Official Form 106SUM Summary of Your Assets and Liabilities and Certain Statistical Information

Form Official106SUM is a United States Bankruptcy Court form also known as the "Summary Of Your Assets And Liabilities And Certain Statistical Information". The latest edition of the form was released in December 1, 2015 and is available for digital filing.

Download an up-to-date Form Official106SUM in PDF-format down below or look it up on the United States Bankruptcy Court Forms website.

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Fill in this information to identify your case:
Debtor 1
__________________________________________________________________
First Name
Middle Name
Last Name
Debtor 2
________________________________________________________________
(Spouse, if filing)
First Name
Middle Name
Last Name
__________ District of __________
__________
__________
United States Bankruptcy Court for the:
District of
Check if this is an
Case number
___________________________________________
(If known)
amended filing
Official Form 106Sum
Summary of Your Assets and Liabilities and Certain Statistical Information
12/15
Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct
information. Fill out all of your schedules first; then complete the information on this form. If you are filing amended schedules after you file
your original forms, you must fill out a new Summary and check the box at the top of this page.
Part 1:
Summarize Your Assets
Your assets
Value of what you own
Schedule A/B: Property (Official Form 106A/B)
1.
$ ________________
Copy line 55, Total real estate, from Schedule A/B ..........................................................................................................
1a.
Copy line 62, Total personal property, from Schedule A/B ...............................................................................................
1b.
$ ________________
Copy line 63, Total of all property on Schedule A/B .........................................................................................................
1c.
$ ________________
Part 2:
Summarize Your Liabilities
Your liabilities
Amount you owe
Schedule D: Creditors Who Have Claims Secured by Property (Official Form 106D)
2.
$ ________________
Copy the total you listed in Column A, Amount of claim, at the bottom of the last page of Part 1 of Schedule D ............
2a.
Schedule E/F: Creditors Who Have Unsecured Claims (Official Form 106E/F)
3.
$ ________________
Copy the total claims from Part 1 (priority unsecured claims) from line 6e of Schedule E/F ............................................
3a.
Copy the total claims from Part 2 (nonpriority unsecured claims) from line 6j of Schedule E/F .......................................
3b.
+
$ ________________
Your total liabilities
$ ________________
Part 3:
Summarize Your Income and Expenses
Schedule I: Your Income (Official Form 106I)
4.
$ ________________
Copy your combined monthly income from line 12 of Schedule I ..........................................................................................
Schedule J: Your Expenses (Official Form 106J)
5.
$ ________________
Copy your monthly expenses from line 22c of Schedule J ....................................................................................................
Official Form 106Sum
Summary of Your Assets and Liabilities and Certain Statistical Information
page 1 of 2
Fill in this information to identify your case:
Debtor 1
__________________________________________________________________
First Name
Middle Name
Last Name
Debtor 2
________________________________________________________________
(Spouse, if filing)
First Name
Middle Name
Last Name
__________ District of __________
__________
__________
United States Bankruptcy Court for the:
District of
Check if this is an
Case number
___________________________________________
(If known)
amended filing
Official Form 106Sum
Summary of Your Assets and Liabilities and Certain Statistical Information
12/15
Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct
information. Fill out all of your schedules first; then complete the information on this form. If you are filing amended schedules after you file
your original forms, you must fill out a new Summary and check the box at the top of this page.
Part 1:
Summarize Your Assets
Your assets
Value of what you own
Schedule A/B: Property (Official Form 106A/B)
1.
$ ________________
Copy line 55, Total real estate, from Schedule A/B ..........................................................................................................
1a.
Copy line 62, Total personal property, from Schedule A/B ...............................................................................................
1b.
$ ________________
Copy line 63, Total of all property on Schedule A/B .........................................................................................................
1c.
$ ________________
Part 2:
Summarize Your Liabilities
Your liabilities
Amount you owe
Schedule D: Creditors Who Have Claims Secured by Property (Official Form 106D)
2.
$ ________________
Copy the total you listed in Column A, Amount of claim, at the bottom of the last page of Part 1 of Schedule D ............
2a.
Schedule E/F: Creditors Who Have Unsecured Claims (Official Form 106E/F)
3.
$ ________________
Copy the total claims from Part 1 (priority unsecured claims) from line 6e of Schedule E/F ............................................
3a.
Copy the total claims from Part 2 (nonpriority unsecured claims) from line 6j of Schedule E/F .......................................
3b.
+
$ ________________
Your total liabilities
$ ________________
Part 3:
Summarize Your Income and Expenses
Schedule I: Your Income (Official Form 106I)
4.
$ ________________
Copy your combined monthly income from line 12 of Schedule I ..........................................................................................
Schedule J: Your Expenses (Official Form 106J)
5.
$ ________________
Copy your monthly expenses from line 22c of Schedule J ....................................................................................................
Official Form 106Sum
Summary of Your Assets and Liabilities and Certain Statistical Information
page 1 of 2
Debtor 1
_______________________________________________________
Case number
_____________________________________
(if known)
First Name
Middle Name
Last Name
Part 4:
Answer These Questions for Administrative and Statistical Records
Are you filing for bankruptcy under Chapters 7, 11, or 13?
6.
No. You have nothing to report on this part of the form. Check this box and submit this form to the court with your other schedules.
Yes
What kind of debt do you have?
7.
Your debts are primarily consumer debts. Consumer debts are those “incurred by an individual primarily for a personal,
family, or household purpose.” 11 U.S.C. § 101(8). Fill out lines 8-9g for statistical purposes. 28 U.S.C. § 159.
Your debts are not primarily consumer debts. You have nothing to report on this part of the form. Check this box and submit
this form to the court with your other schedules.
From the Statement of Your Current Monthly Income: Copy your total current monthly income from Official
8.
Form 122A-1 Line 11; OR, Form 122B Line 11; OR, Form 122C-1 Line 14.
$ _________________
Copy the following special categories of claims from Part 4, line 6 of Schedule E/F:
9.
Total claim
From Part 4 on Schedule E/F, copy the following:
$_____________________
9a. Domestic support obligations (Copy line 6a.)
$_____________________
9b. Taxes and certain other debts you owe the government. (Copy line 6b.)
$_____________________
9c. Claims for death or personal injury while you were intoxicated. (Copy line 6c.)
$_____________________
9d. Student loans. (Copy line 6f.)
9e. Obligations arising out of a separation agreement or divorce that you did not report as
$_____________________
priority claims. (Copy line 6g.)
+
9f. Debts to pension or profit-sharing plans, and other similar debts. (Copy line 6h.)
$_____________________
9g. Total. Add lines 9a through 9f.
$_____________________
Official Form 106Sum
Summary of Your Assets and Liabilities and Certain Statistical Information
page 2 of 2
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