Bankruptcy Attorney and Personal Injury Bankruptcy Form

		Description of property	Value
1.	Cash on hand:
2.	Checking, Savings, etc:
3.	Security Deposits w/landlords, public utilities, etc.
4.	Household goods and furnishings:
5.	Books, pictures, art objects, collectibles:
6.	Wearing Apparel:
7.	Furs and Jewelry:
8.	Firearms, sports, hobby equipment:
9.	Interest in insurance policies:
10.	Annuities:
11.	Interest in IRA or other pension or profit sharing plans:
12.	Stocks, bonds:
13.	Interest in partnership or joint ventures:
14.	Government or corporate bonds:
15.	Accounts Receivables:
16.	Alimony, Maintenance, Support and property settlements in which the debtor may be entitled:
17.	Other liquidated debts owing debtor including tax refunds:
18.	Equitable of future interests other than these listed in Schedule or Real Property:
19.	Contingent and non-contingent interests…
20.	Other contingent and unliquidated claims…
21.	Patents, copyrights:
22.	Licenses, franchised, etc.
23.	Automobiles, trucks, trailers and other vehicle and accessories:
24.	Boats, motors and accessories:
25.	Aircrafts and accessories:
26.	Office equipment, furnishings and supplies:
27.	Machinery, fixtures, equipment and supplies used in business:
28.	Inventory:
29.	Animals:
30.	Crops growing or harvested:
31.	Farming equipment:
32.	Farm Supplies:
33.	Other personal property:

	Complete Name(s) of Dependent(s):	Age(s):	Relationship(s):
1.
2.
3.