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State of Hawaii Bankruptcy Proof of Claim Form

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

State of Hawaii Bankruptcy Proof of Claim Form Overall rating: ☆☆☆☆☆ 0 based on 0 reviews
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Hawaii Bankruptcy Proof of Claim Form,B10 is devised to provide accurate information of claim during filing petition for bankruptcy before the United States Bankruptcy Court, Hawaii District. Various types of inputs are required to conclude the claim amount as well as the claim type. Read instructions carefully to understand the nature of information called for in the form. You must provide accurate information in all sections from 1 through 8.


You must define your role, date, and sign the document under the penalties of perjury. Any fraudulent claim made using B10, the State of Hawaii Bankruptcy Proof of Claim Form attracts imprisonment for up to 5 years or a fine of up to $500,000 or both. You may choose to provide information about Secured Claim and/or about Amount of Claim Entitled to Priority when applicable in the respective sections of the form.


Filing for Bankruptcy in Hawaii, How to use the Hawaii Bankruptcy Proof of Cliam

Enter the case number and debtor’s name followed by creditor’s name. Then provide the name and address along with phone number and email address for sending notices. Enter the name and address for sending payment if different from above. You must select the first box if filing this B10, the State of Hawaii Bankruptcy Proof of Claim Form amends any previous claim and then type the case number. Then mark the next box if applicable and attach a statement copy. Please enter the amount of claim in US dollar. Then mark the box in section 1 if the claim amount contains interest and/or any other charges. Enter the basis for claim in section 2. Mention last four digits of creditor’s ID. Then specify information of debtor’s scheduled account in 3a and Uniform Claim Identifier in 3b.

Section 4 of B10, the State of Hawaii Bankruptcy Proof of Claim Form requires input of secured claim. Please provide information about Nature of property or right of setoff by selecting correct box, then enter property value in US dollar, annual interest rate, its type, arrearage along with other charges, basis for perfection, amount of secured claim, and lastly amount unsecured if any.

Enter the Amount of Claim Entitled to Priority under the section 11 U.S.C. § 507 (a) in section 5. Make the selection of the correct box that applies to the claim. You must enter the relevant paragraph number if you select other. Complete this part of the form by entering the amount entitled to priority if any.

Section 8 of B10, the State of Hawaii Bankruptcy Proof of Claim Form has space for marking your role. Then enter printed name, title, company name, address, phone number, and email address on subsequent lines. Then sign and date the form to complete it.

State of Hawaii Bankruptcy Proof of Claim Form

State of Hawaii Bankruptcy Proof of Claim Form

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