDITOR LIST 07 1009 This form is the property of and copyright 2007 by Peter Francis Geraci It is totally confidential until bankruptcy is filed in Court.
8 Creditor
Address City State Zip
A D E F H Date opened / Date last used /
What for Account # BAL$
Husb-indiv wife Joint Community
Describe collateral or NONE
Collection agency Co-signer Collector or attorney name, address, acct #
9 Creditor
Address City State Zip
A D E F H Date opened / Date last used /
What for Account # BAL$
Husb-indiv wife Joint Community
Describe collateral or NONE
Collection agency Co-signer Collector or attorney name, address, acct #
10 Creditor
Address City State Zip
A D E F H Date opened / Date last used /
What for Account # BAL$
Husb-indiv wife Joint Community
Describe collateral or NONE
Collection agency Co-signer Collector or attorney name, address, acct #
11 Creditor
Address City State Zip
A D E F H Date opened / Date last used /
What for Account # BAL$
Husb-indiv wife
Joint Community
Describe collateral or NONE
Collection agency Co-signer Collector or attorney name, address, acct #
12 Creditor
Address City State Zip
A D E F H Date opened / Date last used /
What for Account # BAL$
Husb-indiv wife Joint Community
Describe collateral or NONE
Collection agency Co-signer Collector or attorney name, address, acct #
13 Creditor
Address City State Zip
A D E F H Date opened / Date last used /
What for Account # BAL$
Husb-indiv wife Joint Community
Describe collateral or NONE
Collection agency Co-signer Collector or attorney name, address, acct #
14 Creditor
Address City State Zip
A D E F H Date opened / Date last used /
What for Account # BAL$
Husb-indiv wife Joint Community
Describe collateral or NONE
Collection agency Co-signer Collector or attorney name, address, acct #
15 Creditor
Address City State Zip
A D E F H Date opened / Date last used /
What for Account # BAL$
Husb-indiv wife Joint Community
Describe collateral or NONE
Collection agency Co-signer Collector or attorney name, address, acct #
I/We have 15 debts or less __ more debts, see next page x_____________________________ x_____________________________ Date: ____/____/___
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