Creditor List

Instructions: List all of your debts whether you want to keep them or not! Include house, vehicles, credit union even if "keeping" Fill in all blanks & list date opened & last used. Joint filers must specify Husb,wife, joint, community. Failure to list debt is fraudulent. First list debts with collateral like mortgages, vehicles, credit unions, finance companies, secured debt. List credit cards, medical, payday loans, unsecured debts etc. last.

First Name:
Middle Name:
Last Name:
Email Address:
Phone:
Spouse Name (If Joint):
 

Creditor

Creditor Name:
Address:
City:
State:
Zip:
Date Opened:
What For:
Account #:
Balance:
Balance Holder:
Describe collateral (house, vehicle, Personal property, account, pension):
Co-signer Collector or attorney name, address, acct #
Add Another Creditor