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Bankruptcy Forms


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National Forms


Current Official Bankruptcy and Procedural Forms are found on the United States Courts Bankruptcy Forms Page (http://www.uscourts.gov/FormsAndFees/BankruptcyForms.aspx). Click the link to be re-directed to this site.

The following are National Forms that have been modified, as permitted, for use by the Eastern District of Virginia:

  • Form 103A – Application for Individuals to Pay the Filing Fee in Installments; Order Approving Payment of Filing Fee in Installments; Bankruptcy Petition Preparer’s Notice, Declaration, and Signature (when applicable); Filing Fees in Installments Schedule–the national instructions to Official Form 103A provide that the proposed order set forth in this form may be modified by the Court, which provides for three installment payments in fixed amounts in addition to a technical conforming removal of space in the Application component of Official Form 103A for a fourth payment that is not needed for a response by the applicant. Two new paragraphs regarding bankruptcy case dismissal consequences also are set forth in the proposed order. See attached file: 103A.pdf
  • Form 312 – Notice of Hearing on Disclosure Statement–the plan proponent shall send the local form notice 312edva, following Court entry of Official Form 312, Order and Notice for Hearing on Disclosure Statement. See attached file: 312edva.pdf (Alexandria and Norfolk/Newport News)
  • Form 425A – Plan of Reorganization for Small Business Under Chapter 11 02/20. Effective February 19, 2020, this form must be adopted for use by all chapter 11 small business debtors who elect to proceed under subchapter V of chapter 11. See the official form, here.

The following are National Forms that have been modified for use by the Eastern District of Virginia, have been included with Local Forms, below, and should be used instead of the National Form:

  • Form 313 – Order Approving Disclosure Statement and Fixing Hearing on Confirmation and Times for Filing Objections to Confirmation and Acceptances and Rejections of Plan
  • Form 420A - Notice of Motion (or Objection) [for Other than Alexandria]
  • Form 420aalx - Notice of [Motion to] [Objection to] [for Alexandria]
  • Form 420B - Notice of Objection to Claim [for Other than Alexandria]
  • Form 420balx - Notice of Objection to Claim [for Alexandria]
  • Form 2030edva – Disclosure of Compensation of Attorney for Debtor
  • Form 2030R13edva – Disclosure of Compensation of Attorney for Debtor in a Chapter 13 Case (Richmond Division Only)

Local Forms


 



Adversary Proceeding


Form   Description
certsvc.pdf   Certificate of Service of Summons
apncert.pdf   Certification as to Good Faith Settlement and Mediation (Alexandria Division)
apninstr.pdf   Instructions to Plaintiff/Plaintiff’s Counsel (Alexandria Division)
cpownstm.pdf   Corporate Ownership Statement

 


Amendment


Form   Description
amendins.pdf   Instructions for Amendments to Petition, Lists, Statements, and Schedules
amendcs.pdf   Amendment Cover Sheet to Accompany Any Amendment Filed by the Debtor to the Original Lists, Statements and/or Schedules
ntctoadd.pdf   Notice to Creditor(s) (Re: Amendment)


Appeal


Form   Description
appinsa.pdf   Procedural Instructions on Appeals. Alexandria
appinsn.pdf   Procedural Instructions on Appeals. Norfolk and Newport News
appinsr.pdf   Procedural Instructions on Appeals. Richmond


Archive


Form   Description
frccopyr.pdf   Order for Copies of Bankruptcy Cases from National Archives & Records Administration
frcget.pdf   Request for File From Federal Records Center


Attorney


Form   Description
AttyAttest.pdf   Attorney-Employee-Contractor COVID-19 Attestation
prohac.pdf   Application to Qualify as a Foreign Attorney Under Local Bankruptcy Rule 2090-1(E)(3)
prohacr.pdf   Application to Qualify as a Foreign Attorney Under Local Bankruptcy Rule 2090-1(E)(3) – RICHMOND DIVISION
thirdyrl.pdf   Application to Qualify as a Third Year Law Student Permitted to Appear in the U.S. Bankruptcy Court for the Eastern District of Virginia
attyqual.pdf   Application to Qualify as an Attorney for the U.S. Bankruptcy Court for the Eastern District of Virginia
attycert.pdf   Attorney Certification [Chapter 7 Pro Bono Certification--RICHMOND, ONLY]
certwdva.pdf   Certificate of Member of Bar of Western District of VA
attyaffirm.pdf   Affirmation of Attorney Admission to Practice and Good Standing in the United States District Court for the Eastern District of Virginia
govtemploy.pdf   Certification of Qualifying Government Employment


Case Filing – All Chapters


Form   Description
waiver.pdf   Request for Waiver to File Conventionally
crditins.pdf   Instructions for Creditor Matrix Diskette (Revised 9/10]
cscredit.pdf   Cover Sheet for List of Creditors
crdwaiv.pdf   Request for Waiver re: Creditor Matrix Diskette
geovenu.pdf   Geographical Information Sheet — Cities and Counties in Eastern Eastern District of Virginia
cpownstm.pdf   Corporate Ownership Statement
prose.pdf   Filing For Bankruptcy Without An Attorney–Guidelines & Requirements to Assist Pro Se (Self-Filer) Debtors
2090edva.pdf   Certification Under Local Bankruptcy Rule 2090-1


Case Administration – General


Form   Description
DeBNReqForm.pdf   Debtor’s Electronic Noticing Request (DeBN)
copyreq.pdf   Copy Request Form for Online (Electronic) and Paper-based Case Files , Certified Copies, or Government Agency Photocopies in paper-based Case Files
certexph.pdf   Certification Regarding Request for Expedited Hearing
changead.pdf   Change of Address
motionn.pdf   Motion and Notice (Sample)
form420a.pdf   Notice of Motion (or Objection) [for Other than Alexandria]
fm420Aalx.pdf   Notice of [Motion to] [Objection to] [for Alexandria]
form420b.pdf   Notice of Objection to Claim [for Other than Alexandria]
fm420Balx.pdf   Notice of Objection to Claim [for Alexandria]
4272400ABALT.pdf   Cover Sheet for Reaffirmation and Reaffirmation Agreement
rsmdivid.pdf   Report of Deposit of Small Dividends
runclmfd.pdf   Report of Deposit of Unclaimed Funds
W-9Instr.pdf   Instructions for Completing Form W-9
W-9.pdf   Form W-9 – Request for Taxpayer Identification Number and Certification
exhinst.pdf   Instructions for Preparing Exhibit List and Pre-marking Exhibits
exhibi~2.pdf   Instructions for Preparing Exhibit List and Pre-marking Exhibits (Alexandria)
exhlist.pdf   Exhibit List
pacerrqst.pdf   Personal Non-Commercial Fee exempt PACER Account Form


Chapter 11 Small Business – Subchapter V


Form   Description
nfhg11Vds.pdf   Notice of Combined Hearing on Final Approval of Disclosure Statement and Plan Confirmation, and Notice of Times Fixed for Filing Acceptances or Rejections of Plan and Objections to Disclosure Statement and Confirmation
nfhg11Vnds.pdf   Notice of Hearing on Confirmation, and Notice of Times Fixed for Filing Acceptances or Rejections of Plan and Objections to Confirmation


Chapter 11


Form   Description
312edva.pdf   Notice of Hearing on Disclosure Statement (Alexandria and Norfolk/Newport News)
312edvaric.pdf   Notice of Hearing on Disclosure Statement (Richmond Division Only)
313edva.pdf   Order Approving Disclosure Statement and Fixing Hearing on Confirmation and Times for Filing Objections to Confirmation and Acceptances and Rejections of Plan
ntccnfhr.pdf   Notice of Hearing on Confirmation, Combined with Notice of Times for Filing Notice of Times for Filing Acceptances or Rejections to Plan and Objections to Confirmation
crt1141d.pdf   Debtor’s(s’) Certification of Compliance With 11 U.S.C. §1141(d)(5) (Does Not Apply to Subchapter V Cases)
nfhg11sb.pdf   Notice of Combined Hearing on Final Approval of Disclosure Statement & Confirmation of Plan – Small Business
 Form 425A   Plan of Reorganization for Small Business Under Chapter 11 02/20. Effective February 19, 2020, this form must be adapted for use by all chapter 11 small business debtors who elect to proceed under subchapter V of chapter 11.


Chapter 13


Form   Description
ch13pln.pdf   Chapter 13 Plan and Related Motions
spcntc.pdf   Special Notice to Secured Creditor
crtrqcnf.pdf   Chapter 13 – Certification by Debtor(s) Requesting Confirmation of Plan and Compliance With Requirements of 11 U.S.C. Section 1325 [Richmond Division ONLY]
cert13pa.pdf   Certification of Failure to Commence Payments Under Chapter 13 Plan
crtc1328.pdf   Debtor’s(s’) Certification of Compliance With 11 U.S.C. § 1328 [Use for All Chapter 13 Cases Filed On or After 10/17/05]
loanmod.pdf   Summary of Loan Modification (General Order 12-1)(Richmond)


Compensation/Fees


Form   Description
2030edva.pdf   Disclosure of Compensation of Attorney for Debtor
2030R13edva.pdf   Disclosure of Compensation of Attorney for Debtor in a Chapter 13 Case (Richmond Division Only)
appcmp.pdf   Application for Compensation of Attorney For Debtor(s)
appsucmp.pdf   Application for Supplemental Compensation of Attorney For Debtor(s)
defercmp.pdf   Notice to Defer Payment of Certain Fees
finstmt.pdf   Financial Interest Disclosure Statement


Garnishment


Form   Description
garnproc.pdf   Procedures for Requesting a Garnishment
garnsugg.pdf   Suggestion for Summons in Garnishment, for Use When Pursuing Execution of a Judgment Rendered in Bankruptcy Court
garnishr.pdf   Garnishment Summons Form for Use when Pursuing Execution of a Judgment Rendered in Bankruptcy Court
garnexmt.pdf   Notice to Judgment Debtor; How to Claim Exemptions from Garnishment
garnord.pdf   Procedure for Release of Funds Held Under Garnishment (2 Exhibits)


Hearing/Meeting


Form   Description
ntchrg.pdf   Notice of Hearing in a Bankruptcy Case
ntchrg2.pdf   Notice of Hearing in an Adversary Proceeding or Contested Matter
nrschrg.pdf   Notice of Rescheduled Hearing in a Bankruptcy Case
nrschrg2.pdf   Notice of Rescheduled Hearing in an Adversary Proceeding or Contested Matter
nrsch341.pdf   Notice of Rescheduled Meeting of Creditors
nrsctrl.pdf   Notice of Rescheduled Trial


Order/Judgment


Form   Description
odepinv.pdf   Order Directing Deposit of Funds into the Court Registry
odisb.pdf   Order Directing Disbursement of Funds in Court Registry
oextsty.pdf   Order Extending Stay (Norfolk and Newport News Divisions)
orsfmb.pdf   Order Granting Relief From Stay [SO No. 10-2, Form B]
jtadmino.pdf   Order for Joint Administration
ounclmfd.pdf   Order for Return of Unclaimed Funds
corsfma.pdf   Consent Order Modifying Automatic Stay [SO No. 10-2, Form A]