{"id":"court_ctb_19_0","court":"CTB","case_no":"22-50073","doc_number":19,"sub_number":0,"doc_type":"PETITION","filed_date":"2022-02-23","title":"![](_page_0_Picture_1.jpeg) Official Form 101","summary_zh":null,"summary_en":null,"body_en":"![](_page_0_Picture_1.jpeg)\n\n## Official Form 101\n\n## Voluntary Petition for Individuals Filing for Bankruptcy **/**\n\n**The bankruptcy forms use** *you* **and** *Debtor 1* **to refer to a debtor filing alone. A married couple may file a bankruptcy case together—called a**  *joint case***—and in joint cases, these forms use** *you* **to ask for information from both debtors. For example, if a form asks, \"Do you own a car,\" the answer would be** *yes* **if either debtor owns a car. When information is needed about the spouses separately, the form uses** *Debtor 1* **and**  *Debtor 2* **to distinguish between them. In joint cases, one of the spouses must report information as** *Debtor 1* **and the other as** *Debtor 2***. The same person must be** *Debtor 1* **in all of the forms.**\n\n**Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct information. If more space is needed, attach a separate sheet to this form. On the top of any additional pages, write your name and case number (if known). Answer every question.**\n\n## Part 1: Identify Yourself\n\n|    |                                                                                                                         | About Debtor 1:                                                                                                                  | About Debtor 2 (Spouse Only in a Joint Case):                                                                           |  |\n|----|-------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|--|\n| 1. | Your full name                                                                                                          |                                                                                                                                  |                                                                                                                         |  |\n|    | Write the name that is on your<br>government-issued picture<br>identification (for example,<br>your driver's license or | Ho Wan<br>__________________________________________________<br>First name<br>__________________________________________________ | __________________________________________________<br>First name<br>__________________________________________________  |  |\n|    | passport).<br>Bring your picture                                                                                        | Middle name<br>Kwok<br>__________________________________________________                                                        | Middle name<br>__________________________________________________                                                       |  |\n|    | identification to your meeting<br>with the trustee.                                                                     | Last name<br>___________________________                                                                                         | Last name<br>___________________________                                                                                |  |\n|    |                                                                                                                         | Suffix (Sr., Jr., II, III)                                                                                                       | Suffix (Sr., Jr., II, III)                                                                                              |  |\n| 2. | All other names you                                                                                                     | Miles                                                                                                                            |                                                                                                                         |  |\n|    | have used in the last 8<br>years                                                                                        | __________________________________________________<br>First name<br>__________________________________________________           | __________________________________________________<br>First name<br>__________________________________________________  |  |\n|    | Include your married or<br>maiden names.                                                                                | Middle name<br>Kwok; Guo<br>__________________________________________________                                                   | Middle name<br>__________________________________________________                                                       |  |\n|    |                                                                                                                         | Last name                                                                                                                        | Last name                                                                                                               |  |\n|    |                                                                                                                         | Wengui<br>__________________________________________________<br>First name                                                       | __________________________________________________<br>First name                                                        |  |\n|    |                                                                                                                         | __________________________________________________<br>Middle name<br>Guo<br>__________________________________________________   | __________________________________________________<br>Middle name<br>__________________________________________________ |  |\n|    |                                                                                                                         | Last name                                                                                                                        | Last name                                                                                                               |  |\n|    |                                                                                                                         |                                                                                                                                  |                                                                                                                         |  |\n| 3. | Only the last 4 digits of<br>your Social Security                                                                       | 9<br>5<br>9<br>5<br>xxx<br>– xx – ____ ____ ____ ____                                                                            | xxx<br>– xx – ____ ____ ____ ____                                                                                       |  |\n|    | number or federal<br>Individual Taxpayer<br>Identification number<br>(ITIN)                                             | OR                                                                                                                               | OR                                                                                                                      |  |\n|    |                                                                                                                         | 9<br>xx<br>– xx<br>– ____ ____ ____ ____                                                                                         | 9<br>xx<br>– xx<br>– ____ ____ ____ ____                                                                                |  |\n\n## Case 22-50073 Doc 19 Filed 02/23/22 Entered 02/23/22 18:57:26 Page 2 of 9\n\n| Ho<br>Wan<br>Debtor 1                                              | Kwok<br>_______________________________________________________                                                                                           | 22-50073<br>Case number (if known)_____________________________________                                                                          |\n|--------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------|\n| First Name<br>Middle Name                                          | Last Name                                                                                                                                                 |                                                                                                                                                  |\n|                                                                    | About Debtor 1:                                                                                                                                           | About Debtor 2 (Spouse Only in a Joint Case):                                                                                                    |\n| Any business names<br>4.<br>and Employer<br>Identification Numbers | ✔<br>‰<br>I have not used any business names or EINs.                                                                                                     | ‰<br>I have not used any business names or EINs.                                                                                                 |\n| (EIN) you have used in<br>the last 8 years                         | _________________________________________________<br>Business name                                                                                        | _________________________________________________<br>Business name                                                                               |\n| Include trade names and<br>doing business as names                 | _________________________________________________<br>Business name                                                                                        | _________________________________________________<br>Business name                                                                               |\n|                                                                    | ___ ___ – ___ ___ ___ ___ ___ ___ ___<br>EIN                                                                                                              | ___ ___ – ___ ___ ___ ___ ___ ___ ___<br>EIN                                                                                                     |\n|                                                                    | ___ ___ – ___ ___ ___ ___ ___ ___ ___<br>EIN                                                                                                              | ___ ___ – ___ ___ ___ ___ ___ ___ ___<br>EIN                                                                                                     |\n| Where you live<br>5.                                               |                                                                                                                                                           | If Debtor 2 lives at a different address:                                                                                                        |\n|                                                                    | c/o Golden Spring (New York) Ltd.<br>_________________________________________________                                                                    | _________________________________________________<br>Number<br>Street                                                                            |\n|                                                                    | Number<br>Street<br>162 East 64th Street<br>_________________________________________________                                                             | _________________________________________________                                                                                                |\n|                                                                    | New York<br>NY<br>10065<br>_________________________________________________                                                                              | _________________________________________________                                                                                                |\n|                                                                    | City<br>State<br>ZIP Code<br>New York                                                                                                                     | City<br>State<br>ZIP Code                                                                                                                        |\n|                                                                    | _________________________________________________<br>County                                                                                               | _________________________________________________<br>County                                                                                      |\n|                                                                    | If your mailing address is different from the one<br>above, fill it in here. Note that the court will send<br>any notices to you at this mailing address. | If Debtor 2's mailing address is different from<br>yours, fill it in here. Note that the court will send<br>any notices to this mailing address. |\n|                                                                    | _________________________________________________<br>Number<br>Street                                                                                     | _________________________________________________<br>Number<br>Street                                                                            |\n|                                                                    | _________________________________________________<br>P.O. Box                                                                                             | _________________________________________________<br>P.O. Box                                                                                    |\n|                                                                    | _________________________________________________<br>City<br>State<br>ZIP Code                                                                            | _________________________________________________<br>City<br>State<br>ZIP Code                                                                   |\n| Why you are choosing<br>6.                                         | Check one:                                                                                                                                                | Check one:                                                                                                                                       |\n| this district to file for<br>bankruptcy                            | ✔<br>‰<br>Over the last 180 days before filing this petition,<br>I have lived in this district longer than in any<br>other district.                      | ‰<br>Over the last 180 days before filing this petition,<br>I have lived in this district longer than in any<br>other district.                  |\n|                                                                    | ‰<br>I have another reason. Explain.<br>(See 28 U.S.C. § 1408.)                                                                                           | ‰<br>I have another reason. Explain.<br>(See 28 U.S.C. § 1408.)                                                                                  |\n|                                                                    | ________________________________________<br>________________________________________                                                                      | ________________________________________<br>________________________________________                                                             |\n|                                                                    | ________________________________________<br>________________________________________                                                                      | ________________________________________<br>________________________________________                                                             |\n|                                                                    |                                                                                                                                                           |                                                                                                                                                  |\n\n|            | Case 22-50073                                                                                     | Doc 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              |                          | Filed 02/23/22                                                                                                               |  | Entered 02/23/22 18:57:26 |          | Page 3 of 9                                                                                            |\n|------------|---------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------|------------------------------------------------------------------------------------------------------------------------------|--|---------------------------|----------|--------------------------------------------------------------------------------------------------------|\n| Debtor 1   | Ho<br>Wan<br>_______________________________________________________<br>First Name<br>Middle Name |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     | Kwok<br>Last Name        |                                                                                                                              |  |                           | 22-50073 | Case number (if known)_____________________________________                                            |\n| Part 2:    | Tell the Court About Your Bankruptcy Case                                                         |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     |                          |                                                                                                                              |  |                           |          |                                                                                                        |\n| 7.         | The chapter of the<br>Bankruptcy Code you                                                         | Check one. (For a brief description of each, see Notice Required by 11 U.S.C. § 342(b) for Individuals Filing<br>for Bankruptcy (Form 2010)). Also, go to the top of page 1 and check the appropriate box.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          |                          |                                                                                                                              |  |                           |          |                                                                                                        |\n|            | are choosing to file<br>under                                                                     | ‰<br>Chapter 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      |                          |                                                                                                                              |  |                           |          |                                                                                                        |\n|            |                                                                                                   | ✔<br>‰<br>Chapter 11                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                |                          |                                                                                                                              |  |                           |          |                                                                                                        |\n|            |                                                                                                   | ‰                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   | Chapter 12               |                                                                                                                              |  |                           |          |                                                                                                        |\n|            |                                                                                                   | ‰                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   | Chapter 13               |                                                                                                                              |  |                           |          |                                                                                                        |\n| 8.         | How you will pay the fee                                                                          | ✔<br>‰<br>I will pay the entire fee when I file my petition. Please check with the clerk's office in your<br>local court for more details about how you may pay. Typically, if you are paying the fee<br>yourself, you may pay with cash, cashier's check, or money order. If your attorney is<br>submitting your payment on your behalf, your attorney may pay with a credit card or check<br>with a pre-printed address.<br>‰<br>I need to pay the fee in installments. If you choose this option, sign and attach the<br>Application for Individuals to Pay The Filing Fee in Installments (Official Form 103A).<br>‰<br>I request that my fee be waived (You may request this option only if you are filing for Chapter 7.<br>By law, a judge may, but is not required to, waive your fee, and may do so only if your income is |                          | less than 150% of the official poverty line that applies to your family size and you are unable to                           |  |                           |          |                                                                                                        |\n| 9.         | Have you filed for                                                                                | ✔<br>‰<br>No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        |                          | Chapter 7 Filing Fee Waived (Official Form 103B) and file it with your petition.                                             |  |                           |          | pay the fee in installments). If you choose this option, you must fill out the Application to Have the |\n|            | bankruptcy within the<br>last 8 years?                                                            | ‰                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   |                          | Yes. District __________________________ When                                                                                |  |                           |          | _______________ Case number ___________________________                                                |\n|            |                                                                                                   |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     |                          |                                                                                                                              |  | MM / DD / YYYY            |          |                                                                                                        |\n|            |                                                                                                   |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     |                          | District __________________________ When                                                                                     |  | MM / DD / YYYY            |          | _______________ Case number ___________________________                                                |\n|            |                                                                                                   |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     |                          | District __________________________ When                                                                                     |  | MM / DD / YYYY            |          | _______________ Case number ___________________________                                                |\n|            | 10. Are any bankruptcy<br>cases pending or being                                                  | ✔<br>‰ No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           |                          |                                                                                                                              |  |                           |          |                                                                                                        |\n|            | filed by a spouse who is<br>not filing this case with                                             | ‰                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   |                          | Yes. Debtor _________________________________________________ Relationship to you                                            |  |                           |          | _____________________                                                                                  |\n| affiliate? | you, or by a business<br>partner, or by an                                                        |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     |                          | District __________________________ When                                                                                     |  | MM / DD / YYYY            |          | _______________ Case number, if known____________________                                              |\n|            |                                                                                                   |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     |                          | Debtor _________________________________________________ Relationship to you                                                 |  |                           |          | _____________________                                                                                  |\n|            |                                                                                                   |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     |                          | District __________________________ When                                                                                     |  | MM / DD / YYYY            |          | _______________ Case number, if known____________________                                              |\n|            | 11. Do you rent your<br>residence?                                                                | ✔<br>‰<br>No.<br>‰                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  | Go to line 12.<br>‰<br>‰ | Yes. Has your landlord obtained an eviction judgment against you?<br>No. Go to line 12.<br>part of this bankruptcy petition. |  |                           |          | Yes. Fill out Initial Statement About an Eviction Judgment Against You (Form 101A) and file it as      |\n\n|          | Case 22-50073                                                                                                                                           | Doc 19                                                             | Filed 02/23/22                                                  | Entered 02/23/22 18:57:26                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              | Page 4 of 9                                                             |  |  |\n|----------|---------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------|-----------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------|--|--|\n| Debtor 1 | Ho<br>Wan<br>First Name<br>Middle Name                                                                                                                  | Last Name                                                          | Kwok<br>_______________________________________________________ |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        | 22-50073<br>Case number (if known)_____________________________________ |  |  |\n| Part 3:  |                                                                                                                                                         |                                                                    | Report About Any Businesses You Own as a Sole Proprietor        |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        |                                                                         |  |  |\n|          | 12. Are you a sole proprietor<br>of any full- or part-time                                                                                              | ✔<br>‰<br>No. Go to Part 4.                                        |                                                                 |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        |                                                                         |  |  |\n|          | business?                                                                                                                                               | ‰<br>Yes. Name and location of business                            |                                                                 |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        |                                                                         |  |  |\n|          | A sole proprietorship is a<br>business you operate as an<br>individual, and is not a<br>separate legal entity such as<br>a corporation, partnership, or | Number                                                             | Name of business, if any<br>Street                              | _______________________________________________________________________________________<br>_______________________________________________________________________________________                                                                                                                                                                                                                                                                                                                                     |                                                                         |  |  |\n| LLC.     | If you have more than one<br>sole proprietorship, use a<br>separate sheet and attach it<br>to this petition.                                            |                                                                    | _______________________________________________                 | _______________________________________________________________________________________<br>_______                                                                                                                                                                                                                                                                                                                                                                                                                     | __________________________                                              |  |  |\n|          |                                                                                                                                                         | City                                                               |                                                                 | State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  | ZIP Code                                                                |  |  |\n|          |                                                                                                                                                         | Check the appropriate box to describe your business:               |                                                                 |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        |                                                                         |  |  |\n|          |                                                                                                                                                         | ‰<br>Health Care Business (as defined in 11 U.S.C. § 101(27A))     |                                                                 |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        |                                                                         |  |  |\n|          |                                                                                                                                                         | ‰<br>Single Asset Real Estate (as defined in 11 U.S.C. § 101(51B)) |                                                                 |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        |                                                                         |  |  |\n|          |                                                                                                                                                         | ‰<br>Stockbroker (as defined in 11 U.S.C. § 101(53A))              |                                                                 |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        |                                                                         |  |  |\n|          |                                                                                                                                                         |                                                                    | ‰<br>Commodity Broker (as defined in 11 U.S.C. § 101(6))        |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        |                                                                         |  |  |\n|          |                                                                                                                                                         | ‰<br>None of the above                                             |                                                                 |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        |                                                                         |  |  |\n|          | 13. Are you filing under<br>Chapter 11 of the<br>Bankruptcy Code and<br>are you a small business                                                        |                                                                    |                                                                 | If you are filing under Chapter 11, the court must know whether you are a small business debtorRUDGHEWRU<br>FKRRVLQJWRSURFHHGXQGHU6XEFKDSWHU9 so that it can set appropriate deadlines. If you indicate that you<br>are a small business debtorRU\\RXDUHFKRRVLQJWRSURFHHGXQGHU6XEFKDSWHU9, you must attach your<br>most recent balance sheet, statement of operations, cash-flow statement, and federal income tax return or<br>if any of these documents do not exist, follow the procedure in 11 U.S.C. § 1116(1)(B). |                                                                         |  |  |\n|          | debtorRUDGHEWRUDV<br>GHILQHGE\\86&†<br>?<br>For a definition of small<br>business debtor, see<br>11 U.S.C. § 101(51D).                                   | ‰<br>No. I am not filing under Chapter 11.                         |                                                                 |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        |                                                                         |  |  |\n|          |                                                                                                                                                         | ✔<br>‰                                                             | the Bankruptcy Code.                                            | No. I am filing under Chapter 11, but I am NOT a small business debtor according to the definition in                                                                                                                                                                                                                                                                                                                                                                                                                  |                                                                         |  |  |\n|          |                                                                                                                                                         | ‰                                                                  |                                                                 | <hv,dpilolqjxqghu&kdswhu,dpdvpdooexvlqhvvghewrudffruglqjwrwkhghilqlwlrqlqwkh%dqnuxswf\\< td=\"\"><td></td></hv,dpilolqjxqghu&kdswhu,dpdvpdooexvlqhvvghewrudffruglqjwrwkhghilqlwlrqlqwkh%dqnuxswf\\<>                                                                                                                                                                                                                                                                                                                       |                                                                         |  |  |\n|          |                                                                                                                                                         | ‰                                                                  |                                                                 | &RGHDQG,GRQRWFKRRVHWRSURFHHGXQGHU6XEFKDSWHU9RI&KDSWHU<br><hv,dpilolqjxqghu&kdswhu,dpdghewrudffruglqjwrwkhghilqlwlrqlq† riwkh<=\"\" td=\"\"><td></td></hv,dpilolqjxqghu&kdswhu,dpdghewrudffruglqjwrwkhghilqlwlrqlq†>                                                                                                                                                                                                                                                                                                        |                                                                         |  |  |\n|          |                                                                                                                                                         | %DQNUXSWF\\&RGHDQG,FKRRVHWRSURFHHGXQGHU6XEFKDSWHU9RI&KDSWHU         |                                                                 |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        |                                                                         |  |  |\n\n|          | Case 22-50073                                                                                                              | Doc 19                           | Filed 02/23/22                                                               | Entered 02/23/22 18:57:26<br>Page 5 of 9                                                                                                                                          |\n|----------|----------------------------------------------------------------------------------------------------------------------------|----------------------------------|------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|\n| Debtor 1 | Ho<br>Wan<br>First Name<br>Middle Name                                                                                     |                                  | Kwok<br>_______________________________________________________<br>Last Name | 22-50073<br>Case number (if known)_____________________________________                                                                                                           |\n| Part 4:  |                                                                                                                            |                                  |                                                                              | Report if You Own or Have Any Hazardous Property or Any Property That Needs Immediate Attention                                                                                   |\n|          | 14. Do you own or have any                                                                                                 |                                  |                                                                              |                                                                                                                                                                                   |\n|          | property that poses or is<br>alleged to pose a threat<br>of imminent and<br>identifiable hazard to                         | ‰<br>Yes.<br>What is the hazard? |                                                                              | ________________________________________________________________________<br>________________________________________________________________________                              |\n|          | public health or safety?<br>Or do you own any<br>property that needs<br>immediate attention?                               |                                  |                                                                              | If immediate attention is needed, why is it needed? _______________________________________________                                                                               |\n|          | For example, do you own<br>perishable goods, or livestock<br>that must be fed, or a building<br>that needs urgent repairs? |                                  |                                                                              | ________________________________________________________________________                                                                                                          |\n|          |                                                                                                                            |                                  |                                                                              | Where is the property? ________________________________________________________________________<br>Number<br>Street                                                               |\n|          |                                                                                                                            |                                  |                                                                              | ________________________________________________________________________<br>________________________________________ _______<br>____________________<br>City<br>State<br>ZIP Code |\n\n| Ho<br>Wan<br>Debtor 1<br>First Name                                                                                          | Kwok<br>_______________________________________________________<br>Middle Name<br>Last Name                                                                                                                                                                                                      | 22-50073<br>Case number (if known)_____________________________________                                                                                                                                                                                                                                    |\n|------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|\n| Part 5:                                                                                                                      | Explain Your Efforts to Receive a Briefing About Credit Counseling                                                                                                                                                                                                                               |                                                                                                                                                                                                                                                                                                            |\n| 15. Tell the court whether                                                                                                   | About Debtor 1:                                                                                                                                                                                                                                                                                  | About Debtor 2 (Spouse Only in a Joint Case):                                                                                                                                                                                                                                                              |\n| you have received a<br>briefing about credit                                                                                 | You must check one:                                                                                                                                                                                                                                                                              | You must check one:                                                                                                                                                                                                                                                                                        |\n| counseling.<br>The law requires that you<br>receive a briefing about credit                                                  | ✔<br>‰<br>I received a briefing from an approved credit<br>counseling agency within the 180 days before I<br>filed this bankruptcy petition, and I received a<br>certificate of completion.                                                                                                      | ‰<br>I received a briefing from an approved credit<br>counseling agency within the 180 days before I<br>filed this bankruptcy petition, and I received a<br>certificate of completion.                                                                                                                     |\n| counseling before you file for<br>bankruptcy. You must<br>truthfully check one of the                                        | Attach a copy of the certificate and the payment<br>plan, if any, that you developed with the agency.                                                                                                                                                                                            | Attach a copy of the certificate and the payment<br>plan, if any, that you developed with the agency.                                                                                                                                                                                                      |\n| following choices. If you<br>cannot do so, you are not<br>eligible to file.                                                  | ‰<br>I received a briefing from an approved credit<br>counseling agency within the 180 days before I<br>filed this bankruptcy petition, but I do not have a<br>certificate of completion.                                                                                                        | ‰<br>I received a briefing from an approved credit<br>counseling agency within the 180 days before I<br>filed this bankruptcy petition, but I do not have a<br>certificate of completion.                                                                                                                  |\n| If you file anyway, the court<br>can dismiss your case, you<br>will lose whatever filing fee<br>you paid, and your creditors | Within 14 days after you file this bankruptcy petition,<br>you MUST file a copy of the certificate and payment<br>plan, if any.                                                                                                                                                                  | Within 14 days after you file this bankruptcy petition,<br>you MUST file a copy of the certificate and payment<br>plan, if any.                                                                                                                                                                            |\n| can begin collection activities<br>again.                                                                                    | ‰<br>I certify that I asked for credit counseling<br>services from an approved agency, but was<br>unable to obtain those services during the 7<br>days after I made my request, and exigent<br>circumstances merit a 30-day temporary waiver<br>of the requirement.                              | ‰<br>I certify that I asked for credit counseling<br>services from an approved agency, but was<br>unable to obtain those services during the 7<br>days after I made my request, and exigent<br>circumstances merit a 30-day temporary waiver<br>of the requirement.                                        |\n|                                                                                                                              | To ask for a 30-day temporary waiver of the<br>requirement, attach a separate sheet explaining<br>what efforts you made to obtain the briefing, why<br>you were unable to obtain it before you filed for<br>bankruptcy, and what exigent circumstances<br>required you to file this case.        | To ask for a 30-day temporary waiver of the<br>requirement, attach a separate sheet explaining<br>what efforts you made to obtain the briefing, why<br>you were unable to obtain it before you filed for<br>bankruptcy, and what exigent circumstances<br>required you to file this case.                  |\n|                                                                                                                              | Your case may be dismissed if the court is<br>dissatisfied with your reasons for not receiving a<br>briefing before you filed for bankruptcy.                                                                                                                                                    | Your case may be dismissed if the court is<br>dissatisfied with your reasons for not receiving a<br>briefing before you filed for bankruptcy.                                                                                                                                                              |\n|                                                                                                                              | If the court is satisfied with your reasons, you must<br>still receive a briefing within 30 days after you file.<br>You must file a certificate from the approved<br>agency, along with a copy of the payment plan you<br>developed, if any. If you do not do so, your case<br>may be dismissed. | If the court is satisfied with your reasons, you must<br>still receive a briefing within 30 days after you file.<br>You must file a certificate from the approved<br>agency, along with a copy of the payment plan you<br>developed, if any. If you do not do so, your case<br>may be dismissed.           |\n|                                                                                                                              | Any extension of the 30-day deadline is granted<br>only for cause and is limited to a maximum of 15<br>days.                                                                                                                                                                                     | Any extension of the 30-day deadline is granted<br>only for cause and is limited to a maximum of 15<br>days.                                                                                                                                                                                               |\n|                                                                                                                              | ‰<br>I am not required to receive a briefing about<br>credit counseling because of:                                                                                                                                                                                                              | ‰<br>I am not required to receive a briefing about<br>credit counseling because of:                                                                                                                                                                                                                        |\n|                                                                                                                              | ‰<br>Incapacity.                                                                                                                                                                                                                                                                                 | ‰<br>I have a mental illness or a mental<br>Incapacity.<br>I have a mental illness or a mental<br>deficiency that makes me<br>deficiency that makes me<br>incapable of realizing or making<br>incapable of realizing or making<br>rational decisions about finances.<br>rational decisions about finances. |\n|                                                                                                                              | ‰<br>Disability.                                                                                                                                                                                                                                                                                 | ‰<br>My physical disability causes me<br>Disability.<br>My physical disability causes me                                                                                                                                                                                                                   |\n\n- to be unable to participate in a briefing in person, by phone, or through the internet, even after I reasonably tried to do so.\n- **Active duty.** I am currently on active military duty in a military combat zone.\n\nIf you believe you are not required to receive a briefing about credit counseling, you must file a motion for waiver of credit counseling with the court.\n\nduty in a military combat zone. If you believe you are not required to receive a briefing about credit counseling, you must file a motion for waiver of credit counseling with the court.\n\n**Active duty.** I am currently on active military\n\nto be unable to participate in a briefing in person, by phone, or through the internet, even after I reasonably tried to do so.\n\n|                                                                                                                                                                                                                                                                          | Case 22-50073                                                                                                                                                                                        | Doc 19                                                                                                                                                                                                                                                    | Filed 02/23/22                                                    | Entered 02/23/22 18:57:26                                 |                                           | Page 7 of 9                                                   |  |  |\n|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------|-----------------------------------------------------------|-------------------------------------------|---------------------------------------------------------------|--|--|\n| Debtor 1                                                                                                                                                                                                                                                                 | Ho<br>Wan<br>First Name<br>Middle Name                                                                                                                                                               | Last Name                                                                                                                                                                                                                                                 | Kwok<br>_______________________________________________________   |                                                           | 22-50073                                  | Case number (if known)_____________________________________   |  |  |\n| Part 6:                                                                                                                                                                                                                                                                  | Answer These Questions for Reporting Purposes                                                                                                                                                        |                                                                                                                                                                                                                                                           |                                                                   |                                                           |                                           |                                                               |  |  |\n|                                                                                                                                                                                                                                                                          | 16. What kind of debts do<br>you have?                                                                                                                                                               | 16a. Are your debts primarily consumer debts? Consumer debts are defined in 11 U.S.C. § 101(8)<br>as \"incurred by an individual primarily for a personal, family, or household purpose.\"                                                                  |                                                                   |                                                           |                                           |                                                               |  |  |\n|                                                                                                                                                                                                                                                                          |                                                                                                                                                                                                      | ✔<br>‰<br>No. Go to line 16b.<br>‰<br>Yes. Go to line 17.                                                                                                                                                                                                 |                                                                   |                                                           |                                           |                                                               |  |  |\n|                                                                                                                                                                                                                                                                          |                                                                                                                                                                                                      | 16b. Are your debts primarily business debts? Business debts are debts that you incurred to obtain<br>money for a business or investment or through the operation of the business or investment.                                                          |                                                                   |                                                           |                                           |                                                               |  |  |\n| ✔<br>‰<br>No. Go to line 16c.<br>‰<br>Yes. Go to line 17.                                                                                                                                                                                                                |                                                                                                                                                                                                      |                                                                                                                                                                                                                                                           |                                                                   |                                                           |                                           |                                                               |  |  |\n|                                                                                                                                                                                                                                                                          | 16c. State the type of debts you owe that are not consumer debts or business debts.<br>Litigation expenses, claims, and judgments<br>_______________________________________________________________ |                                                                                                                                                                                                                                                           |                                                                   |                                                           |                                           |                                                               |  |  |\n|                                                                                                                                                                                                                                                                          | 17. Are you filing under<br>Chapter 7?                                                                                                                                                               | ✔<br>‰<br>No. I am not filing under Chapter 7. Go to line 18.                                                                                                                                                                                             |                                                                   |                                                           |                                           |                                                               |  |  |\n|                                                                                                                                                                                                                                                                          | Do you estimate that after<br>any exempt property is<br>excluded and<br>administrative expenses<br>are paid that funds will be                                                                       | ‰<br>Yes. I am filing under Chapter 7. Do you estimate that after any exempt property is excluded and<br>administrative expenses are paid that funds will be available to distribute to unsecured creditors?                                              |                                                                   |                                                           |                                           |                                                               |  |  |\n|                                                                                                                                                                                                                                                                          |                                                                                                                                                                                                      | ‰<br>No<br>‰<br>Yes                                                                                                                                                                                                                                       |                                                                   |                                                           |                                           |                                                               |  |  |\n|                                                                                                                                                                                                                                                                          | available for distribution<br>to unsecured creditors?                                                                                                                                                |                                                                                                                                                                                                                                                           |                                                                   |                                                           |                                           |                                                               |  |  |\n| owe?                                                                                                                                                                                                                                                                     | 18. How many creditors do<br>you estimate that you                                                                                                                                                   | ‰<br>1-49<br>✔<br>‰<br>50-99                                                                                                                                                                                                                              | ‰<br>‰                                                            | 1,000-5,000<br>5,001-10,000                               | ‰<br>‰                                    | 25,001-50,000<br>50,001-100,000                               |  |  |\n|                                                                                                                                                                                                                                                                          |                                                                                                                                                                                                      | ‰<br>100-199<br>‰<br>200-999                                                                                                                                                                                                                              | ‰                                                                 | 10,001-25,000                                             | ‰                                         | More than 100,000                                             |  |  |\n|                                                                                                                                                                                                                                                                          | 19. How much do you<br>estimate your assets to<br>be worth?                                                                                                                                          | ‰<br>\\$0-\\$50,000<br>✔<br>‰                                                                                                                                                                                                                               | ‰<br>‰                                                            | \\$1,000,001-\\$10 million                                  | ‰<br>‰                                    | \\$500,000,001-\\$1 billion                                     |  |  |\n|                                                                                                                                                                                                                                                                          |                                                                                                                                                                                                      | \\$50,001-\\$100,000<br>‰<br>\\$100,001-\\$500,000<br>‰                                                                                                                                                                                                       | ‰<br>‰                                                            | \\$10,000,001-\\$50 million<br>\\$50,000,001-\\$100 million   | ‰<br>‰                                    | \\$1,000,000,001-\\$10 billion<br>\\$10,000,000,001-\\$50 billion |  |  |\n|                                                                                                                                                                                                                                                                          | 20. How much do you                                                                                                                                                                                  | \\$500,001-\\$1 million<br>‰<br>\\$0-\\$50,000                                                                                                                                                                                                                | ‰                                                                 | \\$100,000,001-\\$500 million<br>\\$1,000,001-\\$10 million   | ‰                                         | More than \\$50 billion<br>\\$500,000,001-\\$1 billion           |  |  |\n| to be?                                                                                                                                                                                                                                                                   | estimate your liabilities                                                                                                                                                                            | ‰<br>\\$50,001-\\$100,000<br>‰                                                                                                                                                                                                                              | ‰<br>‰                                                            | \\$10,000,001-\\$50 million                                 | ‰<br>‰                                    | \\$1,000,000,001-\\$10 billion                                  |  |  |\n|                                                                                                                                                                                                                                                                          |                                                                                                                                                                                                      | \\$100,001-\\$500,000<br>‰<br>\\$500,001-\\$1 million                                                                                                                                                                                                         | ✔<br>‰                                                            | \\$50,000,001-\\$100 million<br>\\$100,000,001-\\$500 million | ‰                                         | \\$10,000,000,001-\\$50 billion<br>More than \\$50 billion       |  |  |\n| Part 7:                                                                                                                                                                                                                                                                  | Sign Below                                                                                                                                                                                           |                                                                                                                                                                                                                                                           |                                                                   |                                                           |                                           |                                                               |  |  |\n| For you                                                                                                                                                                                                                                                                  |                                                                                                                                                                                                      | I have examined this petition, and I declare under penalty of perjury that the information provided is true and<br>correct.                                                                                                                               |                                                                   |                                                           |                                           |                                                               |  |  |\n|                                                                                                                                                                                                                                                                          |                                                                                                                                                                                                      | If I have chosen to file under Chapter 7, I am aware that I may proceed, if eligible, under Chapter 7, 11,12, or 13<br>of title 11, United States Code. I understand the relief available under each chapter, and I choose to proceed<br>under Chapter 7. |                                                                   |                                                           |                                           |                                                               |  |  |\n| If no attorney represents me and I did not pay or agree to pay someone who is not an attorney to help me fill out<br>this document, I have obtained and read the notice required by 11 U.S.C. § 342(b).                                                                  |                                                                                                                                                                                                      |                                                                                                                                                                                                                                                           |                                                                   |                                                           |                                           |                                                               |  |  |\n|                                                                                                                                                                                                                                                                          |                                                                                                                                                                                                      | I request relief in accordance with the chapter of title 11, United States Code, specified in this petition.                                                                                                                                              |                                                                   |                                                           |                                           |                                                               |  |  |\n| I understand making a false statement, concealing property, or obtaining money or property by fraud in connection<br>with a bankruptcy case can result in fines up to \\$250,000, or imprisonment for up to 20 years, or both.<br>18 U.S.C. §§ 152, 1341, 1519, and 3571. |                                                                                                                                                                                                      |                                                                                                                                                                                                                                                           |                                                                   |                                                           |                                           |                                                               |  |  |\n|                                                                                                                                                                                                                                                                          |                                                                                                                                                                                                      | 8                                                                                                                                                                                                                                                         | /s/ Ho Wan Kwok<br>______________________________________________ | 8                                                         |                                           | _____________________________                                 |  |  |\n|                                                                                                                                                                                                                                                                          |                                                                                                                                                                                                      | Signature of Debtor 1                                                                                                                                                                                                                                     |                                                                   |                                                           | Signature of Debtor 2                     |                                                               |  |  |\n|                                                                                                                                                                                                                                                                          |                                                                                                                                                                                                      | 02/23/2022<br>Executed on _________________<br>MM<br>/ DD<br>/ YYYY                                                                                                                                                                                       |                                                                   |                                                           | Executed on __________________<br>MM / DD | / YYYY                                                        |  |  |\n\n|                                                                                                                                            | Case 22-50073                          | Doc 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   | Filed 02/23/22                                                                   | Entered 02/23/22 18:57:26                                                                                                                                                                                                                                                                                                                                                                                        |                   | Page 8 of 9                                                 |  |\n|--------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------|-------------------------------------------------------------|--|\n| Debtor 1                                                                                                                                   | Ho<br>Wan<br>First Name<br>Middle Name | Kwok<br>_______________________________________________________<br>Last Name                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             |                                                                                  | 22-50073<br>Case number (if known)_____________________________________                                                                                                                                                                                                                                                                                                                                          |                   |                                                             |  |\n| For your attorney, if you are<br>represented by one<br>If you are not represented<br>by an attorney, you do not<br>need to file this page. |                                        | I, the attorney for the debtor(s) named in this petition, declare that I have informed the debtor(s) about eligibility<br>to proceed under Chapter 7, 11, 12, or 13 of title 11, United States Code, and have explained the relief<br>available under each chapter for which the person is eligible. I also certify that I have delivered to the debtor(s)<br>the notice required by 11 U.S.C. § 342(b) and, in a case in which § 707(b)(4)(D) applies, certify that I have no<br>knowledge after an inquiry that the information in the schedules filed with the petition is incorrect. |                                                                                  |                                                                                                                                                                                                                                                                                                                                                                                                                  |                   |                                                             |  |\n|                                                                                                                                            |                                        | 8<br>/s/<br>Dylan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        | _________________________________<br>Kletter<br>Signature of Attorney for Debtor | Date                                                                                                                                                                                                                                                                                                                                                                                                             | MM                | _________________<br>02/23/2022<br>/<br>DD<br>/ YYYY        |  |\n|                                                                                                                                            |                                        | Dylan Kletter<br>Printed name<br>Firm name<br>Number                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     | Brown Rudnick LLP<br>185 Asylum Street<br>Street                                 | _________________________________________________________________________________________________<br>_________________________________________________________________________________________________<br>_________________________________________________________________________________________________<br>_________________________________________________________________________________________________ |                   |                                                             |  |\n|                                                                                                                                            |                                        | Hartford<br>______________________________________________________ ____________ ______________________________<br>City                                                                                                                                                                                                                                                                                                                                                                                                                                                                   |                                                                                  |                                                                                                                                                                                                                                                                                                                                                                                                                  | 06103<br>ZIP Code |                                                             |  |\n|                                                                                                                                            |                                        | (860) 509-6557<br>Contact phone _____________________________________                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    |                                                                                  | State                                                                                                                                                                                                                                                                                                                                                                                                            | Email address     | dkletter@brownrudnick.com<br>______________________________ |  |\n|                                                                                                                                            |                                        | 429244<br>______________________________________________________ ____________<br>Bar number                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              |                                                                                  | CT                                                                                                                                                                                                                                                                                                                                                                                                               | State             |                                                             |  |\n|                                                                                                                                            |                                        |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          |                                                                                  |                                                                                                                                                                                                                                                                                                                                                                                                                  |                   |                                                             |  |\n\n| Case 22-50073                                                                   | Doc 19<br>Filed 02/23/22                                                                                       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|\n|---------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------|-------------------------------------------------------------------------|--|--|--|\n| Ho<br>Wan<br>Debtor 1<br>First Name<br>Middle Name                              | Kwok<br>_______________________________________________________<br>Last Name                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               |                                                         | 22-50073<br>Case number (if known)_____________________________________ |  |  |  |\n| For you if you are filing this<br>bankruptcy without an<br>attorney             | The law allows you, as an individual, to represent yourself in bankruptcy court, but you<br>should understand that many people find it extremely difficult to represent<br>themselves successfully. Because bankruptcy has long-term financial and legal<br>consequences, you are strongly urged to hire a qualified attorney.<br>To be successful, you must correctly file and handle your bankruptcy case. The rules are very<br>technical, and a mistake or inaction may affect your rights. For example, your case may be<br>dismissed because you did not file a required document, pay a fee on time, attend a meeting or<br>hearing, or cooperate with the court, case trustee, U.S. trustee, bankruptcy administrator, or audit<br>firm if your case is selected for audit. If that happens, you could lose your right to file another<br>case, or you may lose protections, including the benefit of the automatic stay.<br>You must list all your property and debts in the schedules that you are required to file with the<br>court. Even if you plan to pay a particular debt outside of your bankruptcy, you must list that debt<br>in your schedules. If you do not list a debt, the debt may not be discharged. If you do not list<br>property or properly claim it as exempt, you may not be able to keep the property. The judge can<br>also deny you a discharge of all your debts if you do something dishonest in your bankruptcy<br>case, such as destroying or hiding property, falsifying records, or lying. Individual bankruptcy<br>cases are randomly audited to determine if debtors have been accurate, truthful, and complete.<br>Bankruptcy fraud is a serious crime; you could be fined and imprisoned.<br>If you decide to file without an attorney, the court expects you to follow the rules as if you had<br>hired an attorney. The court will not treat you differently because you are filing for yourself. To be<br>successful, you must be familiar with the United States Bankruptcy Code, the Federal Rules of<br>Bankruptcy Procedure, and the local rules of the court in which your case is filed. You must also<br>be familiar with any state exemption laws that apply.<br>Are you aware that filing for bankruptcy is a serious action with long-term financial and legal<br>consequences? |                                                         |                                                                         |  |  |  |\n| If you are represented by<br>an attorney, you do not<br>need to file this page. |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           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                                                                                             |                                                         |                                                                         |  |  |  |\n|                                                                                 | ‰<br>No<br>‰<br>Yes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        |                                                         |                                                                         |  |  |  |\n|                                                                                 | Are you aware that bankruptcy fraud is a serious crime and that if your bankruptcy forms are<br>inaccurate or incomplete, you could be fined or imprisoned?                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                |                                                         |                                                                         |  |  |  |\n|                                                                                 | ‰<br>No<br>‰<br>Yes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        |                                                         |                                                                         |  |  |  |\n|                                                                                 | Did you pay or agree to pay someone who is not an attorney to help you fill out your bankruptcy forms?<br>‰<br>No<br>‰<br>Yes. Name of Person_____________________________________________________________________.<br>Attach Bankruptcy Petition Preparer's Notice, Declaration, and Signature (Official Form 119).                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       |                                                         |                                                                         |  |  |  |\n|                                                                                 | By signing here, I acknowledge that I understand the risks involved in filing without an attorney. I<br>have read and understood this notice, and I am aware that filing a bankruptcy case without an<br>attorney may cause me to lose my rights or property if I do not properly handle the case.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         |                                                         |                                                                         |  |  |  |\n|                                                                                 | 8<br>8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     |                                                         |                                                                         |  |  |  |\n|                                                                                 | _______________________________________________<br>Signature of Debtor 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   |                                                         | ______________________________<br>Signature of Debtor 2                 |  |  |  |\n|                                                                                 | Date<br>_________________<br>MM / DD<br>/ YYYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             | Date                                                    | _________________<br>MM / DD / YYYY                                     |  |  |  |\n|                                                                                 | Contact phone ______________________________________                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       | Contact phone                                           | ________________________________                                        |  |  |  |\n|                                                                                 | Cell phone<br>______________________________________                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       | Cell phone                                              | ________________________________                                        |  |  |  |\n|                                                                                 | Email address                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              | ______________________________________<br>Email address | ________________________________                                        |  |  |  |","body_zh":"官方表格 101\n个人自愿破产申请表 /\n\n破产表格使用“您”和“债务人 1”指单独提交申请的债务人。已婚夫妇可以共同提交破产案件——称为共同案件——在共同案件中，这些表格使用“您”来询问两名债务人的信息。例如，如表格询问“您是否拥有一辆汽车”，则任一债务人拥有汽车时，答案均为“是”。需要分别提供配偶信息时，表格使用“债务人 1”和“债务人 2”加以区分。在共同案件中，其中一方配偶必须作为债务人 1 报告信息，另一方必须作为债务人 2 报告信息。所有表格中必须由同一人担任债务人 1。\n\n请尽可能完整、准确地填写。如两名已婚人士共同提交申请，双方均同等负责提供正确信息。如需更多空间，请将单独的附页附于本表。请在任何附加页顶部写明您的姓名和案号（如已知）。请回答每一个问题。\n\n第 1 部分：确认您的身份\n\n关于债务人 1：　关于债务人 2（仅限共同案件中的配偶）：\n\n1.　您的全名\n填写您政府签发的带照片身份证件上所载的姓名（例如您的驾驶执照或护照）。\n\n名字\n__________________________________________________　__________________________________________________\n名字\n\nHo Wan Kwok（郭文贵）\n\n中间名\n__________________________________________________　__________________________________________________\n中间名\n\n请携带您的带照片身份证件参加与受托人的会议。\n\n姓\n___________________________　姓\n\n后缀（Sr., Jr., II, III）　后缀（Sr., Jr., II, III）\n\n2.　您在过去 8 年中使用过的所有其他姓名\n\nMiles\n__________________________________________________\n名字\n__________________________________________________　__________________________________________________\n名字\n\n包括您的婚后姓名或婚前姓名。\n\n中间名\nKwok; Guo\n__________________________________________________　__________________________________________________\n中间名\n\n姓　姓\nWengui\n\n名字　__________________________________________________\n名字\n\n中间名\nGuo\n__________________________________________________　__________________________________________________\n中间名\n\n姓　姓\n\n3.　您的社会保障号码或联邦个人纳税人识别号码（ITIN）的最后 4 位数字\n\n9\n\nxxx\n– xx – ____ ____ ____ ____　xxx\n– xx – ____ ____ ____ ____\n\n或　或\n\nxx\n– xx\n– ____ ____ ____ ____　9\nxx\n– xx\n– ____ ____ ____ ____\n\nCase 22-50073 Doc 19 Filed 02/23/22 Entered 02/23/22 18:57:26 Page 2 of 9\n\n债务人 1　Ho\nWan\nKwok\n_______________________________________________________　22-50073\n案号（如已知）_____________________________________\n\n名字\n中间名　姓\n\n关于债务人 1：　关于债务人 2（仅限共同案件中的配偶）：\n\n4.　您在过去 8 年中使用过的任何企业名称及雇主识别号码（EIN）\n\n✔\n‰\n我未使用过任何企业名称或 EIN。　‰\n我未使用过任何企业名称或 EIN。\n\n_________________________________________________\n企业名称　_________________________________________________\n企业名称\n\n包括商号及“以……名义经营”的名称。\n\n_________________________________________________\n企业名称　_________________________________________________\n企业名称\n\n___ ___ – ___ ___ ___ ___ ___ ___ ___\nEIN　___ ___ – ___ ___ ___ ___ ___ ___ ___\nEIN\n\n___ ___ – ___ ___ ___ ___ ___ ___ ___\nEIN　___ ___ – ___ ___ ___ ___ ___ ___ ___\nEIN\n\n5.　您的居住地\n\n如果债务人 2 居住在不同地址：\n\nc/o Golden Spring (New York) Ltd.（Golden Spring（New York）有限公司）\n_________________________________________________　_________________________________________________\n门牌号\n街道　门牌号\n街道\n\n162 East 64th Street\n_________________________________________________　_________________________________________________\n\nNew York\nNY\n\n_________________________________________________　_________________________________________________\n城市\n州\n邮政编码　New York　城市\n州\n邮政编码\n\n县　_________________________________________________\n县\n\n如您的邮寄地址与上述地址不同，请在此填写。请注意，法院将向您在此填写的邮寄地址发送任何通知。　如债务人 2 的邮寄地址与您的不同，请在此填写。请注意，法院将向该邮寄地址发送任何通知。\n\n门牌号\n街道　_________________________________________________\n门牌号\n街道\n\n邮政信箱　_________________________________________________\n邮政信箱\n\n城市\n州\n邮政编码　_________________________________________________\n城市\n州\n邮政编码\n\n6.　您选择在本地区提出破产申请的原因\n\n勾选一项：　勾选一项：\n\n✔\n‰\n在提交本申请前的过去 180 日内，我在本地区居住的时间长于在任何其他地区居住的时间。　‰\n在提交本申请前的过去 180 日内，我在本地区居住的时间长于在任何其他地区居住的时间。\n\n‰\n我有其他理由。请说明。\n（见 28 U.S.C. § 1408。）　‰\n我有其他理由。请说明。\n（见 28 U.S.C. § 1408。）\n\n________________________________________　________________________________________\n\n________________________________________　________________________________________\n\nCase 22-50073　Doc 19　Filed 02/23/22　Entered 02/23/22 18:57:26　Page 3 of 9\n\n债务人 1　Ho\nWan\nKwok\n名字\n中间名　姓　22-50073　案号（如已知）_____________________________________\n\n第 2 部分：向法院说明您的破产案件\n\n7.　您选择依据《破产法》提出申请的章节\n\n勾选一项。（有关各章节的简要说明，见《个人申请破产时 11 U.S.C. § 342(b) 要求的通知》（表格 2010）。另请前往第 1 页顶部并勾选相应方框。）\n\n‰\n第 7 章\n\n✔\n‰\n第 11 章\n\n‰　第 12 章\n\n‰　第 13 章\n\n8.　您将如何缴纳费用\n\n✔\n‰\n我将在提交申请时缴纳全部费用。请向当地法院书记官办公室咨询有关缴费方式的更多详情。通常，如由您本人缴纳费用，您可使用现金、银行本票或汇票支付。如您的律师代表您提交付款，您的律师可使用信用卡或印有预印地址的支票支付。\n\n‰\n我需要分期缴纳费用。如选择此项，请签署并附上《个人分期缴纳申请费申请书》（官方表格 103A）。\n\n‰\n我请求免除我的费用（仅在您依据第 7 章提出申请时方可请求此项。依法，法官可以但无须免除您的费用，并且仅在您的收入低于适用于您家庭人数的官方贫困线的 150%，且您无法分期缴纳费用时，方可予以免除）。如选择此项，您必须填写《申请免除第 7 章申请费》（官方表格 103B）并随申请一并提交。\n\n9.　您在过去 8 年内是否提交过破产申请？\n\n✔\n‰\n否\n\n‰　是。地区 __________________________ 时间　_______________ 案号 ___________________________\n月 / 日 / 年\n\n地区 __________________________ 时间　月 / 日 / 年　_______________ 案号 ___________________________\n\n地区 __________________________ 时间　月 / 日 / 年　_______________ 案号 ___________________________\n\n10.　是否有未决破产案件，或由未与您共同提交本案的配偶、商业合伙人或关联企业提出的破产案件？\n\n✔\n‰ 否\n\n‰　是。债务人 _________________________________________________ 与您的关系　_____________________\n\n地区 __________________________ 时间　月 / 日 / 年　_______________ 案号（如已知）____________________\n\n债务人 _________________________________________________ 与您的关系　_____________________\n\n地区 __________________________ 时间　月 / 日 / 年　_______________ 案号（如已知）____________________\n\n11.　您是否租住您的住所？\n\n✔\n‰\n否。\n\n‰　转至第 12 项。\n\n‰\n‰　是。您的房东是否已取得针对您的驱逐判决书？\n\n否。转至第 12 项。\n\n是。请填写《针对您的驱逐判决书初步声明》（表格 101A），并作为本破产申请的一部分提交。\n\nCase 22-50073　Doc 19　Filed 02/23/22　Entered 02/23/22 18:57:26　Page 4 of 9\n\n债务人 1　Ho\nWan\n名字\n中间名　姓　Kwok\n_______________________________________________________　22-50073\n案号（如已知）_____________________________________\n\n第 3 部分：报告您作为独资经营者拥有的任何企业\n\n12.　您是否为任何全职或兼职企业的独资经营者？\n\n✔\n‰\n否。转至第 4 部分。\n\n‰\n是。企业名称及所在地\n\n独资企业是指您以个人身份经营的企业，并非公司、合伙企业或 LLC 等独立法律实体。\n\n门牌号　企业名称（如有）\n街道　_______________________________________________________________________________________\n\n如您拥有多家独资企业，请使用单独的附页并附于本申请。\n\n_______________________________________________　_______________________________________________________________________________________\n_______　__________________________\n城市　州　邮政编码\n\n勾选适当方框以说明您的企业：\n\n‰\n医疗保健企业（定义见 11 U.S.C. § 101(27A)）\n\n‰\n单一资产不动产（定义见 11 U.S.C. § 101(51B)）\n\n‰\n证券经纪商（定义见 11 U.S.C. § 101(53A)）\n\n‰\n商品经纪商（定义见 11 U.S.C. § 101(6)）\n\n‰\n以上均非\n\n13.　您是否依据《破产法》第 11 章提出申请，并且是否为小型企业债务人或选择依据第 11 章 V 子章进行程序的债务人？\n\n如您依据第 11 章提出申请，法院必须知道您是否为小型企业债务人或选择依据第 11 章 V 子章进行程序的债务人，以便设定适当期限。如您表明自己是小型企业债务人或选择依据第 11 章 V 子章进行程序，您必须附上您最近的资产负债表、经营报表、现金流量表及联邦所得税申报表；如其中任何文件不存在，请遵循 11 U.S.C. § 1116(1)(B) 规定的程序。\n\n有关小型企业债务人的定义，见 11 U.S.C. § 101(51D)。\n\n‰\n否。我并非依据第 11 章提出申请。\n\n✔\n‰　否。我依据第 11 章提出申请，但根据《破产法》中的定义，我并非小型企业债务人。\n\n‰　是。我依据第 11 章提出申请；根据《破产法》中的定义，我是小型企业债务人，且我不选择依据第 11 章 V 子章进行程序。\n\n‰　是。我依据第 11 章提出申请；根据《破产法》11 U.S.C. § 1182(1) 中的定义，我是债务人，且我选择依据第 11 章 V 子章进行程序。\n\nCase 22-50073　Doc 19　Filed 02/23/22　Entered 02/23/22 18:57:26\n\n债务人 1　Ho\nWan\n名字\n中间名　Kwok\n姓　22-50073\n案号（如已知）_____________________________________\n\n第 4 部分：报告您是否拥有任何危险财产或任何需要立即处理的财产\n\n14.　您是否拥有或持有任何对公共卫生或安全构成或被指称构成迫近且可识别危险威胁的财产？或者，您是否拥有任何需要立即处理的财产？\n\n‰\n是。\n危险是什么？　________________________________________________________________________\n\n如需要立即处理，为何需要立即处理？ _______________________________________________\n\n例如，您是否拥有易腐货物、必须喂养的牲畜，或需要紧急维修的建筑物？\n\n________________________________________________________________________\n\n财产位于何处？ ________________________________________________________________________\n\n门牌号\n街道\n\n________________________________________ _______\n\n城市\n州\n邮政编码\n\n债务人 1　Ho\nWan\n名字　Kwok\n中间名\n姓　22-50073\n案号（如已知）_____________________________________\n\n第5部分：说明您获得信用咨询简报所作的努力\n\n15. 告知法院您是否已获得有关信用咨询的简报。\n\n关于债务人1：\n\n关于债务人2（仅限共同案件中的配偶）：\n\n您必须勾选一项：\n\n您必须勾选一项：\n\n法律要求您在申请破产前获得有关信用咨询的简报。您必须如实勾选下列选项之一。如无法做到，则您不具备申请资格。\n\n✔\n‰\n我在提交本破产申请前180天内已从经批准的信用咨询机构获得简报，并已取得完成证明。\n\n‰\n我在提交本破产申请前180天内已从经批准的信用咨询机构获得简报，并已取得完成证明。\n\n请附上证明副本，以及您与该机构制定的付款计划（如有）。\n\n请附上证明副本，以及您与该机构制定的付款计划（如有）。\n\n‰\n我在提交本破产申请前180天内已从经批准的信用咨询机构获得简报，但我没有完成证明。\n\n‰\n我在提交本破产申请前180天内已从经批准的信用咨询机构获得简报，但我没有完成证明。\n\n如您仍然提交申请，法院可驳回您的案件，您将失去已支付的任何申请费，且您的债权人可再次开始催收活动。\n\n在您提交本破产申请后14天内，您必须提交证明和付款计划（如有）的副本。\n\n在您提交本破产申请后14天内，您必须提交证明和付款计划（如有）的副本。\n\n‰\n我证明，我已向经批准的机构请求信用咨询服务，但在提出请求后的7天内无法获得该等服务，且紧急情形足以使该要求获得30天的临时豁免。\n\n‰\n我证明，我已向经批准的机构请求信用咨询服务，但在提出请求后的7天内无法获得该等服务，且紧急情形足以使该要求获得30天的临时豁免。\n\n如要请求给予该要求30天的临时豁免，请附上一份单独的说明页，说明您为获得该简报所作的努力、您为何无法在申请破产前获得该简报，以及何种紧急情形使您必须提交本案。\n\n如要请求给予该要求30天的临时豁免，请附上一份单独的说明页，说明您为获得该简报所作的努力、您为何无法在申请破产前获得该简报，以及何种紧急情形使您必须提交本案。\n\n如法院对您未在申请破产前获得简报的理由不满意，您的案件可能被驳回。\n\n如法院对您未在申请破产前获得简报的理由不满意，您的案件可能被驳回。\n\n如法院对您的理由满意，您仍必须在提交申请后30天内获得简报。您必须提交经批准机构出具的证明，以及您制定的付款计划副本（如有）。如未如此办理，您的案件可能被驳回。\n\n如法院对您的理由满意，您仍必须在提交申请后30天内获得简报。您必须提交经批准机构出具的证明，以及您制定的付款计划副本（如有）。如未如此办理，您的案件可能被驳回。\n\n对30天期限的任何延长仅在有正当理由时准予，且最长不得超过15天。\n\n对30天期限的任何延长仅在有正当理由时准予，且最长不得超过15天。\n\n‰\n我无需获得有关信用咨询的简报，原因如下：\n\n‰\n我无需获得有关信用咨询的简报，原因如下：\n\n‰\n无行为能力。我患有精神疾病或精神缺陷，致使我无法认识或作出有关财务的理性决定。\n\n‰\n无行为能力。我患有精神疾病或精神缺陷，致使我无法认识或作出有关财务的理性决定。\n\n‰\n残疾。我的身体残疾致使我即使已作出合理努力，仍无法亲自、通过电话或互联网参加简报。\n\n‰\n残疾。我的身体残疾致使我即使已作出合理努力，仍无法亲自、通过电话或互联网参加简报。\n\n- 现役军人。我目前在军事战区服现役。\n\n- 现役军人。我目前在军事战区服现役。\n\n如您认为自己无需获得有关信用咨询的简报，您必须向法院提交豁免信用咨询的动议。\n\n如您认为自己无需获得有关信用咨询的简报，您必须向法院提交豁免信用咨询的动议。\n\nCase 22-50073　Doc 19　Filed 02/23/22　Entered 02/23/22 18:57:26　Page 7 of 9\n\n债务人1　Ho Wan Kwok（郭文贵）\n名\n中间名　姓\n_______________________________________________________　22-50073　案号（如已知）_____________________________________\n\n第6部分：为报告目的回答下列问题\n\n16. 您有哪些种类的债务？\n\n16a. 您的债务主要是消费者债务吗？消费者债务在11 U.S.C. § 101(8)中定义为“个人主要为个人、家庭或家居目的而发生的债务”。\n\n✔\n‰\n否。转至第16b项。\n\n‰\n是。转至第17项。\n\n16b. 您的债务主要是商业债务吗？商业债务是指您为取得企业或投资资金，或通过经营企业或投资而发生的债务。\n\n✔\n‰\n否。转至第16c项。\n\n‰\n是。转至第17项。\n\n16c. 说明您所欠的不属于消费者债务或商业债务的债务类型。\n\n诉讼费用、请求权和判决\n\n17. 您是否依据第7章提交申请？\n\n✔\n‰\n否。我并非依据第7章提交申请。转至第18项。\n\n在扣除任何豁免财产并支付管理费用后，您是否估计会有可供分配给无担保债权人的资金？\n\n‰\n是。我依据第7章提交申请。在扣除任何豁免财产并支付管理费用后，您是否估计会有可供分配给无担保债权人的资金？\n\n‰\n否\n\n‰\n是\n\n18. 您估计欠您债务的债权人有多少名？\n\n‰\n1-49\n\n✔\n‰\n50-99\n\n‰\n1,000-5,000\n\n‰\n5,001-10,000\n\n‰\n25,001-50,000\n\n‰\n50,001-100,000\n\n‰\n100-199\n\n‰\n200-999\n\n‰\n10,001-25,000\n\n‰\n超过100,000\n\n19. 您估计您的资产价值是多少？\n\n‰\n$0-$50,000\n\n✔\n‰\n$50,001-$100,000\n\n‰\n$100,001-$500,000\n\n‰\n$500,001-$1 million\n\n‰\n$1,000,001-$10 million\n\n‰\n$10,000,001-$50 million\n\n‰\n$50,000,001-$100 million\n\n‰\n$100,000,001-$500 million\n\n‰\n$500,000,001-$1 billion\n\n‰\n$1,000,000,001-$10 billion\n\n‰\n$10,000,000,001-$50 billion\n\n‰\n超过$50 billion\n\n20. 您估计您的负债是多少？\n\n‰\n$0-$50,000\n\n‰\n$50,001-$100,000\n\n‰\n$100,001-$500,000\n\n‰\n$500,001-$1 million\n\n‰\n$1,000,001-$10 million\n\n‰\n$10,000,001-$50 million\n\n✔\n‰\n$50,000,001-$100 million\n\n‰\n$100,000,001-$500 million\n\n‰\n$500,000,001-$1 billion\n\n‰\n$1,000,000,001-$10 billion\n\n‰\n$10,000,000,001-$50 billion\n\n‰\n超过$50 billion\n\n第7部分：在下方签署\n\n供您填写\n\n我已审阅本申请书，并在伪证处罚下声明，所提供的信息真实且正确。\n\n如我选择依据第7章提交申请，我知悉如具资格，我可以依据《美国法典》第11编第7、11、12或13章进行程序。我了解各章所提供的救济，并选择依据第7章进行程序。\n\n如没有律师代理我，且我未支付或同意向非律师人士支付费用以协助我填写本文件，我已取得并阅读11 U.S.C. § 342(b)要求的通知。\n\n我请求依照本申请书所载明的《美国法典》第11编章节给予救济。\n\n我了解，在破产案件中作出虚假陈述、隐瞒财产或以欺诈手段取得金钱或财产，可导致最高$250,000的罚金，或最长20年的监禁，或两者并处。18 U.S.C. §§ 152, 1341, 1519, and 3571.\n\n8　/s/ Ho Wan Kwok\n______________________________________________　8　_____________________________\n债务人1签名　债务人2签名\n\n02/23/2022\n签署日期 _________________\n月\n/ 日\n/ 年　签署日期 __________________\n月 / 日　/ 年\n\nCase 22-50073　Doc 19　Filed 02/23/22　Entered 02/23/22 18:57:26　Page 8 of 9\n\n债务人1　Ho\nWan\n名\n中间名　Kwok\n\n姓　22-50073\n案号（如已知）_____________________________________\n\n供您的律师填写，如您有律师代理\n\n如您没有律师代理，则无需提交本页。\n\n本人，作为本申请书所列债务人的律师，声明我已告知债务人其是否有资格依据《美国法典》第11编第7、11、12或13章进行程序，并已说明该人士有资格适用的各章所提供的救济。我还证明，我已向债务人交付11 U.S.C. § 342(b)要求的通知，并且在§ 707(b)(4)(D)适用的案件中，证明经查询后我并不知悉随申请书提交的附表中的信息不正确。\n\n/s/\nDylan Kletter（迪伦·克莱特）　_________________________________\nKletter\n债务人律师签名　日期　月　_________________\n02/23/2022\n/\n日\n/ 年\n\nDylan Kletter\n印刷体姓名\n\n律师事务所名称\n编号　Brown Rudnick LLP（布朗·鲁德尼克律师事务所）\n185 Asylum Street\n街道　_________________________________________________________________________________________________\n\nHartford\n______________________________________________________ ____________ ______________________________\n城市　06103\n邮政编码\n(860) 509-6557\n联系电话 _____________________________________　州　电子邮件地址　dkletter@brownrudnick.com\n\n______________________________________________________ ____________\n律师执照编号　CT　州\n\nCase 22-50073　Doc 19\nFiled 02/23/22　Entered 02/23/22 18:57:26　Page 9 of 9\n\nHo\nWan\n债务人1\n名\n中间名　Kwok\n\n姓氏　22-50073\n案件编号（如已知）_____________________________________\n\n如您在无律师代理的情况下提交本破产申请　法律允许您作为个人在破产法院自行代理，但您应当了解，许多人认为成功自行代理极为困难。由于破产会产生长期的财务和法律后果，强烈建议您聘请一名合格律师。\n\n要取得成功，您必须正确提交并处理您的破产案件。相关规则具有很强的技术性，错误或不作为可能影响您的权利。例如，您的案件可能因您未提交所需文件、未按时缴纳费用、未参加会议或听证会，或未与法院、案件受托人、美国受托人、破产管理人或审计机构合作（如您的案件被选中审计）而被驳回。如发生这种情况，您可能失去提交另一案件的权利，或可能失去包括自动停止效力在内的保护。\n\n您必须在须向法院提交的财产和债务清单中列明您的全部财产和债务。即使您计划在破产程序之外偿还某一特定债务，您也必须在清单中列明该债务。如您未列明债务，该债务可能不会被免除。如您未列明财产或未适当地声称该财产为豁免财产，您可能无法保留该财产。如果您在破产案件中从事任何不诚实行为，例如毁坏或隐匿财产、伪造记录或说谎，法官还可拒绝免除您的全部债务。个人破产案件会被随机审计，以确定债务人是否准确、如实且完整。破产欺诈是严重犯罪；您可能被处以罚款和监禁。\n\n如您决定在无律师代理的情况下提交申请，法院要求您如同已聘请律师一样遵守规则。法院不会因您自行提交申请而给予不同对待。要取得成功，您必须熟悉《美国破产法典》、联邦破产程序规则以及您案件提交所在地法院的地方法规。您还必须熟悉任何适用的州豁免法。\n\n您是否知悉，提交破产申请是一项具有长期财务和法律后果的严肃行为？\n\n如您由律师代理，无需提交本页。\n\n‰\n否\n‰\n是\n\n您是否知悉，破产欺诈是严重犯罪，并且如您的破产表格不准确或不完整，您可能被处以罚款或监禁？\n\n‰\n否\n‰\n是\n\n您是否曾向非律师人员支付或同意支付费用，以协助您填写破产表格？\n\n‰\n否\n‰\n是。人员姓名_____________________________________________________________________。\n\n附上《破产申请文件编制人通知、声明及签名》（Official Form 119）。\n\n本人在此签名，即确认本人理解在无律师代理的情况下提交申请所涉及的风险。本人已阅读并理解本通知，并知悉如未妥善处理案件，在无律师代理的情况下提交破产案件可能导致本人失去权利或财产。\n\n债务人1签名　______________________________\n债务人2签名\n日期\n\nMM / DD\n/ YYYY　日期　_________________\nMM / DD / YYYY\n\n联系电话 ______________________________________　联系电话　________________________________\n手机\n______________________________________　手机　________________________________\n电子邮件地址　______________________________________\n电子邮件地址　________________________________","key_entities":["Kwok","Guo","CIPA","Ho Wan Kwok"],"ecf_references":[],"word_count":4686,"status":"published","published_at":"2022-02-23 00:00:00","created_at":"2022-02-23","updated_at":"2026-08-23 22:05:26"}