Official Form 101 Voluntary Petition for Individuals Filing for Bankruptcy page 1
Official Form 101
Voluntary Petition for Individuals Filing for Bankruptcy 06/24
The bankruptcy forms use you and Debtor 1 to refer to a debtor filing alone. A married couple may file a bankruptcy case together—called a
joint case—and in joint cases, these forms use you to ask for information from both debtors. For example, if a form asks, “Do you own a car,”
the answer would be yes if either debtor owns a car. When information is needed about the spouses separately, the form uses Debtor 1 and
Debtor 2 to distinguish between them. In joint cases, one of the spouses must report information as Debtor 1 and the other as Debtor 2. The
same person must be Debtor 1 in all of the forms.
Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct
information. 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). Answer every question.
Part 1:
Identify Yourself
About Debtor 1: About Debtor 2 (Spouse Only in a Joint Case):
1.
Write the name that is on your
government-issued picture
identification (for example,
your driver’s license or
passport).
Bring your picture
identification to your meeting
with the trustee.
__________________________________________________
First name
__________________________________________________
Middle name
__________________________________________________
Last name
___________________________
Suffix (Sr., Jr., II, III)
___________________
_______________________________
First name
__________________________________________________
Middle name
__________________________________________________
Last name
___________________________
Suffix (Sr., Jr., II, III)
2. All other names you
have used in the last 8
years
Include your married or
maiden names and any
assumed, trade names and
doing business as names.
Do NOT list the name of any
separate legal entity such as
a corporation, partnership, or
LLC that is not filing this
petition.
__________________________________________________
First name
__________________________________________________
Middle name
__________________________________________________
Last name
__________________________________________________
First name
__________________________________________________
Middle name
__________________________________________________
Last name
__________________________________________________
Business name (if applicable)
__________________________________________________
Business name (if applicable)
__________________________________________________
First name
__________________________________________________
Middle name
__________________________________________________
Last name
__________________________________________________
First name
__________________________________________________
Middle name
__________________________________________________
Last name
__________________________________________________
Business name (if applicable)
__________________________________________________
Business name (if applicable)
3. Only the last 4 digits of
your Social Security
number or federal
Individual Taxpayer
Identification number
xxx – xx – ____ ____ ____ ____
OR
9 xx – xx – ____ ____ ____ ____
xxx – xx – ____ ____ ____ ____
OR
9 xx – xx – ____ ____ ____ ____
United States Bankruptcy Court for the:
Case number (If known): _________________________ Chapter you are filing under:
Chapter 7
Chapter 11
Chapter 12
Chapter 13
Fill in this information to identify your case:
Check if this is an
amended filing
Central District of California