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Forms
Administrative Forms
Instructional Documents
Local Forms
Forms created by and required (as applicable) only in the U.S. Bankruptcy Court for the Northern District of Florida. Chapter-specific forms are preceded by the chapter number in which they may be used. All other forms are not chapter specific and may be used in any chapter as applicable (e.g., LF-1).
Sample Orders
Official Forms for Filing Bankruptcy and/or Other National Forms
This link will direct you to the Northern District of Florida National Forms Explanation Page which provides guidance to locate the form(s) on the U.S. Court's National Forms website.
You may CLICK HERE to go directly to the USCourts.gov Bankruptcy Forms Page for PDF versions of the official bankruptcy forms, including the petition documents and the Proof of Claim form.
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Administrative Forms
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Form Description
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Credit Card One Time Authorization
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Credit Card Blanket Authorization - to initiate payments online
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| A6 | Application for Filing Agent Accounts in ECF | |
| A7 | Application for Login and Password to ECF-Child Support Creditor | |
| A8 | Copy Work Request | |
| A9 | Application for Admission to Registry of Mediators Qualified Under Florida Northern Mortgage Modification Mediation Program | |
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Archives Request
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Instructional Documents
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Instructional Documents
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Form Description
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Instructions for creating a Creditor Mailing Matrix
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U.S. Trustee’s Operating Guidelines and Reporting Requirement for Debtors in Possession and Trustees
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| 3-Inst | ECF Group Permissions Explanations | |
| 4-Inst | Proposed Orders Guidelines | |
Local Forms
Forms created by and required (as applicable) only in the U.S. Bankruptcy Court for the Northern District of Florida. Chapter-specific forms are preceded by the chapter number in which they may be used. All other forms are not chapter specific and may be used in any chapter as applicable (e.g., LF-1).
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Local Forms (any chapter)
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Form Description
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Debtor’s Statement of Assistance (pro se only)
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Corporate Ownership Statement
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Exhibit and Witness List
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Order of Deposit and Investment
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Preferred Address Request for a Case Under 342(e)
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Statement of No Employer Income
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Notice of Change of Address of Debtor
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Motion for Waiver of Requirement to Comply with Credit Counseling Requirement
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Request for Notices by Creditor (not represented by an attorney)
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Notice of Appearance and Request for Notice (by attorney)
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Motion for Protective Order to Restrict Access and Allow for Redaction of Information
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Pro se Debtor’s 1019 Statement of No Change
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Verification of Creditor Mailing Matrix
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Chapter 7
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Form Description
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Report & Notice of Trustee’s Intention to Abandon Property of the Estate
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Report & Notice of Intention to Sell Property of the Estate
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Certificate/Affidavit for Adding Creditors to Schedules in a Closed Case
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Chapter 11
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Form Description
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Monthly Financial Reports - Business
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Monthly Financial Reports - Individual
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Vote on Plan
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Plan of Reorganization - Small Business
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Disclosure Statement - Small Business
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Operating Report - Small Business
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Individual Debtor(s)’ Motion for Entry of Discharge
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Statement/Certification Regarding Requirements for Discharge in a Chapter 11 Case
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Chapter 12
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Form Description
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Summary of Operations - Family Farmer
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Monthly Cash Receipts & Disbursements
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Statement/Certification Regarding Requirements for Discharge in a Chapter 12 Case
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Chapter 13
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Form Description
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| 13-1 | Optional Plan Language | |
| 13-13 | Chapter 13 Debtor's Pre-Confirmation Statement | |
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Form Plan (Eff. 12/1/08)
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Annual Statement
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Annual Statement Worksheet
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Motion to Modify Plan re: Annual Statement
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Supplement to Schedules I & J
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Agreed Motion to Abate
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Debtor’s Election to Abate
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Debtor’s Election to Use a Portion of Tax Refund
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Debtor’s Notice of Plan Payment Change Pursuant to Creditor’s Notice of Payment Change on Principal Mortgage
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Motion to Deem Mortgage Current
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Secured Creditor’s Notice of Payment Change
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Statement/Certification Regarding Requirements for Discharge in a Chapter 13 Case
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Motion for Referral to Mortgage Modification Mediation
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Motion for Referral to Mortgage Modification Mediation (Pro Se)
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Notice of Scheduled Mortgage Mediation
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Sample Orders
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Order Establishing Duties of the Debtor and Chapter 13 Trustee, Adequate Protection of Secured Claims, Allowance of Administrative Expenses, and Confirmation Procedures
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Order Granting Motion for Referral to Mortgage Modification Mediation
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Official Forms for Filing Bankruptcy and/or Other National Forms
This link will direct you to the Northern District of Florida National Forms Explanation Page which provides guidance to locate the form(s) on the U.S. Court's National Forms website.
You may CLICK HERE to go directly to the USCourts.gov Bankruptcy Forms Page for PDF versions of the official bankruptcy forms, including the petition documents and the Proof of Claim form.