Fillable Involuntary Petition Against an Individual 12/15 (US Courts)

Fill Online, Printable, Fillable, Blank Involuntary Petition Against an Individual 12/15 (US Courts) Form

Use Fill to complete blank online US COURTS pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Involuntary Petition Against an Individual 12/15 (US Courts)

On average this form takes 37 minutes to complete

The Involuntary Petition Against an Individual 12/15 (US Courts) form is 5 pages long and contains:

  • 0 signatures
  • 6 check-boxes
  • 144 other fields

Country of origin: US
File type: PDF

BROWSE US COURTS FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Official Form 105 Involuntary Petition Against an Individual page 1
Official Form 105
Involuntary Petition Against an Individual 12/15
Use this form to begin a bankruptcy case against an individual you allege to be a debtor subject to an involuntary case. If you want to begin a
case against a non-individual, use the Involuntary Petition Against a Non-individual (Official Form 205). 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 name and case number (if
known).
Part 1: Identify the Chapter of the Bankruptcy Code Under Which Petition Is Filed
1. Chapter of the
Bankruptcy Code
Check one:
Chapter 7
Chapter 11
Part 2: Identify the Debtor
2. Debtor’s full name
__________________________________________________
First name
__________________________________________________
Middle name
__________________________________________________
Last name
___________________________
Suffix (Sr., Jr., II, III)
3. Other names you know
the debtor has used in
the last 8 years
Include any assumed,
married, maiden, or trade
names, or
doing business as
names.
__________________________________________________
__________________________________________________
__________________________________________________
4. Only the last 4 digits of
debtor’s Social Security
Number or federal
Individual Taxpayer
Identification Number
(ITIN)
Unknown
xxx – xx – ____ ____ ____ ____ OR 9 xx – xx – ____ ____ ____ ____
5. Any Employer
Identification Numbers
(EINs) used in the last 8
years
Unknown
___ ___ – ___ ___ ___ ___ ___ ___ ___
EIN
___ ___ – ___ ___ ___ ___ ___ ___ ___
EIN
United States Ba
nkruptcy Court for the:
__________ District of __________
Case number
(If known): _________________________ Chapter _____
Fill in this information to identify the case:
Check if this is an
amended filing
__________ District of __________
Debtor _______________________________________________________ Case number (if known)_____________________________________
Official Form 105 Involuntary Petition Against an Individual page 2
6. Debtor’s address
Principal residence Mailing address, if different from residence
_________________________________________________
Number Street
_________________________________________________
_________________________________________________
City State ZIP Code
_________________________________________________
County
_________________________________________________
Number Street
_________________________________________________
_________________________________________________
City State
ZIP
Code
Principal place of business
_________________________________________________
Number Street
_________________________________________________
_________________________________________________
City State
ZIP
Code
_________________________________________________
County
7. Type of business
Debtor does not operate a business
Check one if the debtor operates a business:
Health Care Business (as defined in 11 U.S.C. § 101(27A))
Single Asset Real Estate (as defined in 11 U.S.C. § 101(51B))
Stockbroker (as defined in 11 U.S.C. § 101(53A))
Commodity Broker (as defined in 11 U.S.C. § 101(6))
None of the above
8. Type of debt
Each petitioner believes:
Debts are primarily consumer debts.Consumer debts are defined in 11 U.S.C. § 101(8) as
“incurred by an individual primarily for a personal, family, or household purpose.”
Debts are primarily business debts. Business debts are debts that were incurred to obtain money
for a business or investment or through the operation of the busines
s or investment.
9. Do you know of any
bankruptcy cases
pending by or against
any partner, spouse, or
affiliate of this debtor?
No
Yes. Debtor _________________________________________________ Relationship __________________________
District __________________________Date filed _______________ Case number, if known___________________
MM / DD / YYYY
Debtor _________________________________________________ Relationship ___________________________
District __________________________ Date filed _______________ Case number, if known___________________
MM / DD / YYYY
Debtor _______________________________________________________ Case number (if known)_____________________________________
Official Form 105 Involuntary Petition Against an Individual page 3
Part 3: Report About the Case
10. Venue
Reason for filing in this court.
Check one:
Over the last 180 days before the filing of this bankruptcy, the debtor has resided, had the principal place of
business, or had principal assets in this district lon
ger than in any o
ther district.
A bankruptcy case concerning debtor’s affiliates, general partner, or partnership is pending in this district.
Other reason. Explain. (See 28 U.S.C. § 1408.) ___________________________________________________
11. Allegations
Each petitioner is eligible to file this petition under 11 U.S.C. § 303(b).
The debtor may be the subject of an involuntary case under 11 U.S.C. § 303(a).
At least one box must be checked:
The debtor is generally not paying such debtor’s debts as they become due, unless they are the subject of a
bona fide dispute as to liability or amount.
Within 120 days before the filing of this petition, a custodian, other than a trustee, receiver, or agent appointed or
authorized to take charge of less than substantially all of the property of the debtor for the purpose of enforcing a
lien against such property, was appointed or took possession.
12. Has there been a
transfer of any claim
against the debtor by or
to any petitioner?
No
Yes. Attach all documents that evidence the transfer and any statements required under Bankruptcy Rule
1003(a
).
13. Each petitioner’s claim
Name of petitioner
Nature of petitioner’s claim
Amount of the
claim above the
value of any lien
$
________________
$
________________
$
________________
Total
$
________________
If more than 3 petitioners, attach additional sheets with the statement under penalty
of perjury, each petitioner’s (or representative’s) signature under the statement,
along with the signature of the petitioner’s attorney, and the information on the
petitioning creditor, the petitioner’s claim, the petitioner’s representative, and the
attorney following the format on this form.
Debtor _______________________________________________________ Case number (if known)_____________________________________
Official Form 105 Involuntary Petition Against an Individual page 4
Part 4: Request for Relief
Petitioners request that an order for relief be entered against the debtor under the chapter specified in Part 1 of this petition. If a petitioning
creditor is a corporation, attach the corporate ownership statement required by Bankruptcy Rule 1010(b). If any petitioner is a foreign
representative appointed in a foreign proceeding, a certified copy of the order of the court granting recognition is attached.
Petitioners declare under penalty of perjury that the information provided in this petition is true and correct. Petitioners understand that if they make a
false statement, they could be fined up to $250,000 or imprisoned for up to 5 years, or both.
18 U.S.C. §§ 152 and 3571. If relief is not ordered, the court may award attorneys’ fees, costs, damages, and punitive damages. 11 U.S.C. § 303(i).
Petitioners or Petitioners’ Representative Attorneys
________________________________________
Signature of petitioner or representative, including representative’s title
______________________________________________________________
Printed name of petitioner
Date signed _________________
MM / DD / YYYY
Mailing address of petitioner
______________________________________________________________
Number Street
______________________________________________________________
City State ZIP Code
If petitioner is an individual and is not represented by an
attorney:
Contact phone ____________________________
Email ____________________________
Name and mailing address of petitioner’s representative, if any
______________________________________________________________
Name
______________________________________________________________
Number Street
______________________________________________________________
City State ZIP Code
________________________________________
Signature of attorney
________________________________________________________________
Printed name
________________________________________________________________
Firm name, if any
________________________________________________________________
Number Street
________________________________________________________________
City State ZIP Code
Date signed
_________________
MM / DD / YYYY
Contact phone _________________ Email ____________________________
Debtor _______________________________________________________ Case number (if known)_____________________________________
Official Form 105 Involuntary Petition Against an Individual page 5
________________________________________
Signature of petitioner or representative, including representative’s title
______________________________________________________________
Printed name of petitioner
Date signed _________________
MM / DD / YYYY
Mailing address of petitioner
______________________________________________________________
Number Street
______________________________________________________________
City State ZIP Code
Name and mailing address of petitioner’s representative, if any
______________________________________________________________
Name
______________________________________________________________
Number Street
______________________________________________________________
City State ZIP Code
________________________________________
Signature of Attorney
________________________________________________________________
Printed name
________________________________________________________________
Firm name, if any
________________________________________________________________
Number Street
________________________________________________________________
City State
ZIP Code
Date signed
_________________
MM / DD / YYYY
Contact phone _________________ Email ____________________________
________________________________________
Signature of petitioner or representative, including representative’s title
______________________________________________________________
Printed name of petitioner
Date signed _________________
MM / DD / YYYY
Mailing address of petitioner
______________________________________________________________
Number Street
______________________________________________________________
City State ZIP Code
Name and mailing address of petitioner’s representative, if any
______________________________________________________________
Name
______________________________________________________________
Number Street
_____________________________________________________________
City State ZIP Code
________________________________________
Signature of Attorney
________________________________________________________________
Printed name
________________________________________________________________
Firm name, if any
________________________________________________________________
Number Street
________________________________________________________________
City State
ZIP
Code
Date signed
_________________
MM / DD / YYYY
Contact phone _________________ Email ____________________________
Print
Save As...
Add Attachment
Reset
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Involuntary Petition Against an Individual 1215 (US Courts)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 24 January 2022

Message

View Audit Log
Print With Audit Log
Duplicate Document