CACB — Check if this is an (206Sum)

Source: https://www.cacb.uscourts.gov/sites/cacb/files/documents/forms/206Sum.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 206Sum Summary of Assets and Liabilities for Non-Individuals 12/15

Part 1: Summary of Assets

1. Schedule A/B: Assets–Real and Personal Property (Official Form 206A/B)

   1a. Real property: $ ________________ Copy line 88 from Schedule A/B ......................................................................................................................................

   1b. Total personal property: $ ________________ Copy line 91A from Schedule A/B ....................................................................................................................................

   1c. Total of all property: $ ________________ Copy line 92 from Schedule A/B ......................................................................................................................................

Part 2: Summary of Liabilities

2. Schedule D: Creditors Who Have Claims Secured by Property (Official Form 206D) Copy the total dollar amount listed in Column A, Amount of claim, from line 3 of Schedule D .............................................. $ ________________

3. Schedule E/F: Creditors Who Have Unsecured Claims (Official Form 206E/F)

   3a. Total claim amounts of priority unsecured claims: Copy the total claims from Part 1 from line 5a of Schedule E/F ..................................................................................... $ ________________

   3b. Total amount of claims of nonpriority amount of unsecured claims: $ ________________ Copy the total of the amount of claims from Part 2 from line 5b of Schedule E/F .......................................................... +

4. Total liabilities ...................................................................................................................................................................... $ ________________ Lines 2 + 3a + 3b

Official Form 206Sum Summary of Assets and Liabilities for Non-Individuals page 1