Official Form 108 "Statement of Intention for Individuals Filing Under Chapter 7"

What Is Official Form 108?

This is a legal form that was released by the United States Bankruptcy Court on December 1, 2015 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 1, 2015;
  • The latest available edition released by the United States Bankruptcy Court;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Official Form 108 by clicking the link below or browse more documents and templates provided by the United States Bankruptcy Court.

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Download Official Form 108 "Statement of Intention for Individuals Filing Under Chapter 7"

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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
___________________________________________
amended filing
(If known)
Official Form 108
Statement of Intention for Individuals Filing Under Chapter 7
12/15
If you are an individual filing under chapter 7, you must fill out this form if:
 creditors have claims secured by your property, or
 you have leased personal property and the lease has not expired.
You must file this form with the court within 30 days after you file your bankruptcy petition or by the date set for the meeting of creditors,
whichever is earlier, unless the court extends the time for cause. You must also send copies to the creditors and lessors you list on the form.
If two married people are filing together in a joint case, both are equally responsible for supplying correct information.
Both debtors must sign and date the form.
Be as complete and accurate as possible. 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).
Part 1:
List Your Creditors Who Have Secured Claims
1. For any creditors that you listed in Part 1 of Schedule D: Creditors Who Have Claims Secured by Property (Official Form 106D), fill in the
information below.
Identify the creditor and the property that is collateral
What do you intend to do with the property that
Did you claim the property
secures a debt?
as exempt on Schedule C?
Creditor’s
Surrender the property.
No
name:
Retain the property and redeem it.
Yes
Description of
Retain the property and enter into a
property
Reaffirmation Agreement.
securing debt:
Retain the property and [explain]: __________
______________________________________
Creditor’s
Surrender the property.
No
name:
Retain the property and redeem it.
Yes
Description of
Retain the property and enter into a
property
Reaffirmation Agreement.
securing debt:
Retain the property and [explain]: __________
______________________________________
Creditor’s
Surrender the property.
No
name:
Retain the property and redeem it.
Yes
Description of
Retain the property and enter into a
property
Reaffirmation Agreement.
securing debt:
Retain the property and [explain]: __________
______________________________________
Creditor’s
Surrender the property.
No
name:
Retain the property and redeem it.
Yes
Description of
Retain the property and enter into a
property
Reaffirmation Agreement.
securing debt:
Retain the property and [explain]: __________
______________________________________
Official Form 108
Statement of Intention for Individuals Filing Under Chapter 7
page 1
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
___________________________________________
amended filing
(If known)
Official Form 108
Statement of Intention for Individuals Filing Under Chapter 7
12/15
If you are an individual filing under chapter 7, you must fill out this form if:
 creditors have claims secured by your property, or
 you have leased personal property and the lease has not expired.
You must file this form with the court within 30 days after you file your bankruptcy petition or by the date set for the meeting of creditors,
whichever is earlier, unless the court extends the time for cause. You must also send copies to the creditors and lessors you list on the form.
If two married people are filing together in a joint case, both are equally responsible for supplying correct information.
Both debtors must sign and date the form.
Be as complete and accurate as possible. 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).
Part 1:
List Your Creditors Who Have Secured Claims
1. For any creditors that you listed in Part 1 of Schedule D: Creditors Who Have Claims Secured by Property (Official Form 106D), fill in the
information below.
Identify the creditor and the property that is collateral
What do you intend to do with the property that
Did you claim the property
secures a debt?
as exempt on Schedule C?
Creditor’s
Surrender the property.
No
name:
Retain the property and redeem it.
Yes
Description of
Retain the property and enter into a
property
Reaffirmation Agreement.
securing debt:
Retain the property and [explain]: __________
______________________________________
Creditor’s
Surrender the property.
No
name:
Retain the property and redeem it.
Yes
Description of
Retain the property and enter into a
property
Reaffirmation Agreement.
securing debt:
Retain the property and [explain]: __________
______________________________________
Creditor’s
Surrender the property.
No
name:
Retain the property and redeem it.
Yes
Description of
Retain the property and enter into a
property
Reaffirmation Agreement.
securing debt:
Retain the property and [explain]: __________
______________________________________
Creditor’s
Surrender the property.
No
name:
Retain the property and redeem it.
Yes
Description of
Retain the property and enter into a
property
Reaffirmation Agreement.
securing debt:
Retain the property and [explain]: __________
______________________________________
Official Form 108
Statement of Intention for Individuals Filing Under Chapter 7
page 1
______________________________________________________
Case number
_____________________________________
Debtor 1
(If known)
First Name
Middle Name
Last Name
Part 2:
List Your Unexpired Personal Property Leases
For any unexpired personal property lease that you listed in Schedule G: Executory Contracts and Unexpired Leases (Official Form 106G),
fill in the information below. Do not list real estate leases. Unexpired leases are leases that are still in effect; the lease period has not yet
ended. You may assume an unexpired personal property lease if the trustee does not assume it. 11 U.S.C. § 365(p)(2).
Describe your unexpired personal property leases
Will the lease be assumed?
Lessor’s name:
No
Yes
Description of leased
property:
Lessor’s name:
No
Yes
Description of leased
property:
Lessor’s name:
No
Yes
Description of leased
property:
Lessor’s name:
No
Yes
Description of leased
property:
Lessor’s name:
No
Yes
Description of leased
property:
Lessor’s name:
No
Yes
Description of leased
property:
Lessor’s name:
No
Yes
Description of leased
property:
Part 3:
Sign Below
Under penalty of perjury, I declare that I have indicated my intention about any property of my estate that secures a debt and any
personal property that is subject to an unexpired lease.
___________________________________________
___________________________________________
Signature of Debtor 1
Signature of Debtor 2
_________________
_________________
Date
Date
MM /
DD
/
YYYY
MM /
DD /
YYYY
Official Form 108
Statement of Intention for Individuals Filing Under Chapter 7
page 2
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