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United States Bankruptcy Court
Northern District of Alabama
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Judicial Misconduct
and Disability

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Chief Bankruptcy Judge
Benjamin Cohen

Clerk of Court
Scott W. Ford

Chief Deputy Clerk
Douglas E. Wedge

Clerk's Office
Robert S. Vance
Federal Building
1800 5th Avenue North
Suite 120
Birmingham, AL 35203
(205) 714-4000

  Bankruptcy Forms

Official Bankruptcy Forms - USCourts.gov Collection

Updated 8/11/2009

1. Voluntary Petition 
    Voluntary Petition Instructions
    Exhibit "A"
    Exhibit "C"
    Exhibit "D" (fillable) 
2. Declaration under Penalty of Perjury on Behalf of a Corporation or Partnership
3. Application and Order to Pay Filing Fee in Installments
    Application for Waiver of Chapter 7 Filing Fee
4. List of Creditors Holding 20 Largest Unsecured Claims
5. Involuntary Petition
6. Schedules
    Summary of Schedules

    Declaration Concerning Debtor's Schedules 
7. Statement of Financial Affairs
8. Individual Debtor's Statement of Intention (fillable) 
10. Proof of Claim (fillable) - Instructions 
11A. General Power of Attorney
11B. Special Power of Attorney
14. Ballot for Accepting or Rejecting Plan
15. Order Confirming Plan
17. Notice of Appeal added 8/11/2009
19A. Declaration and Signature of Non-Attorney Bankruptcy Petition Preparer (See 11 U.S.C. § 110)
19B. Notice to Debtor by Non-Attorney Bankruptcy Petition Preparer
21. Statement of Social Security Number (fillable)
22A. Statement of Current Monthly Income and Means Test Calculation (Chapter7) (fillable) 
22B. Statement of Current Monthly Income (Chapter 11) (fillable)
22C. Statement of Current Monthly Income and Calculation of Commitment Period and Disposable Income (Chapter 13) (fillable) 
23. Debtor's Certification of Completion of Instructional Course Concerning Financial Management  (fillable)
25A. Plan of Reorganization in Small Business Case under Chapter 11 
25B. Disclosure Statement in Small Business Case under Chapter 11 
25C. Small Business Monthly Operating Report - Chapter 11 (fillable)
26. Periodic Report Regarding Value, Operations and Profitability of Entities in Which the Debtor's Estate Holds a Substantial or Controlling Interest - Chapter 11 
104. B104 Adversary Proceeding Cover Sheet
200. Required Lists, Schedules, Statements and Fees
201. Notice to Individual Consumer Debtor 
240A. Reaffirmation Agreement (fillable)
240B. Order on Reaffirmation Agreement
250A. Adversary Proceeding Summons
250B. PreTrial Conference Summons
254. Subpoena for Rule 2004 Examination
255. Subpoena in an Adversary Proceeding
256. Subpoena in a Case Under the Bankruptcy Code
281. Appearance of Child Support Creditor or Representative
283. Chapter 13 Debtor's Certifications Regarding Domestic Support Obligations and Section 522(q)  

     Procedural Forms and Instructions
     Appendix-Committee Notes
Means Testing Information - Bankruptcy Forms B22A and B22C (Statement of Current Monthly Income and calculations) are Official Bankruptcy Forms which most individual debtors filing for bankruptcy relief are required to complete beginning October 17, 2005. Bankruptcy Form B22A is the form most chapter 7 debtors will complete. Form B22C is the form most chapter 13 debtors will complete. Information and links to data required to complete the appropriate Means Test Forms (22A or 22C), can be found at the following site:
http://www.usdoj.gov/ust/eo/bapcpa/meanstesting.htm

[NOTE: These official forms should be observed and used with such alterations as may
be appropriate to suit the circumstances. See Federal Rule of Bankruptcy Procedure 9009.]


Local Forms NATF 90. National Archives and Records Administration - Archives Request Form