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District of California Bankruptcy Proof of Claim Form

Free State of California Bankruptcy Proof of Claim Form - PDF Form Download

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District of California Bankruptcy Proof of Claim Form B10 serves the purpose of providing the bankruptcy claim value as of the date of filing the claim. This eight-part form requires information pertaining to the claim and filling all parts of the form is compulsory. Please provide descriptive information about the basis for claim in part 2 and secured claim in part 4.


This legal instrument does not require notarization. However, you accept to sign this document under the perjury of penalties like fine and/or imprisonment as directed in 18 U.S.C. §§ 152, 157

and 3571.


You must submit duly filled District of California Bankruptcy Proof of Claim Form B10 in United States Bankruptcy Court, District of California. Enclose a self-addressed and stamped envelope along with this form for receiving acknowledgement of filing the claim. You must not enclose any original document along with the form as these enclosed documents may be destroyed after scanning.

Before you start Filling the California Bankruptcy Proof of Claim

Complete the foremost portion of District of California Bankruptcy Proof of Claim Form B10 by entering debtor’s and creditor’s names along with names and addresses for sending notices and payment. Select boxes on the right when applicable and provide requested details.

Amount of Claim

Enter amount of the claim in part 1. You must specify the exact amount as of the date of filing the claim. Select the box if this amount contains interest and other charges.

Basis for Claim

Enter basis for claim in line with the instruction number 2 in part 2 of District of California Bankruptcy Proof of Claim Form B10. Mention the basis for claim descriptively.

Identification

Mention last 4 numbers of any of the Creditor’s IDs issued by the government. Then specify scheduled account of the debtor on line 3a and then Uniform Claim Identifier on line 3b.

Secured Claim

Provide requested particulars like type of property, property value in US dollar, interest rate, type of interest applicable, arrearage and other charges, basis for perfection, secured claim amount, and unsecured amount on the respective lines to complete the part 4 of District of California Bankruptcy Proof of Claim Form B10.

Amount of Claim Entitled to Priority

Section 11 U.S.C. § 507 (a) has directives to decide the amount of claim entitled to priority. You must select the correct box among five options available. However, you need to enter the applicable paragraph number of the section 11 U.S.C. § 507 (a) in case you mark your response as other. Then enter the amount entitled to priority on the next line.

Credits & Documents

Read the instructions for entering the credit and redacted documents and submit copies of redacted documents accordingly. Do not enclose originals along with this form B10.

Signature

The last portion of the form B10, District of California Bankruptcy Proof of Claim requires selection of your role, then input of your printed name and address. Type the information requested on these lines and then sign and date the document to prepare it for filing in the court.

District of California Bankruptcy Proof of Claim Form

District of California Bankruptcy Proof of Claim Form

 

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