CACB — Schedule H: Codebtors (206H)

Source: https://www.cacb.uscourts.gov/sites/cacb/files/documents/forms/206H.pdf

Fill in this information to identify the case:

Debtor name __________________________________________________________________

United States Bankruptcy Court for the:_______________________ District of ________ (State) Case number (If known): _________________________

Check if this is an amended filing

Official Form 206H Schedule H: Codebtors 12/15

Be as complete and accurate as possible. If more space is needed, copy the Additional Page, numbering the entries consecutively. Attach the Additional Page to this page.

1. Does the debtor have any codebtors? No. Check this box and submit this form to the court with the debtor's other schedules. Nothing else needs to be reported on this form. Yes

2. In Column 1, list as codebtors all of the people or entities who are also liable for any debts listed by the debtor in the schedules of creditors, Schedules D-G. Include all guarantors and co-obligors. In Column 2, identify the creditor to whom the debt is owed and each schedule on which the creditor is listed. If the codebtor is liable on a debt to more than one creditor, list each creditor separately in Column 2.

   Column 1: Codebtor Column 2: Creditor

   Check all schedules Name Mailing address Name that apply:

2.1 _____________________ ________________________________________________________ _____________________ D Street E/F ________________________________________________________ G

________________________________________________________
City State ZIP Code

2.2 _____________________ ________________________________________________________ _____________________ D Street E/F ________________________________________________________ G

________________________________________________________
City State ZIP Code

2.3 _____________________ ________________________________________________________ _____________________ D Street E/F ________________________________________________________ G

________________________________________________________
City State ZIP Code

2.4 _____________________ ________________________________________________________ _____________________ D Street E/F ________________________________________________________ G

________________________________________________________
City State ZIP Code

2.5 _____________________ ________________________________________________________ _____________________ D Street E/F ________________________________________________________ G

________________________________________________________
City State ZIP Code

2.6 _____________________ ________________________________________________________ _____________________ D Street E/F ________________________________________________________ G

________________________________________________________
City State ZIP Code

Official Form 206H Schedule H: Codebtors page 1 of ___

Debtor _______________________________________________________ Case number (if known)_____________________________________ Name

Additional Page if Debtor Has More Codebtors

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

Column 1: Codebtor Column 2: Creditor

Check all schedules Name Mailing address Name that apply:

2.__ _____________________ ________________________________________________________ _____________________ D Street E/F ________________________________________________________ G

________________________________________________________
City State ZIP Code

2.__ _____________________ ________________________________________________________ _____________________ D Street E/F ________________________________________________________ G

________________________________________________________
City State ZIP Code

2.__ _____________________ ________________________________________________________ _____________________ D Street E/F ________________________________________________________ G

________________________________________________________
City State ZIP Code

2.__ _____________________ ________________________________________________________ _____________________ D Street E/F ________________________________________________________ G

________________________________________________________
City State ZIP Code

2.__ _____________________ ________________________________________________________ _____________________ D Street E/F ________________________________________________________ G

________________________________________________________
City State ZIP Code

2.__ _____________________ ________________________________________________________ _____________________ D Street E/F ________________________________________________________ G

________________________________________________________
City State ZIP Code

2.__ _____________________ ________________________________________________________ _____________________ D Street E/F ________________________________________________________ G

________________________________________________________
City State ZIP Code

2.__ _____________________ ________________________________________________________ _____________________ D Street E/F ________________________________________________________ G

________________________________________________________
City State ZIP Code

Official Form 206H Schedule H: Codebtors page ___ of ___