Statement of Financial Affairs
Form 107 — Answer all questions. Expand “Yes” answers to provide details.
Form 107 Mapping Review
0/28 answered
| Q# | Official Form 107 Question | Answer | Details | Status |
|---|---|---|---|---|
| Q1 | Were you married or in a domestic partnership during the last 8 years? | -- | -- | Missing |
| Q2 | Within 2 years before you filed, did you earn income from employment, operating ... | -- | -- | Missing |
| ⚠ Must also trigger Q27 if business is active | ⚠ Use actual YTD from paystubs not monthly estimate x months | ||||
| Q3 | List any other income received during the last 2 calendar years and YTD not list... | -- | -- | Missing |
| ⚠ Includes benefits, rental, interest, dividends, etc. | ||||
| Q4 | Within 90 days before you filed, did you make any payment on a debt totaling mor... | -- | -- | Missing |
| ⚠ Regular monthly payments on secured debts may apply | ⚠ Include EFT and cashier's check payments | ||||
| Q5 | Within 1 year before you filed, did you make any payment on a debt to or for the... | -- | -- | Missing |
| ⚠ Need amounts, dates, creditor name, and insider relationship | ⚠ Insiders include relatives, business partners, corporations debtor controls | ||||
| Q6 | Were you a party to any lawsuit, court action, or administrative proceeding with... | -- | -- | Missing |
| ⚠ KEY MISMATCH: intake key says q5 but this is Form 107 Q6 | ⚠ Include garnishments, executions, attachments | ||||
| Q7 | Within 1 year before you filed, was any of your property repossessed by a credit... | -- | -- | Missing |
| ⚠ KEY MISMATCH: intake key says q6 but this is Form 107 Q7 | ||||
| Q8 | Within 2 years before you filed, did you give any gifts with a total value of mo... | -- | -- | Missing |
| ⚠ KEY MISMATCH: intake key says q7 but this is Form 107 Q8 | ⚠ Gift dates should be 'various times' not specific ranges | ⚠ Distinguish gifts to insiders vs non-insiders | ||||
| Q9 | Within 1 year before you filed, did you have any losses from fire, theft, or gam... | -- | -- | Missing |
| ⚠ KEY MISMATCH: intake key says q8 but this is Form 107 Q9 | ⚠ FanDuel/DraftKings = gambling losses | ⚠ Undisclosed gambling from bank statements | ||||
| Q10 | Within 2 years before you filed, did you transfer any property other than in the... | -- | -- | Missing |
| ⚠ KEY MISMATCH: intake key says q9 but this is Form 107 Q10 | ||||
| Q11 | Within 1 year before you filed, were any financial accounts or instruments held ... | -- | -- | Missing |
| ⚠ KEY MISMATCH: intake key says q10 but this is Form 107 Q11 | ||||
| Q12 | Within 1 year before you filed, did you have a safe deposit box or did you use a... | -- | -- | Missing |
| ⚠ KEY MISMATCH: intake key says q11 but this is Form 107 Q12 | ||||
| Q13 | Within 90 days before you filed, did any creditor, including a bank, set off or ... | -- | -- | Missing |
| ⚠ KEY MISMATCH: intake key says q12 but this is Form 107 Q13 | ||||
| Q14 | Do you own or have an interest in any property that is potentially hazardous to ... | -- | -- | Missing |
| ⚠ KEY MISMATCH: intake key says q13 but this is Form 107 Q14 | ||||
| Q15 | List the last four tax years before you filed this case in which you were entitl... | -- | -- | Missing |
| ⚠ KEY MISMATCH: intake key says q14 but this is Form 107 Q15 | ||||
| Q16 | Within 1 year before you filed, have you made payments to anyone for counseling ... | -- | -- | Missing |
| ⚠ Always include Abacus Credit Counseling: 17337 Ventura Blvd Encino CA, $25 | ⚠ Auto-linked from retainer data | ||||
| Q17 | Within 10 years before you filed, did you transfer any property to a self-settle... | -- | -- | Missing |
| Q18 | Within 2 years before you filed, did you transfer any property other than in the... | -- | -- | Missing |
| ⚠ Distinguish from Q8 gifts and Q10 property transfers | ||||
| Q19 | Within 2 years before you filed, did you make any payments or transfers to deal ... | -- | -- | Missing |
| Q20 | Within 1 year before you filed, were any of your financial accounts or instrumen... | -- | -- | Missing |
| Q21 | Within 1 year before you filed, did you have a safe deposit box? | -- | -- | Missing |
| Q22 | Within 1 year before you filed, did you store property in a storage unit or othe... | -- | -- | Missing |
| Q23 | Do you hold or control any property that belongs to someone else? | -- | -- | Missing |
| Q24 | Have you been notified that you may be liable or potentially liable under any en... | -- | -- | Missing |
| Q25 | Have you been notified of a release of hazardous material from property you own ... | -- | -- | Missing |
| Q26 | Are you a party in any environmental judicial or administrative proceeding? | -- | -- | Missing |
| Q27 | Within 4 years before you filed, have you owned, been a partner, member, or offi... | -- | -- | Missing |
| ⚠ Must also trigger if Q2 income from business is yes | ||||
| Q28 | Within 2 years before you filed, have you given a financial statement to anyone ... | -- | -- | Missing |
1. Marital/domestic status
Were you married or in a domestic partnership during the last 8 years?
2. Income from employment or business
List each source of income for the last 2 calendar years and YTD.
3. Other income
List any income not from employment (benefits, rental, interest, etc.).
4. Payments to creditors (last 90 days)
List payments totaling more than $600 to any creditor in the 90 days before filing.
5. Payments to insiders (last year)
Payments to relatives, business partners, or corporations you control.
6. Lawsuits, executions, attachments
Were you party to any lawsuits, executions, garnishments, or attachments?
7. Repossessions, foreclosures, returns
Was any of your property repossessed, foreclosed, garnished, or seized?
8. Gifts or charitable contributions
List gifts over $600 or charitable contributions over $600 in the last 2 years.
9. Losses from fire, theft, or gambling
List any losses from fire, theft, gambling, or other casualty in the last year.
10. Transfers of property (last 2 years)
List property transferred other than in the ordinary course of business.
11. Closed financial accounts (last year)
List any financial accounts closed, moved, or transferred.
12. Safe deposit boxes
List safe deposit boxes or storage facilities used.
13. Setoffs by banks or creditors
Did any creditor set off (take money from) your account in the last 90 days?
14. Environmental information
Do you own or operate any property with environmental issues?
15. Tax refunds (last 2 years)
List any tax refunds you are owed or have received.
16. Prior addresses (last 3 years)
List all addresses where you lived in the last 3 years.
17. Spouses and prior names
Has your spouse filed or is your spouse filing? List all prior names used.
18. Prior bankruptcies (last 8 years)
Have you filed bankruptcy in the last 8 years?
19. Attorney fees
How much have you paid or agreed to pay your attorney?
16. Payments related to bankruptcy or debt counseling
Within 1 year, have you made payments to anyone for counseling or for preparing your bankruptcy case?
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17. Self-settled trust or similar device
Within 10 years, have you transferred property into a self-settled trust?
18. Other transfers within 2 years
Within 2 years, have you transferred any property other than in the ordinary course of business or financial affairs?
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19. Transfers to pay debts to creditors
Within 2 years, have you made payments or transfers to deal with debts owed to creditors?
20. Closed or transferred financial accounts
Within 1 year, have you closed any checking, savings, money market, or other financial accounts?
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21. Safe deposit boxes
Within 1 year, have you kept items in a safe deposit box or similar?
22. Property stored off premises
Within 1 year, have you stored property in a storage unit or elsewhere?
23. Property held for someone else
Do you hold or control any property that belongs to someone else?
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24. Notified of being liable or in violation
Have you been notified of being liable or potentially liable under any environmental law?
25. Release of hazardous material
Have you been notified of a release of hazardous material from property you own or have operated?
26. Environmental judicial/administrative proceeding
Are you a party in any environmental proceeding?
27. Business ownership or connections
Within 4 years, have you owned, operated, or been connected with any business?
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28. Financial statements issued
Within 2 years, have you provided any financial statements to anyone? (banks, lenders, etc.)
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