Official Form 401 "Chapter 15 Petition for Recognition of a Foreign Proceeding"

What Is Official Form 401?

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 401 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 401 "Chapter 15 Petition for Recognition of a Foreign Proceeding"

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Fill in this information to identify the case:
United States Bankruptcy Court for the:
__________ District of __________
__________ District of __________
Case number
_________________________ Chapter 15
Check if this is an
(If known):
amended filing
Official Form 401
Chapter 15 Petition for Recognition of a Foreign Proceeding
12/15
If more space is needed, attach a separate sheet to this form. On the top of any additional pages, write debtor’s name and case number (if known).
_____________________________________________________________________________________________
Debtor’s name
1.
For non-individual debtors:
Debtor’s unique identifier
2.
Federal Employer Identification Number (EIN)
___ ___ – ___ ___ ___ ___ ___ ___ ___
Other ___________________________. Describe identifier _____________________________.
For individual debtors:
Social Security number:
xxx – xx– ____ ____ ____ ____
Individual Taxpayer Identification number (ITIN): 9 xx – xx – ____ ____ ____ ____
Other ___________________________. Describe identifier ______________________________.
Name of foreign
3.
representative(s)
____________________________________________________________________________________________
Foreign proceeding in which
4.
appointment of the foreign
____________________________________________________________________________________________
representative(s) occurred
Nature of the foreign
5.
Check one:
proceeding
Foreign main proceeding
Foreign nonmain proceeding
Foreign main proceeding, or in the alternative foreign nonmain proceeding
Evidence of the foreign
6.
A certified copy, translated into English, of the decision commencing the foreign proceeding and
proceeding
appointing the foreign representative is attached.
A certificate, translated into English, from the foreign court, affirming the existence of the foreign
proceeding and of the appointment of the foreign representative, is attached.
Other evidence of the existence of the foreign proceeding and of the appointment of the foreign
representative is described below, and relevant documentation, translated into English, is attached.
_______________________________________________________________________________________
_______________________________________________________________________________________
Is this the only foreign
7.
No. (Attach a statement identifying each country in which a foreign proceeding by, regarding, or against the
proceeding with respect to
debtor is pending.)
the debtor known to the
Yes
foreign representative(s)?
Official Form 401
Chapter 15 Petition for Recognition of a Foreign Proceeding
page 1
Fill in this information to identify the case:
United States Bankruptcy Court for the:
__________ District of __________
__________ District of __________
Case number
_________________________ Chapter 15
Check if this is an
(If known):
amended filing
Official Form 401
Chapter 15 Petition for Recognition of a Foreign Proceeding
12/15
If more space is needed, attach a separate sheet to this form. On the top of any additional pages, write debtor’s name and case number (if known).
_____________________________________________________________________________________________
Debtor’s name
1.
For non-individual debtors:
Debtor’s unique identifier
2.
Federal Employer Identification Number (EIN)
___ ___ – ___ ___ ___ ___ ___ ___ ___
Other ___________________________. Describe identifier _____________________________.
For individual debtors:
Social Security number:
xxx – xx– ____ ____ ____ ____
Individual Taxpayer Identification number (ITIN): 9 xx – xx – ____ ____ ____ ____
Other ___________________________. Describe identifier ______________________________.
Name of foreign
3.
representative(s)
____________________________________________________________________________________________
Foreign proceeding in which
4.
appointment of the foreign
____________________________________________________________________________________________
representative(s) occurred
Nature of the foreign
5.
Check one:
proceeding
Foreign main proceeding
Foreign nonmain proceeding
Foreign main proceeding, or in the alternative foreign nonmain proceeding
Evidence of the foreign
6.
A certified copy, translated into English, of the decision commencing the foreign proceeding and
proceeding
appointing the foreign representative is attached.
A certificate, translated into English, from the foreign court, affirming the existence of the foreign
proceeding and of the appointment of the foreign representative, is attached.
Other evidence of the existence of the foreign proceeding and of the appointment of the foreign
representative is described below, and relevant documentation, translated into English, is attached.
_______________________________________________________________________________________
_______________________________________________________________________________________
Is this the only foreign
7.
No. (Attach a statement identifying each country in which a foreign proceeding by, regarding, or against the
proceeding with respect to
debtor is pending.)
the debtor known to the
Yes
foreign representative(s)?
Official Form 401
Chapter 15 Petition for Recognition of a Foreign Proceeding
page 1
Debtor
_______________________________________________________
Case number
_____________________________________
(if known)
Name
Others entitled to notice
Attach a list containing the names and addresses of:
8.
(i)
all persons or bodies authorized to administer foreign proceedings of the debtor,
(ii)
all parties to litigation pending in the United States in which the debtor is a party at the time of filing of this
petition, and
(iii) all entities against whom provisional relief is being sought under § 1519 of the Bankruptcy Code.
Addresses
Country where the debtor has the center of its
Debtor’s registered office:
9.
main interests:
______________________________________________
______________________________________________
Number
Street
_______________________________________________
P.O. Box
_______________________________________________
City
State/Province/Region
ZIP/Postal Code
_______________________________________________
Country
Individual debtor’s habitual residence:
Address of foreign representative(s):
_______________________________________________
_______________________________________________
Number
Street
Number
Street
_______________________________________________
_______________________________________________
P.O. Box
P.O. Box
_______________________________________________
_______________________________________________
City
State/Province/Region
ZIP/Postal Code
City
State/Province/Region
ZIP/Postal Code
_______________________________________________
_______________________________________________
Country
Country
Debtor’s website (URL)
10.
____________________________________________________________________________________________________
Type of debtor
Check one:
11.
Non-individual (check one):
Corporation. Attach a corporate ownership statement containing the information
described in Fed. R. Bankr. P. 7007.1.
Partnership
________________________________________________
Other. Specify:
Individual
Official Form 401
Chapter 15 Petition for Recognition of a Foreign Proceeding
page 2
Debtor
_______________________________________________________
Case number
_____________________________________
(if known)
Name
Why is venue proper in this
Check one:
12.
district?
Debtor’s principal place of business or principal assets in the United States are in this district.
Debtor does not have a place of business or assets in the United States, but the following
action or proceeding in a federal or state court is pending against the debtor in this district:
___________________________________________________________________________.
If neither box is checked, venue is consistent with the interests of justice and the convenience
of the parties, having regard to the relief sought by the foreign representative, because:
___________________________________________________________________________.
Signature of foreign
13.
I request relief in accordance with chapter 15 of title 11, United States Code.
representative(s)
I am the foreign representative of a debtor in a foreign proceeding, the debtor is eligible for the
relief sought in this petition, and I am authorized to file this petition.
I have examined the information in this petition and have a reasonable belief that the
information is true and correct.
I declare under penalty of perjury that the foregoing is true and correct,
________________________________________________
_______________________________________________
Signature of foreign representative
Printed name
Executed on
__________________
MM / DD / YYYY
________________________________________________
_______________________________________________
Signature of foreign representative
Printed name
Executed on
__________________
MM / DD / YYYY
Signature of attorney
14.
Date
_________________________________________________
_________________
Signature of Attorney for foreign representative
MM
/ DD / YYYY
_________________________________________________________________________________________________
Printed name
_________________________________________________________________________________________________
Firm name
_________________________________________________________________________________________________
Number
Street
____________________________________________________
__________________________________________
City
State
ZIP Code
____________________________________
__________________________________________
Contact phone
Email address
______________________________________________________ ____________
Bar number
State
Official Form 401
Chapter 15 Petition for Recognition of a Foreign Proceeding
page 3
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