SCHEDULE A-5. [N. B.-The dates of the notes or bills, and when due, with the names and residences of the drawers, makers, acceptors, and indorsers thereof, are to be set forth under the names of the holders; if the debtor be liable as drawer, maker, acceptor, or indorser thereof, it is to be stated accordingly. If the names of the holders are not known, the name of the last holder known to the debtor should be stated, with his residence. ticulars as to other commercial paper.] Give same par State of County of 38. OATH TO SCHEDULE A. Petitioner. I,, the person who subscribed to the foregoing schedule, do hereby make solemn oath that the said schedule is a statement of all my debts In accordance with the Act of Congress relating to bankruptcy, according to the best of my knowledge, information, and belief. Subscribed and sworn to before me this...... day of .... 19... Petitioner. SCHEDULE B-3. a.-Debts due petitioner on open account.. b. Policies of insurance. c.-Unliquidated claims of every nature, with their estimated value. d.-Deposits of money in banking institutions and elsewhere. SCHEDULE B-4. Total Petitioner. Property in reversion, remainder, or expectancy, including property held in trust for the debtor or subject to any power or right to dispose of or to charge. [N. B.-A particular description of each interest must be entered, with a statement of the location of the property, the names and description of the persons now enjoying the same, the value thereof, and from whom and in what manner debtor's interest in such property is or will be derived. If all or any of the debtor's property has been conveyed by deed of assignment, or otherwise, for the benefit of creditors, the date of such deed should be stated, the name and address of the person to whom the property was conveyed, the amount realized as the proceeds thereof, and the disposal of the same, as far as known to the debtor.l Property claimed as exempt from the operation of the act of Congress relating to bankruptcy. [N. B.-Each item of property must be stated, with its valuation, and, if any portion of it is real estate, its location, description and present use.] Property claimed to be exempt by the laws of the United States, with reference to the statute creating the exemption.. Property claimed to be exempt by State laws, with reference to the statute creating the exemption.. Totai. $ Valuation. Petitioner SCHEDULE B-6. Books, papers, deeds and writings relating to debtor's business and estate. The following is a true list of all books, papers, deeds and writings relating to petitioner's trade, business, dealings, estate and effects, or any part thereof, which, at the date of this petition, are in petitioner's possession or under petitioner's custody and control, or which are in the possession or custody of any person in trust for petitioner, or for petitioner's use, benefit, or advantage; and also of all others which have been heretofore, at any time, in petitioner's possession, or under petitioner's custody or control, and which are now held by the parties whose names are hereinafter set forth, with the reason for their custody of the same. "none," this should be stated. If additional space is needed for the answer to any question, a separate sheet, properly identified and made a part hereof, should be used and attached. The term, "original petition," as used in the following questions, shall mean the petition filed under section 3b or 4a of chapter III, section 322 of chapter XI, section 422 of chapter XII, or section 622 of chapter XIII.') 1. Name and residence. a. What is your full name? b. Where do you now reside? c. Where else have you resided during the six years immediately preceding the filing of the original petition here? 2. Occupation and income. a. What is your occupation? b. Where are you now employed? (Give the name and address of your employer, or the address at which you carry on your trade or profession, and the length of time you have been so employed.) c. Have you been in partnership with anyone, or engaged in any business, during the six years immediately preceding the filing of the original petition herein? (If so, give particulars, including names, dates and places.) d. What amount of income have you received from your trade or profession during each of the two years immediately preceding the filing of the original petition herein? e. What amount of income have you received from other sources during each of these two years? (Give particulars including each source, and the amount received therefrom.) 3. Income tax returns. a. Where did you file your last federal and state income tax returns, and for what years? 4. Bank accounts and safe deposit boxes. a. What bank accounts have you maintained, alone or together with any other person, and in your own or any other name, within the two years immediately preceding the filing of the original petition herein? (Give the name and address of each bank, the name in which the deposit was maintained, and the name of every person authorized to make withdrawals from such account.) b. What safe deposit box or boxes or other depository or depositories have you kept or used for your securities, cash or other valuables, within the two years immediately preceding the filing of the original petition herein? (Give the name and address of the bank or other depository, the name in which each box or other depository was kept, the name of every person who had the right of access thereto, a brief description of the 111 U. S. C. §§ 21 (b), 22 (a), 722, 822, 1022. contents thereof, and, if surrendered, when surrendered, or, if transferred, when transferred and the name and address of the transferee.) 5. Books and records. a. Have you kept books of account or records relating to your affairs within the two years immediately preceding the filing of the original petition herein? b. In whose possession are these books or records? (Give names and addresses.) c. Have you destroyed any books of account or records relating to your affairs within the two years immediately preceding the filing of the original petition herein? (If so, give particulars, including date of destruction and reason therefor.) 6. Property held in trust. a. What property do you hold in trust for any other person? (Give name and address of each person, and a description of the property and the amount or value thereof.) 7. Prior bankruptcy or other proceedings; assignments for benefit of creditors. a. What proceedings under the Bankruptcy Act have been brought by or against you during the six years immediately preceding the filing of the original petition herein? (Give the location of the bankruptcy court, the nature of the proceeding, and whether a discharge was granted or refused, or a composition, arrangement or plan was or was not confirmed.) b. Was any of your property, at the time of the filing of the original petition herein, in the hands of a receiver or trustee? (If so, give the name and location of the court, the nature of the proceeding, a brief description of the property, and the name of the receiver or trustee.) c. Have you made any assignment of your property for the benefit of your creditors, or any general settlement with your creditors, within the two years immediately preceding the filing of the original petition herein? (If so, give dates, the name of the assignee, and a brief statement of the terms of assignment or settlement.) 8. Suits, executions and attachments. a. Have you been party plaintiff or defendant in any suit within the year immediately preceding the filing of the original petition herein? (If so, give the name and location of the court, the title and nature of the proceeding, and the result.) b. Has any execution or attachment been levied against your property within the four months immediately preceding the filing of the original petition herein? the partnership or corporation; and the statement shall be verified by a member of the partnership or by a duly authorized officer of the corporation. The term, "original petition," as used in the following questions, shall mean the petition filed under section 3b or 4a of chapter III, section 322 of chapter XI, section 422 of chapter XII, or section 622 of chapter XIII.1) 1. Nature, location and name of business. a. What business are you engaged in? (If business operations have been terminated, give the date of such termination.) b. Where, and under what name, do you carry on such business? c. When did you commence such business? (Give street addresses, the names of any partners, joint adventurers, or other associates, the nature of the business, and the periods for which it was carried on.). 2. Books and records. a. By whom, or under whose supervision, have your books of account and records been kept during the two years immediately preceding the filing of the original petition herein? (Give names, addresses, and periods of time.) b. By whom have your books of account and records been audited during the two years immediately preceding the filing of the original petition herein? (Give names, addresses, and dates of audits.) c. In whose possession are your books of account and records? (Give names and addresses.) 3. Financial statements. a. Have you issued any financial statements within the two years immediately preceding the filing of the original petition herein? (Give dates, and the names and addresses of the persons to whom issued, including mercantile and trade agencies.) 4. Inventories. a. When was the last inventory of your property taken? b. By whom, or under whose supervision, was this inventory taken? c. What was the amount, in dollars, of the inventory? (State whether the inventory was taken at cost, market, or otherwise.) d. When was the next prior inventory of your property taken? e. By whom, or under whose supervision, was this inventory taken? 1U. S. C. §§ 21 (b), 22 (a), 722, 822, 1022. f. What was the amount, in dollars, of the inventory? (State whether the inventory was taken at cost, market, or otherwise.) g. In whose possession are the records of the 5. Income other than from operation of business. (Give particulars, including each source, and the amount received therefrom.) 6. Income tax returns. a. Where did you file your last federal and state income tax returns, and for what years? 7. Bank accounts and safe deposit boxes. a. What bank accounts have you maintained, alone or together with any other person, and in your own or any other name, within the two years immediately preceding the filing of the original petition herein? (Give the name and address of each bank, the name in which the deposit was maintained, and the name of every person authorized to make withdrawals from such account.) b. What safe deposit box or boxes or other depository or depositories have you kept or used for your securities, cash or other valuables, within the two years immediately preceding the filing of the original petition herein? (Give the name and address of the bank or other depository, the name in which each box or other depository was kept, the name of every person who had the right of access thereto, a brief description of the contents thereof, and, if surrendered, when surrendered, or, if transferred, when transferred and the name and address of the transferee.) 8. Property held in trust. a. What property do you hold in trust for any other person? (Give name and address of each person, and a description of the property and the amount or value thereof.) 9. Prior bankruptcy or other proceedings; assignments for benefit of creditors. a. What proceedings under the Bankruptcy Act have been brought by or against you during the six years immediately preceding the filing of the original petition herein? (Give the location of the bankruptcy court, the nature of the proceeding, and whether a discharge was granted or refused, or a composition, arrangement or plan was or was not confirmed.) |