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U.S. Bankruptcy Court - Western District of Washington
Western District of Washington

 
Hon. Brian D. Lynch, Chief Judge Mark L. Hatcher, Clerk of Court
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Seattle Office
Seattle Courthouse
700 Stewart St., #6301
Seattle, WA 98101
(206) 370-5200
Tacoma Office
Tacoma Courthouse
1717 Pacific Ave., Ste 2100
Tacoma, WA 98402
(253) 882-3900
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Forms:

The Official Forms effective December 1, 2014 are listed below; helpful instructions and comments regarding the use of the Official Forms can be found at U.S. Courts web site.

All forms listed below are in Adobe's PDF format and contain active fields that can be used to enter information (fillable forms). When finished filling out a form, read the instructions at the top of the form before making a selection from these options:



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Adversary Cover Sheet (for conventional filings only) (Official Form B104)
Affidavit of Victim of Natural Disaster
Amendment Cover Sheet (LBR Form 2, for conventional filings only) (Official Form B2)
Appearance of Child Support Creditor or Representative (Official Form B281)
Application for Leave to Appear as a Legal Intern
Application for Search of Bankruptcy Records (Official Form B132)
Application for Waiver of Ch 7 Filing Fee (Official Form B3B)
Application to Have the Chapter 7 Filing Fee Waived (Official Form B3B) Effective 12/1/2014
Application to Pay Filing Fees in Installments by Individual Debtor(s) (WAWB Local Form 3)
Attorney Disclosure Statement
Audio CD Request form
Authorized Agent Address
Bankruptcy Forms Packages
Bankruptcy Forms Packages (Effective 12/1/2014 )
Certificate of Compliance (ADR Form 6)
Certificate of Compliance with Rule 8015(a)(7)(B) or 8016(d)(2) (Official Form B17C) Effective 12/1/2014
Certification of Judgment for Registration in Another District (Official Form B265)
Certification of Notice to Consumer Debtor(s) (Official Form B201B)
Certification to Court of Appeals (Official Form B24)
Change of Address
Chapter 11 Statement of Current Monthly Income B22B (Official Form 22B )
Chapter 11 Statement of Your Current Monthly Income (Official Form B22B) Effective 12/1/2014
Chapter 13 Calculation of Your Disposable Income (Official Form B22C-2) Effective 12/1/2014
Chapter 13 Debtor's Certifications Regarding Domestic Support Obligations and Section 522(q) B283 (Official Form B283)
Chapter 13 Plan 3002 (LBR Form 13-4)
Chapter 13 Statement of Current Monthly Income and Calculation of Commitment Period and Disposable Income B22C (Official Form B22C)
Chapter 13 Statement of Your Current Monthly Income and Calculation of Commitment Period (Official Form B22C-1) (See official instructions) Effective 12/1/2014
Chapter 7 Means Test Calculation (Official Form B22A-2) (See official instructions) Effective 12/1/2014
Chapter 7 Statement of Current Monthly Income and Means Test Calculation B22A (Official Form B22A )
Chapter 7 Statement of Your Current Monthly Income (Official Form B22A-1) Effective 12/1/2014
Chapter 7 Statement Supplemental of Exemption from Presumption of Abuse Under 707(b)(2) (Official Form B22A-2-Supp) Effective 12/1/2014
Confidentiality Agreement (ADR Form 5)
Credit Counseling Notice
Creditor Preferred Address Registration
Debtor's Certification of Completion of Postpetition Instructional Course Concerning Personal Financial Management (Official Form B23)
Debtor(s) Requirement to Provide List of Creditors
Declaration Concerning Debtor's Schedules (Official Form B6)
Declaration re: Debtor's Required Documents for Trustee
Disclosure Statement in Small Business Case under Chapter 11 (Official Form B25B)
Exhibit D Individual Debtor's Statement of Compliance with Credit Counseling Requirement (Official Form B1D)
Generic Motion
Generic Notice of Hearing
Involuntary Petition (Official From B5)
LBR Form 13-2 - Chapter 13 Trustee Sheet (LBR Form13-2)
LBR Form13-5 - Chapter 13 Rights and Responsibilities
List of Creditors Holding 20 Largest Unsecured Claims (Official Form B4)
Mediation Certification (ADR Form 1)
Mediation Program Instructions for Parties (ADR Form 2)
Mediation Program Instructions for Pro Se Litigants
Motion For Approval of Reaffirmation Agreement (Official Form B240B_1209f)
Motion for Waiver of Credit Counseling & Financial Management Course
Notice of Appeal and Statement of Election (Official Form B17A) Effective 12/1/2014
Notice of Appeal: Amended Order Continuing BAP
Notice of Deadline to File Complaint [LBR Form 13-8]
Notice of Motion and Hearing (LBR Form 1)
Notice to Consumer Debtor(s) (B201A)
Optional Appellee Statement of Election to Proceed in District Court (Official Form B17B) Effective 12/1/2014
Order Appointing Mediator (ADR Form 4)
Order Approving Post Confirmation Modification of Plan [LBR Form 13-6]
Order Granting Discharge under 11 U.S.C. Section 1328(b) (Official From LBR Form 13-7)
Periodic Report Regarding Value, Operations and Profitability of Entities in which the Debtor's Estate Holds a Substantial or Controlling Interest Notice of Transfer of Claim Other Than for Security (Official Form B26)
Petition for Payment of Unclaimed Funds
Petition Preparer's Disclosure of Compensation Notice of Transfer of Claim Other Than for Security (Official Form B280)
Petition Preparer's Notice to Debtor (Official Form B19)
Plan of Reorganization in Small Business Case under Chapter 11 (Official Form B25A)
Pro Hac Vice
Proof of Claim
Reaffirmation Agreement (Official Form B240AB_ALT)
Reaffirmation Agreement Cover Sheet (Official Form B27)
Reaffirmation Documents (Official Form B240A_0410)
Related Company Address
Report of Mediation Conference (ADR Form 7)
Required Lists, Schedules, Statements, And Fees (Official Form B200)
Schedules A-J (Official Forms B6)
Small Business Monthly Operating Report (Official Form B25C)
Statement of Financial Affairs (Official Form B7)
Statement of Intent (Official Form B8)
Statement of Military Service (Official Form B202)
Statement of Social Security Number(s) (Official Form B21)
Stipulation Appointing Mediator (ADR Form 3)
Subpoena for Rule 2004 Examination (Official Form B254)
Subpoena in a Case Under the Bankruptcy Code (Official Form B256)
Subpoena in an Adversary Proceeding to Appear and Testify at a Hearing or Trial (Official Form B255)
Subpoena to Produce Documents or Information (Official Form B257)
Summary of Schedules (Official Form B6-Summary) Effective 12/1/2014
Summary of Schedules B6 (Official Form 6-Summary)
Transfer of Claim Other Than for Security (Official Form B210A)
Voluntary Petition (Official Form B1)
WA Dept. of Social and Health Services Authorization to Disclose Personal Information Form 17-063
Writ of Garnishment
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