CHAPTER 7

INDIVIDUAL DEBTOR'S STATEMENT OF INTENTION

 

1. I, ___________________________________________________________, the debtor, have filed a schedule of assets and liabilities which includes consumer debts secured by property of the estate in bankruptcy.

 

2. My intention with respect to the property of the estate which secures those consumer debts is as follows:

 

a. Property to be surrendered.

 

Description of property:                                      Creditors name:

1. ________________________                        _______________________

 

2. ________________________                        _______________________

 

3. ________________________                        _______________________

 

(b) Property to be retained. (Check applicable statement of debtors intention.)

 

Description of property Pursuant to Section 524:

1.________________________________________________________________

 

2.________________________________________________________________

 

3.________________________________________________________________

 

 

Creditors name:

1._________________________________________________________________

 

2._________________________________________________________________

 

3._________________________________________________________________

 

The debt will be reaffirmed and will be redeemed to Pursuant to Section 722:

1._________________________________________________________________

 

2._________________________________________________________________

 

3._________________________________________________________________

 

The Property is claimed as exempt Pursuant to Section 522(f):

1.________________________________________________________________

 

2.________________________________________________________________

 

3.________________________________________________________________

 

The Creditor’s lien will be avoided:

1.________________________________________________________________

 

2.________________________________________________________________

 

3.________________________________________________________________

 

 

 

3. I understand that Section 521(2)(B) of the Bankruptcy Code requires that I perform the above stated intention within 45 days of the filing of this statement with the court, or within any extension of the 45 day period that the court may grant.

 

 

Dated: _______________.

1

 

___________________________________

Signature

 

(Verification)