GENERAL ORDER 20-4; Exhibit List; Debtor Questionnaire; Support Form

Hon. Paul Sala · U.S. Bankruptcy Court for the District of Arizona

Role: Bankruptcy Judge

Bluebook Citation: Hon. Paul Sala, GENERAL ORDER 20-4; Exhibit List; Debtor Questionnaire; Support Form, U.S. Bankruptcy Court for the District of Arizona

Judge Profile: Hon. Paul Sala profile and standing orders


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=== GENERAL ORDER 20-4 ===

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 UNITED STATES BANKRUPTCY COURT DISTRICT OF ARIZONA In the matter of: RESTRICTIONS ON VISITORS TO THE COURTHOUSE SECOND AMENDED GENERAL ORDER 20-4 In light of the most recent Centers for Disease Control and Prevention (“CDC”) guidance relating to the requirement for face coverings, as adopted by the General Services Administration (“GSA”), the Court rescinds the following paragraph from Amended General Order 20-4 requiring the wearing of face coverings while in the Bankruptcy Courthouses: • No visitor shall be admitted to the Bankruptcy Courthouses in Phoenix or Tucson without a face covering, which shall be worn at all times while in the courthouse. Face coverings will be provided to any visitor who does not have their own. Other tenants of the courthouse or those coming to interact with such tenants shall provide their own face covering. The following operative provisions of Amended General Order 20-4 remain in effect: Effective immediately, the following persons are not permitted to enter the United States Bankruptcy Court for the District of Arizona: • Persons who have been diagnosed with COVID-19; • Persons who reside in, or have had contact with, someone who has been diagnosed with COVID-19 within the last 14 days; • Persons who, because of COVID-19, have been asked to self-quarantine by any doctor, hospital, or health agency; and • Persons with apparent symptoms of COVID-19, such as fever, severe cough, or shortness of breath. For any other questions regarding visits to the courthouse, please contact the Clerk’s Office for the appropriate courthouse using the phone numbers listed below: Phoenix - U.S. Courthouse and Federal Building: (602) 682-4000 or (800) 556-9230 Tucson – James A. Walsh Federal Courthouse: (520) 202-7500 or (800) 556-9230 Yuma – John M. Roll U.S. Courthouse: (928) 261-4500 or (800) 556-9230 The foregoing will remain in effect pending further Court order. IT IS SO ORDERED. Dated this 10th day of March, 2022. FOR THE COURT: Honorable Brenda Moody Whinery, Chief Judge 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 2

=== Debtor Questionnaire ===

Local Form 2003-2(a)(1) (12/22) CHAPTER 7 DEBTOR QUESTIONNAIRE All debtors must complete this Questionnaire and send it to their Chapter 7 trustee. Unless the Chapter 7 trustee requests otherwise, the completed Questionnaire shall be sent via U.S. Mail, postmarked no later than 14 days before the date set for the Meeting of Creditors/341 Hearing Date. If represented by an attorney, debtors should discuss their responses with their attorneys prior to sending their competed questionnaire to the Chapter 7 trustee. DEBTOR 1 NAME: ________________________________ Phone:___________________________ Email:____________________________ DEBTOR 2 NAME (if applicable): ________________________________ Phone:___________________________ Email:____________________________ CASE NUMBER: _____________________ 341 HEARING DATE:___________ 1. Have you reviewed your Petition, Schedules, and Statement of Financial Affairs and do you understand the information contained in them? Yes No 2. Have you reviewed the Bankruptcy Information Sheet and do you understand the information contained in it? Yes No 3. For those filing individually, are you presently married? Yes No If you answered yes to this question, please provide the following information: (a) Date married: ________________________________ (b) Name of spouse: ______________________________ (c) Are all of your, your spouse’s and your marital community’s assets listed on your schedules? Yes No 4. Have you been divorced in the 2 years prior to your bankruptcy filing? Yes No Page 1 of 3 5. Do you own any bitcoin or other cryptocurrency? Yes No 6. Are you involved in any lawsuit in which you are seeking to recover money or property from a person or entity (such as a personal injury claim, automobile accident claim, or class action claim)? Yes No If you answered yes to this question, please provide the following information: (a) Nature of the lawsuit (example: personal injury/auto accident, class action, etc.): ____________________________________________________________________________ ______________________________________________________ (b) Case number: _____________________________________________________ (c) Name and telephone number of the attorney handling that lawsuit:___________________________________________________________ 7. Are you aware of any potential claim or right to payment that you may have against any person or entity (such as personal injury claims, automobile accident claims, class action claims or settlements)? Yes No If you answered yes to this question, please provide the following information: (a) Nature of your claim or right to payment: ________________________________ (b) Name and telephone number of the attorney handling that claim, if any: _______________________________________________________________ 8. Are you entitled to receive a death benefit under a will or insurance policy where the person has already died? Yes No 9. Do you understand that you must report any rights to an inheritance or life insurance proceeds that arise within 180 days after your bankruptcy filing by notifying your trustee and by filing amended Schedules A/B and C with the court? Yes No 10. Are you the beneficiary of any estates or trusts? Yes No Page 2 of 3 Local Form 2003-2(a)(1) (12/22) 11. Are you the trustee or settlor of any trusts? Yes No 12. Have you filed federal and state income tax returns for the 2 years before your bankruptcy filing? Yes No 13. Do you understand that any tax refunds due to you at the time of your bankruptcy filing may be required to be turned over to your Chapter 7 trustee? Yes No 14. Do you understand that you must provide your Chapter 7 trustee with a copy of your federal and state tax returns for the tax year that includes the date of your bankruptcy filing? (Example: If you filed your bankruptcy petition on February 2, 2022, you must provide copies of your 2022 federal and state tax returns when you file them in 2023). Yes No 15. Do you understand that any tax refund due to you for the year that includes the date of your bankruptcy filing may be required to be turned over to your Chapter 7 trustee? Your trustee will return to you any portion of the refund to which you are entitled. Yes No 16. In the 12 months before filing your bankruptcy petition, did you fully or partially repay any family members, friends, or relatives on any loans? Yes No 17. In the 12 months before filing your bankruptcy petition, did you transfer any assets or money to family members, friends, or relatives? Yes No 18. Have you purchased a vehicle or refinanced a vehicle loan in the 6 months prior to your bankruptcy filing? Yes No I declare under penalty of perjury that the above information is true and correct. Debtor 1: _________________________________________ Date: _______________ [Signature] Debtor 2: _________________________________________ Date: ________________ [Signature] Page 3 of 3

=== Support Form ===

UNITED STATES BANKRUPTCY COUNT DISTRICT OF ARIZONA SUPPORT FORM Case No.: Chapter: 7 Case Name: Trustee: If you are required to pay (cid:38)(cid:50)(cid:56)(cid:53)(cid:55)(cid:3)(cid:50)(cid:53)(cid:39)(cid:40)(cid:53)(cid:40)(cid:39)(cid:3)alimony or child support, you MUST complete this form and return it to your Trustee. Provide the following information: Name of person you owe support: Address & phone number of person you owe support: Your employer’s name: Phone #: Address & phone number of your employer: Amount of support owed as of petition date: (cid:39)(cid:76)(cid:89)(cid:82)(cid:85)(cid:70)(cid:72)(cid:3)(cid:38)(cid:68)(cid:86)(cid:72)(cid:3)(cid:6)(cid:3)(cid:68)(cid:81)(cid:71)(cid:3)(cid:38)(cid:82)(cid:88)(cid:85)(cid:87)(cid:3)(cid:49)(cid:68)(cid:80)(cid:72)(cid:29) $ Dated Signed Printed Name (Submit this form with all other requested information to your Trustee)

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