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In navigating the complexities of filing a claim in a bankruptcy case, understanding the specifics of necessary forms becomes paramount. The Utah B10 form, officially designated as the Proof of Claim form for the United Indiana Bankruptcy Court, serves as a critical document for creditors looking to assert their rights to a debtor's assets. Not just any expense can be claimed through this document; specifically, it is not intended for administrative expenses incurred after the bankruptcy case has commenced, which instead should be filed according to 11 U.S.C. §503. Creditors need to provide comprehensive details including their name, the amount owed, and a thorough description of the basis for the claim which might range from goods sold, services rendered, personal injury, unpaid wages, or taxes, among other possibilities. Additionally, the form requires information about whether the claim is secured or holds any priority status, demanding a detailed explanation of collateral if applicable or outlining the nature of the unsecured priority claim. The form stipulates that any payments already received towards the debt must be documented, and it encourages the attachment of supporting evidence while cautioning against submitting original documents to avoid their potential loss. This submission process, underscored by severe penalties for fraudulent claims, highlights the importance of meticulousness and honesty in seeking reclamation through the bankruptcy court.

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B10 (Official Form 10) (4/98)

United States Bankruptcy Court District of Utah

 

 

 

Proof of Claim

 

 

 

 

 

 

 

 

 

 

Name of Debtor

 

 

Case Number

 

 

 

 

 

 

 

 

 

Note: This form should not be used to make a claim for an administrative expense arising after the commencement of the case. A

 

"request" of payment of an administrative expense may be filed pursuant to 11 U.S.C. §503.

 

 

Name of Creditor (the person or other entity to whom the

 

Check box if you are aware that anyone else has filed a

 

debtor owes money or property):

 

 

proof of claim relating to your claim. Attach copy of

 

 

 

 

 

 

 

 

statement giving particulars.

 

 

 

 

 

 

 

 

 

Check box if you have never received any notices from

 

 

 

 

 

 

 

the bankruptcy court in this case.

 

 

Name and Address Where Notices Should Be Sent

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Check box if the address differs from the address on the

 

 

 

 

 

 

 

 

envelope sent to you by the bankruptcy court.

 

 

 

 

 

 

 

 

Account or other number by which creditor identifies debtor:

Check here if this claim

replaces or

amends a previous claim,

 

 

 

 

 

 

 

 

 

 

THIS SPACE IS FOR

1.

Basis for Claim

 

 

 

 

 

 

 

 

COURT USE ONLY

 

 

 

 

 

 

 

 

 

 

Goods Sold

 

Retiree Benefits as defined in 11 U.S.C. §1114(a)

 

 

Services Performed

 

Wages, Salaried, and compensations (Fill out below)

 

 

Money loaned

 

 

 

Your Social Security Number _______________________

 

Personal Injury/Wrongful Death

 

Unpaid compensation for services performed

 

 

Taxes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

from ____________________ to ____________________

 

 

 

 

 

 

 

 

2. Date Debt Was Incurred:

 

 

3. If court judgement, date obtained:

 

 

 

 

 

 

 

 

 

 

4. Total Amount of Claim at Time Case Filed:

$ ____________________

 

 

 

 

 

If all or part of your claim is secured or entitled to priority, also complete Item 5 or 6 below.

 

 

 

Check this box is claim includes interest or other charges in addition to the principal amount of the claim. Attach itemized statement of all interest or

 

 

 

 

 

 

 

 

 

 

5.

Secured

Claim

 

 

 

 

6.

Unsecured Priority Claim

 

 

Check this box if your claim is secured by collateral (include a right of

 

 

Check this box if you have an unsecured priority claim.

 

setoff).

 

 

 

 

 

 

Amount entitled to priority $ ____________________

 

Brief Description of Collateral:

 

 

 

 

Specify the priority of the claim:

 

 

Real Estate

Motor Vehicle

 

 

 

 

 

Wages, Salaries, or commissions (up to $4,300)*, earned within 90

 

Other:

 

 

 

 

 

 

days before filing of the bankruptcy petition or cessation of the debtor's

 

_____________________________________________________

 

 

business, whichever is earlier. - 11 U.S.C. §507(a)(3)

 

 

 

 

 

 

 

 

 

 

Contributions to an employee benefit plan - 11 U.S.C. §507(a)(4)

 

Value of collateral: $______________________

 

 

 

 

 

Up to $1,950* of deposits toward purchase, lease, or rental of property

 

 

 

 

 

 

 

 

 

 

or services for personal, family, or household use - 11 U.S.C. §507 (a)(6)

 

Amount of arrearage and other charges at time case filed included in

 

 

Taxes or penalties of governmental units - 11 U.S.C. § 507(a)(7)

 

secured claim above, if any:

 

 

 

 

 

Other - Specify applicable paragraph of 11 U.S.C. §§507(a)(_____)

 

 

 

 

 

7.

Credits: The amount of all payments on this claim has been credited and deducted for the purpose of making this proof of

THIS SPACE IS FOR

 

claim.

 

 

 

 

 

 

 

 

 

COURT USE ONLY

8.

Supporting Documents: Attach copies of supporting documents , such as promissory notes, purchase orders, invoices,

Please mail or file this form to:

 

itemized statements of running accounts, contracts, court judgments, mortgages, security interests, and evidence of

U. S. BANKRUPTCY COURT

 

perfection of lien. DO NOT SEND ORIGINAL DOCUMENTS. If the documents are voluminous, attach a summary.

350 SOUTH MAIN STREET

 

 

 

 

 

 

 

 

 

 

 

 

SALT LAKE CITY, UT 84101

 

 

 

 

 

Date

 

 

Sign and print name and title, if any, of the creditor or other person authorized to file this

 

 

 

 

 

claim (attach copy of power of attorney, if any)

 

 

 

 

 

 

 

 

 

Penalty for presenting fraudulent claim: Fine of up to $500,000 or imprisonment for up to 5 years, or both 18 U.S.C. §§152 and 3571

 

 

 

 

 

 

 

 

 

 

 

 

 

B10 (Official Form 10) (9/97)

Form Breakdown

Fact Description
Form Title Utah B10 (Official Form 10)
Relevance Used in the United States Bankruptcy Court for the District of Utah
Purpose Proof of Claim
Exclusions Not for administrative expense claims post-commencement of the case
Governing Law 11 U.S.C. §503 for administrative expenses, §1114(a) for retiree benefits, and various sections within §507 for priority claims
Claim Types Includes goods sold, services performed, personal injury/wrongful death, taxes, among others
Secured and Unsecured Priority Claim Claim can be marked as secured or unsecured priority, with detailed specifications required
Requirements for Filing Includes debtor and creditor information, basis for claim, amount of claim, and supporting documents
Penalties for Fraud Inclusion of penalties for presenting a fraudulent claim: Up to $500,000 fine or imprisonment for up to 5 years, or both

Detailed Steps for Writing Utah B10

After deciding to file a Proof of Claim in a bankruptcy case, knowing how to correctly complete the Utah B10 form is crucial. The process is straightforward but demands attention to detail to ensure that the claim is properly recorded, potentially allowing you to recover the debt owed by the debtor. The following steps guide you through filling out the form correctly.

  1. Start with the basic information: Enter the debtor's name and the case number at the top of the form.
  2. In the "Name of Creditor" section, write your name (or the name of the entity to whom the debtor owes money or property).
  3. If aware that another party has filed a proof of claim for the same debt, check the corresponding box and attach the required statement of particulars.
  4. If you have not received any notices from the bankruptcy court regarding this case, check the indicated box.
  5. Under "Name and Address Where Notices Should Be Sent," provide your contact information. If this address differs from what the bankruptcy court might already have, make sure to check the box indicating this difference.
  6. Fill in the account or other identification number you use for the debtor.
  7. If you are amending or replacing a previous claim, check the appropriate box.
  8. Under "1. Basis for Claim," select the nature of your claim (e.g., Goods Sold, Services Performed, Money Loaned, etc.) and provide any required details such as your Social Security Number or explanation of the claim basis.
  9. Provide the date the debt was incurred and, if applicable, the date a court judgment was obtained.
  10. Enter the total amount of the claim at the time the case was filed. Include interest or other charges if applicable by checking the corresponding box and attaching an itemized statement.
  11. Select if your claim is a secured claim, an unsecured priority claim, or both. Fill in the details for the type of claim you are making, including the description of collateral or the specified priority of the claim, and any arrearage and other charges.
  12. Under "7. Credits," note any payments on this claim that have been credited and deducted for the purpose of making this claim.
  13. Attach copies of supporting documents necessary to substantiate your claim. Summarize if the documents are too voluminous.
  14. Sign and date the form, providing your printed name and title (if applicable). Attach a copy of any power of attorney if filing on behalf of another person or entity.

Taking the time to carefully and accurately complete each section of the Utah B10 form is imperative for the successful submission of your claim. Once the form is filled out, mail or file it to the U.S. Bankruptcy Court at the address provided at the bottom of the form. This step initiates your formal claim against the debtor within the bankruptcy proceedings.

Common Questions

  1. What is the purpose of the Utah B10 form?

    The Utah B10 form, officially known as "Proof of Claim," serves a very important purpose in bankruptcy proceedings. It is used by creditors to formally declare that the person or company undergoing bankruptcy proceedings owes them money or property. By filling out and submitting this form, creditors let the court know about the claim they have against the debtor's estate. It's crucial because it allows the bankruptcy court to consider these claims when dividing the debtor's assets or deciding on a repayment plan.

  2. Who should fill out the Utah B10 form?

    This form is meant for creditors, which can be individuals, companies, or other entities to whom the debtor owes money or property. If you have provided goods sold, services, lent money, or have any other financial claim against a person or company that has filed for bankruptcy in the District of Utah, you should fill out this form. It is also necessary for creditors who have claims secured by collateral to complete additional sections of the form detailing such security interests.

  3. What are secured and unsecured priority claims?

    • Secured Claim: This claim is backed by collateral, meaning the creditor has a right to take specific property of the debtor if the debt is not paid. Common types of collateral include real estate and motor vehicles. If part of your claim is secured, the form requires you to describe the collateral and its value.

    • Unsecured Priority Claim: These are claims given special status under the bankruptcy law, such as certain wages, salaries, or commissions owed to employees, and some deposits for services or goods for personal use. These claims are not secured by collateral but are prioritized over other types of unsecured claims.

  4. How do I submit supporting documents with the Utah B10 form?

    When you're filing a Proof of Claim, any supporting documents like contracts, invoices, or court judgments that strengthen your claim should be attached. However, it's important not to send the original documents. Instead, attach copies. If there are a lot of documents, it might be helpful to include a summary. These supporting documents are essential for verifying the legitimacy of your claim to the bankruptcy court.

  5. What happens if I submit a fraudulent claim?

    It's taken very seriously if someone submits a fraudulent claim in a bankruptcy case. A person found guilty of this can face severe penalties, including a fine of up to $500,000 or imprisonment for up to 5 years, or sometimes both. These tough penalties serve to discourage dishonesty and ensure that the bankruptcy process is fair and just for all parties involved.

Common mistakes

When filling out the Utah B10 form, also known as the Proof of Claim for the United States Bankruptcy Court District of Utah, individuals often encounter a few common pitfalls. Avoiding these mistakes can significantly impact the processing of a claim and one's rights as a creditor in a bankruptcy case.

Firstly, a critical error made by filers is neglecting to double-check that the information about the debtor and the creditor is accurate and complete. This includes the debtor's name, the case number, and the creditor's name and address. Incorrect or incomplete information can cause delays or result in the claim not being properly recorded.

Another common mistake involves the description of the claim basis and the amount claimed. Filers sometimes fail to clearly specify the nature of the debt (e.g., goods sold, services performed, money loaned, etc.) and the total amount owed at the time the case was filed. Submitting an accurate and detailed account of the claim's basis along with the amount is crucial for the claim to be considered.

  1. Not attaching supporting documents or evidence for the claim. The form explicitly requests attachments like promissory notes, purchase orders, invoices, and contracts to substantiate the claim. Overlooking this step can lead to challenges in validating the claim.
  2. Failing to indicate whether the claim is secured or unsecured, and if part of the claim has priority over other debts. This requires an understanding of the different types of claims and their rights under bankruptcy law.
  3. Mixing up or miscalculating the secured and unsecured portions of the claim. If a claim is partially secured by collateral, the form requires information about the collateral's value and the amount of the debt secured by it.
  4. Ignoring to check the appropriate boxes if the claim includes interest, fees, or other charges in addition to the principal or if the claim amends or replaces a previous claim. Detailed itemization of these additional charges is necessary for a complete claim submission.

In addition to these specific errors, it's essential to recognize the severity of submitting a fraudulent claim. The form warns of a penalty, including a fine of up to $500,000 or imprisonment of up to 5 years, or both, for presenting false claims. Therefore, honesty and diligence in filling out the form are paramount.

Overall, carefully reviewing the B10 form and ensuring all applicable sections are filled out correctly can save filers from these common mistakes. Taking the time to attach all necessary documentation, correctly categorize the claim, and provide all relevant details can significantly smooth the claim process in a bankruptcy case.

Documents used along the form

When navigating the complexities of bankruptcy cases, the Utah B10 form emerges as a crucial document for creditors asserting their claims against debtors. However, filing this form is often just a segment of a multifaceted process. To ensure a smooth and comprehensive submission, several other forms and documents typically accompany the B10 form, each fulfilling a unique role in articulating the creditor's case or clarifying the specifics of the claim.

  • Proof of Claim Attachment A: This is used when additional space is needed to provide the detailed breakdown of the claim, especially pertinent in cases involving complex financial histories or numerous transactions.
  • Proof of Claim Attachment B: This attachment focuses on the specifics of interest and other charges included with the claim. It supports creditors in substantiating the accrual of additional costs beyond the principal amount.
  • Mortgage Proof of Claim Attachment: For claims secured by a mortgage, this attachment is essential. It offers a structured way to present details about the mortgage, including the payment history, the calculation of arrears, and evidence of the mortgage's current status.
  • Evidence of Perfection of Lien: Demonstrating that a lien has been properly perfected is vital for secured claims. This document provides the necessary proof to establish the creditor's legal right to specific assets as collateral against the loan.
  • Notice of Appearance: Creditors who wish to be actively involved in the bankruptcy proceedings use this form to formally announce their intention to participate and to ensure they receive all notices related to the case.
  • Transfer of Claim: If the original creditor has sold or transferred the claim to another entity, this document officially records that transfer, permitting the new holder to enforce the claim in the bankruptcy proceedings.
  • Lien Avoidance Response: In situations where a debtor attempts to have a lien declared as avoidable, creditors need this form to respond to the allegation, providing evidence and arguments to maintain their secured status.
  • Reaffirmation Agreement: This document comes into play when the debtor wishes to exclude specific debts from the discharge and continue making payments. Creditors and debtors jointly file this agreement to officially document this exception.
  • Amendment to Claim: Should the need arise to correct or update information previously submitted, creditors use this form to amend their claim. It ensures that the bankruptcy court and other involved parties have the most accurate and current data.

Collectively, these forms and documents facilitate a comprehensive and detailed presentation of the creditor's position within a bankruptcy case. By meticulously preparing and submitting these supplementary materials alongside the B10 form, creditors can more effectively navigate the legal terrain of bankruptcy proceedings, safeguarding their interests and enhancing the likelihood of a favorable resolution.

Similar forms

The Utah B10 form, known formally as the Proof of Claim form, shares similarities with the IRS Form 1040, which is the U.S. Individual Income Tax Return. Both serve as formal declarations, the B10 form for creditors in bankruptcy proceedings to declare what is owed to them, and the Form 1040 for individuals to report their annual income and calculate taxes due. Each requires detailed financial information and both have significant legal implications if inaccurately completed, possibly leading to fines or penalties.

Similarly, the Uniform Commercial Code (UCC-1) Financing Statement echoes the B10 form’s function in the sense that it is used to declare a security interest in a debtor’s personal property to a public registry. This action parallels the section of the B10 form where creditors notify the court if their claim is secured by collateral. Both documents serve to publicize interests in assets, whether for a claim in bankruptcy or a secured transaction, ensuring rights are maintained against third parties.

The Wage and Hour Division's WH-380 form for Family and Medical Leave Act (FMLA) leave requests also parallels the B10 form in its detailed requirement for personal and financial information. Though serving very different purposes — one for securing FMLA leave and the other for filing a claim in a bankruptcy case — both require thorough documentation and have strict guidelines for submission, affecting one’s financial or employment status depending on their accuracy and timeliness.

The SEC Form D is another document with similarities to the B10 form, primarily used by companies to file a notice of an exempt offering of securities under Regulation D of the U.S. Securities Act. Both the B10 and Form D serve as official notifications to a governmental body, requiring detailed information about financial transactions and the parties involved. They play crucial roles in regulatory oversight, whether it’s for public investment protection or the orderly administration of a debtor’s assets in bankruptcy.

Last but not least, the Application for Determination of Civil Indigent Status, used in various states, resembles the B10 form in its use as a declaration of financial status, this time by individuals seeking waiver of court fees due to inability to pay. Like the B10 form’s section detailing the financial claim against a debtor, this application necessitates disclosure of detailed personal financial information to qualify for the indigent status, impacting one's access to justice or relief in a bankruptcy proceeding.

Dos and Don'ts

When you're filling out the Utah B10 form, also known as the Proof of Claim form for the United States Bankruptcy Court District of Utah, there are important dos and don'ts to be mindful of. This form is pivotal for creditors in a bankruptcy case, signifying how much the debtor owes them. Here’s a guide to aid in accurately completing the form:

Things You Should Do:

  1. Provide accurate and complete information: Ensure all the details about the debtor, the claim, and your information as the creditor are accurate. Fill in the case number, your name (or the entity's name if you're representing an organization), and the specific details regarding the claim including the basis, the date the debt was incurred, and the total amount of the claim at the time the case was filed.
  2. Check the appropriate boxes: Carefully read through the form and check the boxes that apply to your claim. For example, if your claim includes interest or other charges in addition to the principal amount, make sure to check the corresponding box and attach an itemized statement of all interest or other charges.
  3. Attach supporting documents: Supporting documents such as promissory notes, purchase orders, invoices, itemized statements of running accounts, contracts, court judgments, mortgages, security interests, and evidence of the perfection of lien should be attached. If the documents are voluminous, attach a summary instead of the entire document.
  4. Sign the form: After completing the form, ensure that you sign it and print your name and title, if any. If someone is filing on behalf of another person or entity, attach a copy of the power of attorney.

Things You Shouldn't Do:

  • File without necessary documentation: Do not proceed to file the form without attaching the required summaries or documents that support your claim. Omitting these can lead to delays or the rejection of your claim.
  • Send original documents: Avoid sending original documents to the court. Always send copies and keep the originals for your records unless otherwise requested by the court.
  • Ignore the claim’s specificity: Don’t be vague about the nature of your claim. Whether it's for goods sold, services performed, money loaned, etc., make sure to specify and provide clear and itemized details to avoid ambiguity and aid in the court’s understanding of the claim.
  • Neglect to update your information: If your address or contact information differs from the one the court has on record, make sure to indicate the current, correct information where notices should be sent. This ensures you receive all correspondence regarding the case.

Misconceptions

There are several common misconceptions about the Utah B10 form, also known as the Proof of Claim form, that need to be addressed to ensure creditors understand their rights and responsibilities in bankruptcy proceedings.

  • Misconception 1: The B10 form can be used for any type of claim in a bankruptcy case. The truth is, this form is specifically for creditors to assert their claims against the bankruptcy estate, not for administrative expenses arising after the bankruptcy case starts, which requires a different procedure under 11 U.S.C. §503.

  • Misconception 2: Filing a B10 form guarantees payment. In reality, filing this form only asserts the claim. Whether, and how much, a creditor will be paid depends on the type of claim, the assets available, and the bankruptcy process.

  • Misconception 3: The B10 form must include personal identifiers such as a Social Security Number. While the form requests a Social Security Number for individual creditors, it's crucial to realize that sensitive personal information must be protected. Only provide such details if absolutely necessary and relevant to the claim.

  • Misconception 4: Secured and unsecured claims are treated the same in the bankruptcy process. This is incorrect; the form asks if the claim is secured or unsecured because they are treated differently. Secured claims are backed by collateral, which may be recovered, whereas unsecured claims are not and may only receive a distribution if funds are available.

  • Misconception 5: Interest and additional charges can't be added to the claim amount. Actually, the form specifically asks if the claim includes interest or other charges indicating these can be included if properly documented and justified.

  • Misconception 6: Once filed, a B10 form cannot be amended. This is untrue. The form explicitly provides a section to indicate if the claim amends a previously filed claim, ensuring creditors can correct errors or update claim information.

  • Misconception 7: The filing of a B10 form is the final step in the claim process. In practice, filing the form is just the beginning. The bankruptcy trustee may object to the claim, or additional documentation may be required, meaning the creditor must be prepared to defend their claim.

  • Misconception 8: Supporting documents must always be attached to the form. While supporting documentation is crucial, the instructions specify not to send original documents and to attach a summary if the documents are voluminous, indicating flexibility in compliance.

  • Misconception 9: A creditor must always sign the B10 form personally. In fact, the form allows for a creditor or other authorized person to sign, recognizing that a representative may act on behalf of a creditor, provided appropriate evidence of authority is attached.

Understanding these misconceptions is crucial for creditors looking to correctly file a claim in a bankruptcy case, ensuring they navigate the process efficiently and effectively.

Key takeaways

Filling out the Utah B10 Proof of Claim Form requires attention to detail and accuracy to ensure the claim is considered valid in the bankruptcy proceedings. Here are key takeaways for completing and using the B10 form effectively:

  • Correct identification of the debtor and creditor is crucial. Include the full legal name of the debtor as listed in the bankruptcy case and the creditor’s name and contact information where notices should be sent.
  • Claims must be filed with the U.S. Bankruptcy Court for the District of Utah at the address provided on the form. This ensures the claim reaches the correct venue for the debtor's bankruptcy case.
  • It is important to check the appropriate boxes if the claim amends a previous claim, if other claims have been filed concerning the debt, or if the creditor has not received any notices from the bankruptcy court.
  • Clearly state the basis of the claim, such as goods sold, services performed, money loaned, or other reasons. This helps clarify the nature of the debt for the bankruptcy court and trustee.
  • Include the date the debt was incurred and, if applicable, the court judgment date. Accurate dates help in determining the timeliness and relevance of the claim.
  • Specify the total amount of the claim at the time the bankruptcy case was filed, including any interest or other charges in addition to the principal amount. Attach an itemized statement if charges are included.
  • If the claim is secured by collateral, such as real estate or a motor vehicle, include a description of the collateral and the value. Secured claims are treated differently than unsecured claims in bankruptcy.
  • For claims that are entitled to priority, specify the type and amount. Priority claims, such as certain taxes and wages, are paid before other unsecured claims.
  • Document all credits and deductions made on the claim for payments received. This ensures the claim amount reflects the actual debt owed.
  • Attach copies of supporting documents like promissory notes, contracts, and evidence of lien perfection. A summary can be attached if the documents are voluminous.
  • Sign the form and include the title of the person filing if applicable. Remember, submitting a fraudulent claim can result in severe penalties, including fines and imprisonment.

Ensuring each section of the Utah B10 form is completed thoroughly and accurately will help the bankruptcy process proceed more smoothly for both creditor and debtor. It’s an important step in participating in the bankruptcy case and asserting a right to payment from the debtor’s estate.

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