Ustsv Form

UNITED STATES BANKRUPTCY COURT CENTRAL DISTRICT OF CALIFORNIA In re Chapter 11 Case Number Debtor Mark One Box for Each Required Document Attached Previously Submitted 7-DAY PACKAGE COVER SHEET Original Supplemental You must attach each of the following documents or a satisfactory explanation for your failure to attach a document. Dated Law Firm Name By Attorney for Debtor I declare under penalty of perjury that the information provided on 7-Day Package Cover Sheet and the attachments herein are true and correct to best of knowledge information and belief. I have full authority to answer the questions on the documents attached hereto on behalf of the debtor-in-possession. Print Name and Title of Authorized Agent for Debtor-in-Possession Signature of Authorized Agent for Debtor-in-Possession. Attorney or Professional Name Address Telephone and FAX. File with U*S* Trustee within 7 days of filing the Chapter 11 petition* Do not file with the Bankruptcy court. Failure to submit these documents in a timely fashion may result in a motion to convert or dismiss the case. The submission of documents that are incomplete or not prepared in accordance with USTP guidelines and requirements will be treated as a failure to submit. Explanation REQUIRED DOCUMENTS 1. Real Property Questionnaire USTSV-RPQ for each parcel of real property. 2. Pre-Petition bank account information 3. Proof of Establishment of Debtor-In-Possession bank accounts A. General account B. Payroll account C. Tax account D. Other necessary accounts e*g* cash collateral 4. Proof of insurance coverage submit declaration pages A. General comprehensive public liability insurance B. Fire and theft insurance C. Workers compensation insurance D. Vehicle insurance E* Product liability insurance F* Other customary insurance coverage 5. Proof of required certificates and licenses 6. List of insiders as defined in 11 U*S*C. 101 31 7. Pre-petition financial statements 8. Projected cash flow statement 9. Trust agreements and any amendments thereon 10. Proof of recordation of chapter 11 petition 11. Statement of Major Issues and Timetable Report 12. Recently filed Federal income tax returns Federal state payroll tax returns state sales tax returns with all schedules and attachments submit as separate package. 13. Employee benefit plan questionnaire USTSV-EBPQ CONTINUED PAGE 2 MUST BE INCLUDED OR THIS DOCUMENT WILL BE CONSIDERED INCOMPLETE Revised December 2011 USTSV-CS I have read and understood the Guidelines and Requirements for Chapter 11 Debtors-in-Possession* I have also reviewed the documents attached to this cover sheet. Failure to submit these documents in a timely fashion may result in a motion to convert or dismiss the case. The submission of documents that are incomplete or not prepared in accordance with USTP guidelines and requirements will be treated as a failure to submit. The submission of documents that are incomplete or not prepared in accordance with USTP guidelines and requirements will be treated as a failure to submit. Explanation REQUIRED DOCUMENTS 1. Real Property Questionnaire USTSV-RPQ for each parcel of real property.