SCHEDULE “4”

OUTSTANDING DEBTS INCURRED SEPARATELY

 

 

a.       List all outstanding debts you have incurred and are separate

b.      Attach to this sheet a copy of the most recent bill from each creditor.

c.       If the debt is based on a promissory note, attach a copy of the promissory note and mortgage or security agreement.

d.      If the debt is based on a written agreement to repay, indicate whether you signed the written agreement.

e.       Your comments or explanations:

 

CREDITOR

ACCOUNT NUMBER

PURPOSE OF DEBT

COLLATERAL GIVEN

AMOUNT DUE

MONTHLY PAYMENT

AWARD

1.

 

 

 

 

 

H/W

2.

 

 

 

 

 

H/W

3.

 

 

 

 

 

H/W

4.

 

 

 

 

 

H/W

5.

 

 

 

 

 

H/W

6.

 

 

 

 

 

H/W

7.

 

 

 

 

 

H/W

8.

 

 

 

 

 

H/W

9.

 

 

 

 

 

H/W

10.

 

 

 

 

 

H/W

11.

 

 

 

 

 

H/W

12.

 

 

 

 

 

H/W

13.

 

 

 

 

 

H/W

14.

 

 

 

 

 

H/W

15.

 

 

 

 

 

H/W

TOTAL