Section 12.39 Official Form 5, Involuntary Petition

• Library: Bankruptcy 2015 Cum - Forms

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www.uscourts.gov/services-forms/forms

B 5 (Official Form 5) (12/07)

United States Bankruptcy Court			Involuntary Petition
IN RE (Name of Debtor - If Individual: Last, First, Middle)		ALL OTHER NAMES used by debtor in the last 8 years (Include married, maiden, and trade names.)
Last four digits of Social-Security or other Individual's Tax-I.D. No./Complete EIN (If more than one, state all.):
STREET ADDRESS OF DEBTOR (No. and street, city, state, and zip code) COUNTY OF RESIDENCE OR PRINCIPAL PLACE OF BUSINESS ZIP CODE		MAILING ADDRESS OF DEBTOR (If different from street address) ZIP CODE
LOCATION OF PRINCIPAL ASSETS OF BUSINESS DEBTOR (If different from previously listed addresses)
CHAPTER OF BANKRUPTCY CODE UNDER WHICH PETITION IS FILED [] Chapter 7 [] Chapter 11
INFORMATION REGARDING DEBTOR (Check applicable boxes)
Nature of Debts (Check one box.) Petitioners believe: [] Debts are primarily consumer debts [] Debts are primarily business debts	Type of Debtor (Form of Organization) [] Individual (Includes Joint Debtor) [] Corporation (Includes LLC and LLP) [] Partnership [] Other (If debtor is not one of the above entities, check this box and state type of entity below.)		Nature of Business (Check one box.) [] Health Care Business [] Single Asset Real Estate as defined in 11 U.S.C. § 101(51)(B) [] Railroad [] Stockbroker [] Commodity Broker [] Clearing Bank [] Other
Venue [] Debtor has been domiciled or has had a residence, principal place of business, or principal assets in the District for 180 days immediately preceding the date of this petition or for a longer part of such 180 days than in any other District. [] A bankruptcy case concerning debtor's affiliate, general partner or partnership is pending in this District.		FILING FEE (Check one box) [] Full Filing Fee attached [] Petitioner is a child support creditor or its representative, and the form specified in § 304(g) of the Bankruptcy Reform Act of 1994 is attached. [If a child support creditor or its representative is a petitioner, and if the petitioner files the form specified in § 304(g) of the Bankruptcy Reform Act of 1994, no fee is required.]
Pending bankruptcy case filed by or against any partner OR AFFILIATE OF THIS DEBTOR (Report information for any additional cases on attached sheets.)
Name of Debtor	Case Number		Date
Relationship	District		Judge
A L LEGATI ONS (Check applicable boxes) 1. [] Petitioner (s) are eligible to file this petition pursuant to 11 U.S.C. § 303 (b). 2. [] The...